Does Medicare Cover Macular Hole Surgery?

Does Medicare cover vitrectomy surgery?

Medicare covers: Surgical procedures to help repair the function of the eye due to chronic eye conditions.

For example, Medicare will cover surgery to remove a cataract and replace your eye’s lens with a fabricated intraocular lens.

Does Medicare pay for macular hole surgery?

Insurance Coverage and Reimbursement Issues for Macular Hole Surgery. Medicare, most health maintenance organizations, and most insurance companies still consider face-down equipment to be in the category of “comfort and convenience” and not “medically necessary.”

How much does it cost to repair a macular hole?

If medical attention is needed, an eye doctor will typically recommend a vitrectomy , a procedure in which eye fluid is removed so that the retina can be repaired. Vitrectomies typically cost about $5,000 per eye, including fees for the doctor, hospital and anesthesiologist.

Can a hole in the macula be repaired?

Although some macular holes can seal themselves and require no treatment, surgery is necessary in many cases to help improve vision. In this surgical procedure–called a vitrectomy–the vitreous gel is removed to prevent it from pulling on the retina and replaced with a bubble containing a mixture of air and gas.