Does Medicare Cover Cataract Surgery?
Fair Square Medicare

Does Medicare Cover Cataract Surgery?

Senior man receiving care from an optometrist stock photo

By Daniel Petkevich

Dec 22, 2022

See how you might save on this procedure

Your vision might deteriorate as you age, but that does not mean you have to live with a cloud over your life. Medicare might not offer coverage for vision expenses like eyewear, but Medicare will cover medically-necessary surgery for cataracts. Read more to find out how Medicare can cover your surgery.

Stay up to date on Medicare

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Overview of Cataract Surgery

Cataract surgery is a common eye procedure that can help restore vision. During the surgery, your eye doctor will remove the cloudy lens from your eye and replace it with an artificial lens or implant. Cataract surgery is considered medically necessary to treat cataracts, which are cloudy areas in the lens of the eye that can cause vision loss.

What is a Cataract and How Is It Treated with Surgery?

A cataract is an eye condition caused by a clouding of the lens. Cataracts can cause blurry vision, difficulty seeing at night, and sensitivity to light. Surgery is the most common way to treat cataracts, as it can address the root cause of the problem and restore clarity to your vision.

Does Medicare Cover Cataract Surgery?

Yes, Medicare covers cataract surgery as part of its coverage for medically necessary eye care services. To determine whether you qualify for Medicare coverage of cataract surgery, your eye doctor will need to assess the severity and progression of your condition. Your eye doctor may also order tests to determine if surgery is the best option for you.

If you qualify for Medicare coverage of cataract surgery, your eye doctor and insurance provider will be able to provide more detailed information about what services are covered as part of your plan. Medicare Part A will cover the hospital costs for your surgery, including the surgical team, the operating room, and any other necessary hospital services. Medicare Part B will cover the costs of the surgeon, the anesthesiologist, and any other medical services related to the surgery. You might still be responsible for some out-of-pocket costs, like the deductibles and up to 20% of the Medicare-approved amount. The best way to lower your out-of-pocket expenses is with Medicare Supplement Plan G.

What Are the Costs Involved With Cataract Surgery?

The costs of cataract surgery vary depending on the type of lens you choose and other factors. Generally, Medicare covers the majority of your cataract surgery costs; however, you may still be responsible for copays, coinsurance, or deductibles. It's important to discuss any potential out-of-pocket expenses with your optometrist before the procedure.

Tips for Choosing an Eye Care Provider for Your Cataract Surgery

When selecting an optometrist for your cataract surgery, consider the following tips:

  • Ask friends and family about their experiences with eye care providers in your area.

  • Check online reviews to get an idea of the quality of care offered by different eye doctors.

  • Research the qualifications and certifications of any potential providers.

  • Make sure the eye doctor is certified by Medicare.

Questions to Ask Before Deciding on Cataract Surgery

Before opting for cataract surgery, it's important to discuss the potential risks and benefits with your eye doctor. Here are a few questions to ask:

  • What kind of vision will I have after the procedure?

  • How long is the recovery time?

  • Are there any complications associated with this type of surgery?

  • Are there any out-of-pocket costs I should be aware of?


Cataract surgery is a safe and effective way to improve your vision. Medicare covers most of the costs associated with this procedure, making it more accessible for seniors. Before deciding to have cataract surgery, talk to your eye doctor about the potential risks and benefits of the procedure, as well as any out-of-pocket expenses you may be responsible for. This content is for informational purposes only. If you have any further questions about Medicare coverage, please contact Fair Square Medicare. We are always here to help!

Stay up to date on Medicare

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Learn More About Medicare

heart surgery stock image

How Much Does Open Heart Surgery Cost with Medicare?


senior african american man feeling pain in his knees from arthritis while on a couch stock photo

How Much Does Xeljanz Cost with Medicare?


Doctor talking to patients are explaining the treatment of a patient's illness stock photo

How Much Does Rexulti Cost with Medicare?


Human hands holding healthy lung shape made from paper on light blue background. stock photo

How Much Does Trelegy Cost with Medicare?


Female physiotherapist helping elderly man in wheelchair do exercises with dumbbells at health center stock photo

What Does Medicare Cover for Stroke Patients?


Doctor demonstrating upper cervical spine anatomy stock photo

Does Medicare Cover Cervical Disc Replacement?


Medicare Set Aside funds stock image

What Happens to Unused Medicare Set-Aside Funds?


older man suffering from stomach pain due to IBS stock photo

Does Medicare Cover Xiafaxan?


senior woman doing botox stock photo

Is Botox Covered by Medicare?


Health insurance form on a table with pen, calculator and glasses stock image

What You Need to Know About Creditable Coverage


Acute psoriasis on elbows is an autoimmune incurable dermatological skin disease stock photo

Does Medicare Cover Light Therapy for Psoriasis?


wart on the sole of a white man's foot stock photo

Does Medicare Cover Wart Removal?


woman sitting on sofa feeling pain in her foot at home stock photo

Does Medicare Cover Qutenza?


Nasal spray stock image

Can Medicare Help with the Cost of Tyrvaya?


Gloved hands with a scalpel begin a knee replacement surgery

Does Medicare Cover Iovera Treatment?


A doctor with a clipboard consults a female patient with cancer

Does Medicare Cover Inqovi?


Physiotherapist showing workout record on exercise bike

Does Medicare Cover Exercise Physiology?


A women's restroom sign that has been modified to show the stick figure woman needing to use the toilet

Does Medicare Cover Bladder Sling Surgery?


Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap.

100% free.

Fair Square Medicare


Privacy Policy




Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult © 2022 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact or 1-800-MEDICARE to get information on all of your options.