Author Topic: Brisk Wednesday  (Read 395 times)

Dave K.

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Re: Brisk Wednesday
« Reply #15 on: December 06, 2017, 05:35:23 PM »
Afternoon all.

Looks like I will be scheduling Cataract Surgery for some time in Jan.

Medicare has just decided that it is now considered "Cosmetic Surgery" and therefore they will not pay for it.  The price is over $3000.00 out of my Train Budget.  I guess that not going blind is "Cosmetic" and not a necessity......Ya Think ?

Jim

Wow. That’s absolute horse-hockey! Is there an appeals process?

Oldguy

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Re: Brisk Wednesday
« Reply #16 on: December 07, 2017, 11:10:06 AM »
Afternoon all.

Looks like I will be scheduling Cataract Surgery for some time in Jan.

Medicare has just decided that it is now considered "Cosmetic Surgery" and therefore they will not pay for it.  The price is over $3000.00 out of my Train Budget.  I guess that not going blind is "Cosmetic" and not a necessity......Ya Think ?

Jim


Whoa.  The Bosslady has two removed last year and Medicare covered them both.  I wonder if your Glare Test didn't reach the Medicare threshold? 
« Last Edit: December 07, 2017, 11:17:03 AM by Oldguy »
Bob Dye
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Jerry

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Re: Brisk Wednesday
« Reply #17 on: December 07, 2017, 11:17:03 AM »
Afternoon all.

Looks like I will be scheduling Cataract Surgery for some time in Jan.

Medicare has just decided that it is now considered "Cosmetic Surgery" and therefore they will not pay for it.  The price is over $3000.00 out of my Train Budget.  I guess that not going blind is "Cosmetic" and not a necessity......Ya Think ?

Jim

Are you sure about that??????

Medicare generally does not pay for vision care, but it will cover certain medically necessary services, such as cataract surgery. If you have Original Medicare, these services are covered under Part B, which covers outpatient services. Medicare Advantage Plans cover the same services as Original Medicare, but may have different costs and conditions. If you have a Medicare Advantage Plan, contact a plan representative to learn about how the plan covers cataract surgery.

Specifically, Medicare covers:
•The removal of the cataract
•Basic lens implants
•One set of prescription eyeglasses or one set of contact lenses after the surgery

"And in the end, it’s not the years in your life that count. It's the life in your years." A. Lincoln

ACL1504

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Re: Brisk Wednesday
« Reply #18 on: December 07, 2017, 11:48:50 AM »
Jim,

Pam had Cataract Surgery this past summer. She had the surgery and Ocular Implants.

Medicare paid for the basic surgery but not the Ocular Implants. We paid about 4,300.00 out of pocket. Medicare  and supplement Ins. paid around $3,500.00.

It was will worth the price. Pam has worn glasses and contacts for the past 55 years. Now, her vision is 20/20 and no glasses or contacts needed.

It was well worth the cost.  Just saying.

Tom ;D
If you hate plan A, you are certainly not going to like plan B!

Tom Langford
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Dave K.

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Re: Brisk Wednesday
« Reply #19 on: December 08, 2017, 06:33:23 AM »
Bump in case Jim didn’t see these responses.

jimmillho

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Re: Brisk Wednesday
« Reply #20 on: December 09, 2017, 12:56:06 PM »
Ok, here is the story as told by the Doctors office.

Medicare will pay for the removal of the clouded lens. they pay for the actual surgery.  They will not pay for the new lens because it will correct your vision and allow you to not require glasses.  This is considered to be "Cosmetic".

The cost of the Surgery is approx. $5000.00 per eye and Medicare will pay its 80% of that.
There is a basic lens that will not correct your vision and you will still require glasses and that lens will cost $125.00 per eye.  A lens that corrects your vision costs between $1500.00 and $2900.00 per eye and that is what Medicare will not pay for.

Medicare will pay for one pair of glasses after the Surgery, but if the surgery corrects your vision and you no longer need glasses, what is this for?  Typical Government.

Jim
Some people hear voices, others have no imagination at all

Dave K.

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Re: Brisk Wednesday
« Reply #21 on: December 09, 2017, 01:36:34 PM »
😡

deemery

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Re: Brisk Wednesday
« Reply #22 on: December 09, 2017, 05:13:03 PM »
...
Medicare will pay for one pair of glasses after the Surgery, but if the surgery corrects your vision and you no longer need glasses, what is this for?  Typical Government.

Jim
Even if you get the corrective lenses, that will NOT cure old-age far-sightedness.  So you may need prescription reading glasses if you have astigmatism, and you'll almost definitely need drugstore reading glasses.  (And that really pissed off my wife, after she had her cataract surgery!)


dave
Modeling the Northeast in the 1890s - because the little voices told me to

jimmillho

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Re: Brisk Wednesday
« Reply #23 on: December 10, 2017, 11:12:22 AM »
My wife has Drugstore reading glasses in every room of the house (in case she misplaces the ones around her neck)

Jim
Some people hear voices, others have no imagination at all

 

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