kramden said:
So I went in for a consultation on cataract surgery. (I'm retired and on Medicare). I thought great Medicare covers this . But during the consultation they are trying to talk me into getting a custom Wavefront Asheric or Toric lens implant. An extra $2500 per eye option that I pay out of pocket. Or go with LACS (laser assisted cataract surgery) and LRI/AI (Limbal relaxing/ Asigmatic incisions). Cost me $900 per eye. Frankly the options sounded to me like the DURACOAT paint protection you really "need" when you buy that new car. Anyone else familiar with these options. I feel it's just away for them to make more than what Medicare pays.
Maybe some other people around here are smarter than I am, but the more I think about this I have to admit some things. I don't know if you have secondary insurance to pay for some additional stuff that the doctor might recommend. Also I have no idea what Wavefront Asheric or Toric Lens implants are. I'm not sure what LACS or LRI/AI incisions do. So my question to you is, do you know what those things are? Did he explain the benefits of spending the extra money? If not I'd go see him again and ask the questions. If you have secondary insurance will it pay for any of those things? The truth is do you want a doctor that is only going to offer you one thing on the menu, or if he is going to offer you the whole menu and let you choose. Once you ascertain his motives then it's easier to make a decision.
I went to see a cosmetic surgeon to deal with my eyelids that were drooping and blocking some of my vision. He said he could take care of it and offered to do additional work (all of which would come out of my pocket) and gave me prices on all of it. Truth is there were some things I wanted done. I picked those things out, and skipped the rest of them. He did a good job for me. Cosmetic surgeons are the ones that do that work on eyelids. I'm not aware of eye doctors that will do that type of surgery. It was 3 hours worth, and I know just like you do Medicare doesn't pay doctors well, in fact some doctors no longer take Medicare because of it. If he's a good doctor, be glad he's still taking Medicare patients.