Cataracts Treatment

Question by primemender5: Insurance question?
I just had cataract surgery. The total cost of the surgery was $ 5000.00 the commercial insurance paid $ 1500.00 we called and told them that wasn’t the amount the policy stated they would pay. We were told that was the contractal amount the hospital agreed to take for the surgery and that we will not be billed for the rest over our usual 20%.

My question will the insurance company take the total amount of the surgery off our benefits, or the amount they actually paid?

Best answer:

Answer by rhymeweaver
This is how it works. Your insurance company has a contract in place with the hospital you went to. The total cost of the surgery was $ 5000. If you are required to pay 20%, your portion would be $ 1000. Your insurance company paid $ 1500. The other $ 2500 was written off for PPO discount. That means you get a discounted rate because you used one of their preferred providers.

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Question by sebastians_gec: Why would insurance companies cover elective surgery?
I’ve heard that some insurance companies will pay some, or part, of the cost of some cosmetic/elective surgeries like Lasik, Breast Augmentation, Cataract Surgery, etc. If insurances provide coverage for things they HOPE don’t happen (and then have to pay for), why would they include anything elective in their plans?

Best answer:

Answer by AAMAK
Just a little comment here..

cataract surgery is not an elective surgery… yes it is not an emergency in adults but it is not elective… a patient with a vision of 2/60 or something really needs it

lasik is mostly elective.. however some cases are not elective.. these are not uncommon really… like cases of anisometropia in children or other post cataract refractive error and with accomodative IOLs

i know some insurance companies pay only when it is really indicated.. not simply to get rid of the glasses..

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Question by amythababii: Does medicaid insurance cover cataract surgery for dogs?
My little shi-zu doggie has cataract on one eye.
I would hate for her to lose one eye because of the cataract and its really expensive to do the surgery without an insurance. i would like to know if Medicaid would pay for her cataract removal surgery.
My mom has medicaid and they told her once that medicaid does cover the costs to operate and have the doggie fixed for no more puppies but im not sure if they can do cataract surgery.
does anybody know???

Best answer:

Answer by Bonzie12
no, medicaid only covers humans.

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Question by ade: cost of eye surgery with no insurance?
contemplating cataract surgery as well as glaucoma surgery in north carolina. ( no Insurance). what’s the average cost of these procedures per eye?

Best answer:

Answer by blackbeard
I live in New Zealand,Cost of cataract surgery $ 2,500, cost of Glaucoma anything from $ 1,500/$ 3,500 Depending on which Hospital or Eye clinic you go to.The prices quoted are NZ $ .So i reckon around $ 5,500 US

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Question by jessica: how to get health insurance for an immigrant?
my husband wants to bring his mother here from mexico to get cataract surgery and other various healthcare. how do we get health insurance for her? can she qualify for any kind of medicaid or govt. issued health insurance or assistance?

Best answer:

Answer by tonalc2
State laws vary as to eligibility for health care for legal immigrants.

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