My plan covered my cataract surgery but not the lenses I actually needed—how do they get away with that?
Answered by 1 licensed agent
Medicare typically covers the cost of the surgery itself, including the removal of the clouded lens and implantation of a a basic intraocular lens (IOL) only. If you or your doctor believes that a specialty lens is a medical necessity, you may file an appeal with Medicare (if you have original Medicare) or your Medicare Advantage plan (if you are on an MAPD).
Answered by Michael Crocker on March 29, 2025
Broker Licensed in SC
Tags: Coverage
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