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Benefits of Cataract Free America®

 

You may be eligible for cataract surgery with no cost to you, nothing to join, no fees, and no obligation.

 

Mission

The Cataract Free America® mission is to help Americans be free of vision limitations caused by cataracts, even if the $600 to $3,000 out-of-pocket expense is keeping them from seeking required cataract surgery. There is nothing to join, no membership fees, and no obligation.

To achieve that goal, doctors, surgery centers, and hospitals have agreed to waive some or all fees for cataract related services for patients referred through Cataract Free America®.

If the out-of-pocket expense is keeping you or someone you know from seeking required cataract surgery, then you undoubtedly will qualify for one or more of the following benefits. Benefits are determined by the patient's financial circumstances and existing insurance coverage. See also Cataract Free America® Eligibility

Referred patients are not required to receive medical services.

Something for Everyone

If you have no insurance, if you have Medicare only, if you have Medicare plus a supplemental insurance, or if you need no waiver of fees at all, Cataract Free America® has arranged a benefit for you.

In some communities benefits may be limited, however the patient will be notified of any potential out-of-pocket expense prior to receiving services.

Benefits; If you have Medicare Only

Select doctors, surgeons, surgery centers, and/or hospitals will waive Medicare's normally 20% co-payment and accept what Medicare pays as payment in full for required cataract examination, testing, surgery, and follow-up care. After the normal annual deductible, the patient will have no out-of-pocket expense for included services.

  • Services
    • Comprehensive medical eye examination including cataract evaluation and refraction for eyeglass prescription.
    • Ultrasonic scan to determine appropriate power of replacement intraocular lens.
    • Outpatient cataract surgery for conventional intraocular lens implant with normal follow-up care after surgery.
    • Laser posterior capsulotomy for secondary cataract, if required within one year of cataract surgery.
  • Additional Services Limited By Region
    • Hospital or ambulatory surgery center facility fee.
    • Conventional intraocular lens.
    • Anesthesiology

Benefits; If you have Medicare and Supplemental Insurance

After the normal annual deductibles, select doctors, surgeons, surgery centers, and/or hospitals will waive Medicare's normally 20% co-payment and accept what Medicare pays as payment in full for required cataract examination, testing, surgery, and follow-up care. This constitutes a waiver of Medicare's normal co-payments not covered by supplemental insurance. The patient will have no out-of-pocket expense for included services.

  • Services
    • Comprehensive medical eye examination including cataract evaluation and refraction for eyeglass prescription.
    • Ultrasonic scan to determine appropriate power of replacement intraocular lens.
    • Outpatient cataract surgery for conventional intraocular lens implant with normal follow-up care after surgery.
    • Laser posterior capsulotomy for secondary cataract, if required within one year of cataract surgery.
  • Additional Services Limited By Region
    • Hospital or ambulatory surgery center facility fee.
    • Conventional intraocular lens.
    • Anesthesiology

Benefits; If You Have No Medical Insurance

Select doctors, surgeons, surgery centers, and/or hospitals will not charge for required cataract examination, testing, surgery, and follow-up care. This constitutes a waiver of normal medical service fees. The patient will have no out-of-pocket expense for included services.

  • Services
    • Comprehensive medical eye examination including cataract evaluation and refraction for eyeglass prescription.
    • Ultrasonic scan to determine appropriate power of replacement intraocular lens.
    • Outpatient cataract surgery for conventional intraocular lens implant with normal follow-up care after surgery.
    • Laser posterior capsulotomy for secondary cataract, if required within one year of cataract surgery.
  • Additional Services Limited By Region
    • Hospital or ambulatory surgery center facility fee.
    • Conventional intraocular lens.
    • Anesthesiology

Limitations

  • Waiver of fees are available only to individuals eligible for Cataract Free America® and who have refrained from receiving needed cataract care due to fiscal circumstances limiting their ability to pay normal co-payment amounts.
  • Any limitation of service required by the Department of Health and Human Services, the Department of Justice, the Office of the Inspector General of the Department of Health and Human Services, and any other federal, state or local regulation.
  • Not all services available in all geographic areas.

Exclusions

  • Services of healthcare service provider not participating with Cataract Free America®.
  • Services not specifically listed.
  • Services not approved under Medicare Part A or Medicare Part B.
  • Inpatient care.
  • Annual deductibles.
  • Any exclusion of service required by the Department of Health and Human Services, the Department of Justice, the Office of the Inspector General of the Department of Health and Human Services, and any other federal, state or local regulation.

Additional Limitations

  • Cataract Free America® works closely with other organizations that provide similar benefits. In the event you are referred to another organization, you may be subject to different benefits, limitations, and exclusions.
  • Cataract Free America® and the select doctors, surgeons, surgery centers, and/or hospitals providers may limit, change, or withdraw benefits at any time without prior notice, however if a limit, change, or withdrawal would cause a charge for medical services to a patient, the patient would be notified of any and all charges in advance.
  • Patient will be responsible for normal annual deductible amounts.
     
   

Was you question not answered? Visit our cataract patient forum for a researched response to your concern.