Will Medicaid Cover LASIK Eye Surgery?
Have you ever wondered if Medicaid or your medical insurance will cover LASIK eye surgery? You’re not alone. Let’s dive into the details and find out what options are available regarding eye surgeries and Medicaid coverage.
In this blog we’ll discuss these topics:
- Why Doesn’t Medicaid Cover LASIK Surgery?
- Will Medical Insurance Cover LASIK Eye Surgery?
- What to Do to Get Medicaid to Cover LASIK Surgery?
- What Types of Eye Surgeries Does Medicaid Cover?
- Macular Degeneration Treatment
- Conclusion
- Faq’s
Why Doesn’t Medicaid Cover LASIK Surgery?
Medicaid generally doesn’t cover LASIK eye surgery. Why? Because LASIK is considered an elective procedure. In other words, it’s not seen as medically necessary. Medicaid focuses on covering treatments and procedures essential for health and well-being. Since LASIK mainly aims to reduce your need for glasses or contacts, it doesn’t make the cut.
Will Medical Insurance Cover LASIK Eye Surgery?
Most medical insurance plans follow the same logic as Medicaid and don’t cover LASIK eye surgery for being elective. However, some insurance companies might offer discounts or special pricing through partnerships with LASIK providers. So, it’s worth checking with your insurance provider to see if they have any deals.
What to Do to Get Medicaid to Cover LASIK Surgery?
Though rare, there are instances where Medicaid might consider covering LASIK surgery if it’s deemed medically necessary.
- Consult with Your Doctor: Have a thorough evaluation with your ophthalmologist. They can help determine if LASIK is medically necessary for your condition.
- Gather Documentation: Collect all relevant medical records and documentation supporting the need for LASIK.
- Submit a Request: Reach out to Medicaid and submit a formal request or pre-authorization, including the documentation from your doctor.
What Types of Eye Surgeries Does Medicaid Cover?
While LASIK may not be on the list, Medicaid does cover several other eye surgeries that are considered medically necessary
- Cataract Surgery: To remove cataracts and improve vision.
- Glaucoma Surgery: To reduce intraocular pressure and prevent vision loss.
- Retinal Surgeries: For conditions like retinal detachment or diabetic retinopathy.
- Corneal Transplants: To replace a damaged or diseased cornea.
Macular Degeneration Treatment
Medicaid also covers treatments for macular degeneration, a common eye condition among older adults that can lead to vision loss. Some of the treatments include:
- Anti-VEGF Injections: Medications injected into the eye to slow the disease’s progression.
- Photodynamic Therapy: A laser treatment used with a light-sensitive drug.
- Nutritional Supplements: Specific vitamins and minerals that can help slow the disease’s progression.
Conclusion
While Medicaid and most medical insurance plans don’t cover LASIK eye surgery because it’s considered elective, other types of eye surgeries and treatments are covered. If you’re keen on LASIK, exploring discounts or financing options might be the way to go. Always check with your healthcare provider and insurance company to understand your coverage and the best steps for your eye health.
Faq’s
Q1. Does Medicaid Cover LASIK?
A1. No, Medicaid usually doesn’t cover LASIK or other vision correction surgeries. These surgeries are often seen as cosmetic or elective, meaning they’re not considered medically necessary.
Q2. Does VA Medicaid Cover LASIK Eye Surgery?
A2. If your VA doctor says LASIK is medically necessary, there’s a good chance your VA benefits could cover it.
Q3. Is LASIK Covered by Medicaid in Illinois?
A3. Yes, CountyCare is the first and only Medicaid plan in Illinois that covers LASIK surgery. LASIK is a surgery that fixes vision problems by reshaping the corneas.
Q4. Does Medicaid Cover LASIK in Iowa?
Q4. No, LASIK laser eye surgery is not covered by health insurance or vision insurance in Iowa. This procedure is considered an elective cosmetic surgery, and insurance companies typically don’t cover the costs.
Q5. How Long Does LASIK Last?
Q5. The effects of LASIK surgery are permanent, but the benefits can lessen over time. For most people, the results last a lifetime. However, about 10-12% of patients might need another surgery later because of changes in their eyes.
