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Lower Medical expense Costs For Cataract Surgery

Patients toward (pocketpussytoy.com) can minimize their cataract surgery costs by selecting economical lenses and providers. There is lots of biased information available on cataract surgery costs because cataract lenses are a "big business" for manufacturers, surgeons, and surgery facilities. The Medicare program and Medicare people are the most frequent payors of cataract surgery costs.



Cataract surgery lens costs

In case your cataract surgery lens cost is under $150 per eye, you then can't be personally billed more for your lenses by the surgeon or surgery center under Medicare rules. In the event the cataract surgery lens cost is a lot more than $150, then Medicare enables the facility to bill you because the patient with an amount on the $150.

Fortunately, the three most popular cataract lenses all are less expensive than $150. These are good lenses and definately will take care of the problem of cloudy vision. You can not be billed for the price of these cataract lenses because they are less expensive than $150. The "xx" within the models below indicates a placeholder for size. Collectively, I estimate these 3 lenses are employed in over 90% of cataract surgeries.

Most widely used Cataract Lenses:

Model: Acrysof IQ SN60WF "xx"
Company: Alcon
Cost: $150
Under Medicare Limit: Yes

Model: Sofport LI61AO "xx"
Company: Bausch & Lomb
Cost: $150
Under Medicare Limit: Yes

Model: Tecnis ZA9003 "xx"
Company: AMO
Cost: $135
Under Medicare Limit: Yes

Depending on my estimates, Alcon's Acrysof IQ above is used in approximately 50% of cataract surgeries and the Bausch & Lomb's Sofport and AMO's Tecnis constitute another 40% of cataract surgeries. These marketshare percentages provide my experience working in the ambulatory surgery business and that i never have verified them against actual sales data.

Surgeons may attempt to "upsell" you into higher priced lenses which will also correct presbyopia or astigmatism, but you'll need to pay big money for each and every lens out of your own pocket. Alcon's Toric lenses and ReSTOR lenses listed here are samples of cataract lenses which have large patient out-of-pocket costs.

Cost per Eye of "Premium" Cataract Lenses

Model: Acrysof IQ Toric SN6AT3-5 "xx"
Company: Alcon
Provider Cost: $495
Patient Cost: $345
Under Limit: No

Model: Acrysof IQ ReSTOR
Company: Alcon
Provider Cost: $495-$895
Patient Cost: $345-$745
Under Limit: No

It is significantly less harmful for buy eyeglasses for $120 than to pay another $690-$1,490 for premium cataract lenses that will correct presbyopia.

Hospital and surgery center costs

Cataract surgery costs to Medicare patients are significantly lacking in ambulatory surgery centers than they will be in hospital surgery departments. The surgery costs listed here are depending on 2011 national Medicare rates that could be adjust slightly to your state.

Facility Cataract Surgery Fees for One Eye

Ambulatory Surgery Center
Medicare Pays: $761
Patient Pays: $190

Hospital
Medicare Pays: $1,307
Patient Pays: $326

Patients will save 42% off their cataract surgery costs on coinsurance by going to an ambulatory surgery center rather than a hospital surgery department. The Medicare program itself saves lots of money when patients have cataract surgeries performed in true ambulatory surgery centers as opposed to hospitals.

Total cataract surgery financial savings

Therefore an individual would go to an ambulatory surgery center and chooses among the three lenses under the Medicare allowable limit described in the following paragraphs, the real key or she could save over $1,000 on their own cataract surgery costs for both eyes.
  1. 2014/02/18(火) 20:54:28|
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