22 doctors weighed in:
What is the cost of multifocal lens in a cataract surgery that is covered by insurance?
22 doctors weighed in

Dr. Richard Bensinger
Ophthalmology
13 doctors agree
In brief: Mostly not
Most insurances will cover the cost of the basic intraocular lens for replacement of focusing.
Multifocals are, from their standpoint, an expensive add on. And they will not cover the added cost. If you want these, you will have to pay the extra $600-$1000 for the fancy lens.

In brief: Mostly not
Most insurances will cover the cost of the basic intraocular lens for replacement of focusing.
Multifocals are, from their standpoint, an expensive add on. And they will not cover the added cost. If you want these, you will have to pay the extra $600-$1000 for the fancy lens.
Dr. Richard Bensinger
Dr. Richard Bensinger
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1 comment
Dr. U Krishnan
No insurance companies cover multifocal IOL. Cost is typically closer to $1000 or more
Dr. Michael Sayegh
Ophthalmology
2 doctors agree
In brief: Unfortunately Not
Insurance companies only cover what is deemed medically necessary.
Multifocal lenses as well as other premium lenses are considered an upgrade to the "medically necessary" basic monofocal lens. The patient is responsible for the added cost of the multifocal implant.

In brief: Unfortunately Not
Insurance companies only cover what is deemed medically necessary.
Multifocal lenses as well as other premium lenses are considered an upgrade to the "medically necessary" basic monofocal lens. The patient is responsible for the added cost of the multifocal implant.
Dr. Michael Sayegh
Dr. Michael Sayegh
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Dr. Jay Bradley
Ophthalmology - LASIK Surgery
2 doctors agree
In brief: Multifocal lenses
Multifocal lenses are not covered by insurance and are an additional charge (typically $1800-2000 per eye).

In brief: Multifocal lenses
Multifocal lenses are not covered by insurance and are an additional charge (typically $1800-2000 per eye).
Dr. Jay Bradley
Dr. Jay Bradley
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Dr. William Goldstein
Ophthalmology
2 doctors agree
In brief: No
Standard lenses that provide only distance vision without the need for glasses are covered, since they are considered 'medically necessary'.
Upgraded lenses such as the multifocal or crystalens are cosmetic add-ons and not covered. They are costly but very effective in decreasing dependance on glasses. More info http://www.2020vision.Com/advancedtech.Html.

In brief: No
Standard lenses that provide only distance vision without the need for glasses are covered, since they are considered 'medically necessary'.
Upgraded lenses such as the multifocal or crystalens are cosmetic add-ons and not covered. They are costly but very effective in decreasing dependance on glasses. More info http://www.2020vision.Com/advancedtech.Html.
Dr. William Goldstein
Dr. William Goldstein
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Dr. Sandra Lora Cremers
Ophthalmology
In brief: Insurance coverage
To date, major insurance carriers (aside from a flexible spending account) do not cover multifocal (MIOL) or any premium intraocular lenses for cataract surgery.
They only cover monofocal (corrects usually only distance VA or reading or intermediate: not all 3 like MIOLs can in general).

In brief: Insurance coverage
To date, major insurance carriers (aside from a flexible spending account) do not cover multifocal (MIOL) or any premium intraocular lenses for cataract surgery.
They only cover monofocal (corrects usually only distance VA or reading or intermediate: not all 3 like MIOLs can in general).
Dr. Sandra Lora Cremers
Dr. Sandra Lora Cremers
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