I’ve got a Medicare Advantage plan, and I’m curious if my upcoming eye surgery is fully covered or if I’ll owe extra out of pocket.
Answered by 2 licensed agents
That would be a great question to ask the provider prior to the surgery. A good ophthalmologist office Is usually very aware of the codes that they will bill to Your Medicare advantage plan And they may Tell you your cost. You should also be able to contact your Medicare advantage plans member services number and they can answer that question for you. If it is a cataract surgery, that’s a little different. Medicare fully covers cataract surgery with a standard lens. If you are using any type of upgraded lens, then Medicare will not pay for the upgraded lens And you will be financially responsible for that cost.
Answered by Gregg Matheny on March 26, 2025
Agent Licensed in AZ & UT
Bear in mind that there are over 60,000 treatments that are covered by a government subsidized Medicare Advantage plan, being your Primary insurance at 80%. The rest of the money or 20% is paid by Medicare itself, your Secondary insurance. However, some things written in the policy may not be completely covered. Your doctor should know that! This is the “give and take” since you’re responsible for a somewhat steep deductible since you likely have no monthly premium.
Answered by Steven Bleicher on March 30, 2025
Broker Licensed in AZ
Tags: Medicare Advantage
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