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What does cataract surgery cost?

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Cost of cataract surgery in New Jersey & New York

cost-of-cataract-surgery-new-jersey-nyCataract surgery cost is typically an accumulation of a number of expenses, including doctor’s visits, facility charges, anesthesia, supplies and the surgery itself. On average, cataract surgery cost in the United States is $3,000 to $5,000 per eye if you pay for the surgery out-of-pocket.

Medicare and health insurance plans can help defray most or even all of these costs, minus deductibles and co-pays when applicable. The cataract surgery cost in New Jersey and New York can vary greatly, however, depending on where you live, the surgeon you choose and your specific needs. For example, it costs extra to repair other vision problems like astigmatism, or presbyopia at the same time as cataract surgery.

Additionally, while private health insurance plans and Medicare often cover the cost of traditional, monofocal intraocular lenses (IOLs), many people opt for multifocal (bifocal or trifocal) lenses that allow for corrections in up-close and distance vision. These cataract surgery costs are typically seen as not medically necessary and are often not covered under insurance plans and government programs.

The Newest Premium Lens Options

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Crystalens Advantage

Crystalens is an increasingly popular choice in IOLs. It mimics the functioning of our natural young lens with a special design that allows the lens to flex along with your eye muscles (accommodation). This allows your eye to focus naturally for near, intermediate and distance vision. Crystalens is the only FDA-approved accommodating intraocular lens.

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The ReSTOR Lens

ReSTOR IOL is a very popular option that allows patients to see objects both near and far. The lens uses a special technology to distribute light. As a result, many patients do not have to wear glasses for all distances. Also, many patients who have a problem with accommodation choose to replace their natural lenses with ReSTOR for vision correction, even without having a cataract (e.g., presbyopia).

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The ReZoom Lens

ReZoom IOL is a popular multifocal refractive IOL that offers patients the ability to see clearly at near, intermediate and far distances. The lens distributes light over those multiple zones to produce a full range of vision correction. The ReZoom lens also offers clear vision in variable lighting conditions.

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TECNIS Multifocal Lens

TECNIS multifocal lenses have been highly effective in the majority of our cataract surgery patients. In fact, 9 out of 10 TECNIS multifocal lens wearers never need to wear glasses because they experience a full range of vision. Of course, as with any of these lenses, your individual outcome will depend on the physical characteristics of your eyes.

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About Toric AcrySof IOL

AcrySof Toric Lens

A different type of next generation lens called the AcrySof Toric Lens may be the best choice for you if you suffer from cataracts and astigmatism. The Toric lens will eliminate or minimize your astigmatism and will improve your natural vision for both distance and near. However, with this lens you will still need your reading glasses.

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Health Insurance Coverage for Cataract Surgery Costs

health insurance coverage for cataract surgery new jersey new yorkMost private health insurance plans (either employer-sponsored or purchased individually) cover cataract surgery cost in New Jersey and New York, especially for people age 65 and over. The only amount you would have to cover would be the cost of your annual deductible, as well as any co-pay amount required by your health plan (typically 10-20%).

Additionally, you may have to pay 20% of the following costs that are not a part of the actual procedure, but which are necessary in order to complete the cataract surgery:

  • An EKG test that determines your heart health prior to surgery
  • A comprehensive eye exam to determine your eye’s refractive errors
  • Charges for an anesthesiologist or nurse practitioner
  • Prescription eyeglasses, if needed after surgery
  • Follow-up procedures or care due to complications that arise after 90 days included post-operative care


Free or Reduced Cataract Surgery Cost with Medicare

medicare_logoEvery year, Medicare determines how much allowed value is covered for cataract surgery cost. Most cataract surgeons agree not to charge Medicare patients above this amount. In the majority of Medicare cases, the government will cover 80% of the allowed amount, and the patient will be responsible for the remaining 20% (minus the annual deductible which is $147 as of January 2013).

Supplemental Insurance

Supplemental insurance policies can cover the 20% Medicare co-payment or your private health insurance plans co-pay in order to make the surgery virtually free for patients who carry these plans. There are also government and private subsidy programs available as well that can help defray the cost of the Medicare co-payment and deductible.

Contact our New York or New York offices at the 5th Avenue Eye Center to find out more about cataract surgery New Jersey & New York and how much you can expect to pay for your procedure. We’ve served countless cataract surgery New Jersey and New York patients and we can help you as well. Our no-obligation consultation will help you get questions answered and will present you with options for your cataract surgery.

Schedule a Cataract Consultation


Related pages:

Cataract Symptoms & Types of Cataracts
Cataract Surgery and Presbyopia (Vision After 40)
The ReSTOR Lens
Cataract Surgery NY and NJ
AcrySof Toric Lens
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