Is LASIK Eye Surgery Covered by Insurance?

Is LASIK Eye Surgery Covered by Insurance?

Considering LASIK for vision correction is a significant decision and understanding the financial aspects, including insurance coverage is crucial. Many people wonder if their insurance covers LASIK. Some vision insurance policies might offer benefits to help with the cost of laser eye surgery, but there could be limitations. Therefore, it’s wise to review your insurance policy before deciding on this procedure.

Is LASIK Covered by Insurance?

Typically, LASIK is viewed as an elective procedure, so it’s usually not covered by health or vision insurance. Insurance providers often argue that alternatives like eyeglasses or contact lenses make LASIK medically unnecessary. This outlook also applies to LASIK for astigmatism. However, there are exceptions based on individual circumstances, insurance policies, and specific providers.

What Does LASIK Cost Without Insurance?

LASIK costs can vary, ranging from $1,000 to $4,000 per eye. As per Clinical Ophthalmology 2021, the average cost in the United States in 2020 was approximately $2,632 per eye. Beware of advertisements promising LASIK for as low as $250, as these typically apply to minor adjustments and are often marketing gimmicks.

When Does Insurance Cover LASIK?

Insurance might cover LASIK under specific conditions, such as for certain professions or if you have medical conditions like severe allergies or dry eyes. While traditional health insurance usually covers eyeglasses and contacts, vision-specific insurance plans might help with additional eye care expenses, including eye surgery.

Alternative Ways to Finance LASIK

If the upfront cost of LASIK is daunting, consider the following alternatives:

1. Financing Options: Many clinics provide flexible payment plans or interest-free financing, enabling you to spread out the cost over time.

2. Using FSA or HSA: If you have a Flexible Spending Account (FSA) or Health Savings Account (HSA) through your employer, you can use pre-tax dollars for LASIK surgery, leading to significant savings.

3. Bonuses: Bonuses such as tax returns, signing bonuses for new jobs, current employment bonuses, financial windfalls, and even monetary gifts can be used to cover LASIK expenses.

4. HR Assistance: Discuss your vision plan with your HR manager, specifically inquire about LASIK coverage. They can also guide you on alternative benefits like FSAs and HSAs.

Insight Vision Center’s Support

InSight Vision Center provides an excellent financing facility and offers CareCredit, a healthcare credit card with no interest if paid within 12 months. It can also be used for other medical expenses, including dental and veterinary.

FAQs

1. Is LASIK for astigmatism covered by insurance?
It’s rare, as LASIK is considered elective and not medically necessary.

2. How much is LASIK with insurance?
It varies depending on the insurance company, the specific plan, the type of treatment, and whether the doctor is in-network. It’s best to contact your provider and review your plan.

3. Is LASIK covered by Medicare?
LASIK is not covered by Medicare or Medicare Advantage (MA) plans. However, some MA plans may offer benefits like contact lenses, corrective glasses, yearly exams, or frames. Check with your service provider for specifics.

Aaron Barriga, the online marketing manager for Insight Vision Center, specializes in understanding medical procedures and has a keen interest in eye and vision health. He regularly shares his knowledge and findings on eye care, particularly LASIK, through his blogs.

Dr. Navin Kumar Gupta
http://shankarnetrika.com

Director, Shankar Netrika Medical Retina Specialist Retina Fellow, University of California, Irvine, USA (2008-2010) Research Fellow, Johns Hopkins Hospital, Baltimore, USA (2007-2008) Anterior Segment Fellow, Aravind Eye Hospital, Madurai (2004-2006) Affiliate of SEE International, Santa Barbara, USA Collaborator and Advisor of Phaco Training Program, Anjali Eye Center

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