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Does Insurance Cover LASIK?

January 28, 2022

Many people contemplating options for correcting their vision naturally consider LASIK. But does insurance cover LASIK eye surgery? Some vision insurance policies offer benefits that can help cover the cost of laser eye surgery, but sometimes only for specific situations. It’s important to carefully study your insurance policies to determine what kind of coverage you have for laser vision correction.

Is LASIK Covered by Insurance?

Does vision insurance cover LASIK? The answer is completely contingent on your individual or employer's insurance plan. LASIK eye surgery is an elective procedure, meaning it is optional, and therefore not medically necessary. However, it is possible to have some insurance coverage, depending on your insurance policy and provider.

Health insurance companies will generally cover the cost of contact lenses and glasses, but vision insurance plans are created to help cover additional eye care costs. Vision plans are more likely than health plans to provide eye insurance for surgery. Some vision plans include benefits that can cover a significant portion of the cost of laser vision correction.

Does Insurance Cover LASIK for Astigmatism?

Unfortunately, it is difficult to get vision insurance to cover LASIK for astigmatism. As discussed, most insurance companies classify LASIK as an elective procedure and consider contacts and glasses acceptable alternatives to surgery.

How Does Insurance Cover LASIK?

Many people believe that an insurance provider might cover the cost of LASIK eye surgery under certain circumstances, such as occupation or having medical conditions like severe allergies or severe dry eyes. But you must keep in mind that LASIK surgery is elective, and therefore, vision surgery insurance is uncommon since it is not considered medically necessary.

Does Illinois Medicaid Cover LASIK Eye Surgery?

Considering federal and Illinois state assistance for surgery begs the next question: Does Medicaid cover LASIK? Does Medicare cover LASIK surgery? The answer is often no. Neither covers elective eye surgery unless it can be certified as medically necessary. Because surgery is elective, it is difficult to establish necessity. If proven, you will want to find a practice that accepts Medicare and or Medicaid. It would be beneficial to speak with your Medicare and Medicaid provider beforehand to get a better understanding of LASIK surgery would be covered.

Insurance Providers for Laser Eye Surgery

So how much does insurance cover for surgery, if anything? Checking with your individual or company insurance policy will give the most accurate answer as to whether you have any benefits that cover LASIK eye surgery. 

Large unions may provide financing options and often help cover a significant part of the cost of vision correction surgery. 

Does VSP insurance cover LASIK? The Vision Service Plan (VSP) insurance company may also assist in paying for LASIK if the eye doctor is in-network. 

Below you’ll find a list of providers and benefits and the discounts they may offer. 

Aetna 

  • Up to $800 on LASIK procedure + lifetime of free enhancements 
  • Up to $120 value LASIK examination 
  • Bladeless procedures
  • Medically necessary post-operation appointments

Humana

  • Up to $800 on LASIK procedure + lifetime of free enhancements
  • Up to $120 value LASIK examination 
  • Bladeless procedures
  • Medically necessary post-operation appointments

Block Vision 

  • Up to $800 on LASIK procedure + lifetime of free enhancements
  • Up to $120 value LASIK examination 
  • Bladeless procedures
  • Medically necessary post-operation appointments

Careington 

  • Up to $800 on LASIK procedure + lifetime of free enhancements
  • Up to $120 value LASIK examination 
  • Bladeless procedures
  • Medically necessary post-operation appointments

Solstice 

  • Up to $800 on LASIK procedure + lifetime of free enhancements
  • Up to $120 value LASIK examination 
  • Bladeless procedures
  • Medically necessary post-operation appointments

Cigna  

  • Up to $800 on LASIK procedure + lifetime of free enhancements
  • Up to $120 value LASIK examination 
  • Bladeless procedures
  • Medically necessary post-operation appointments

Blue View 

does vsp insurance cover lasik
  • Up to $100 value LASIK examination
  • Bladeless procedures

NVA 

  • Up to $800 on LASIK procedure + lifetime of free enhancements
  • Up to $120 value LASIK examination 
  • Bladeless procedures
  • Medically necessary post-operation appointments

Abenity 

  • Up to $800 on the LASIK procedure
  • Over $150 value LASIK consultation
  • A lifetime of free enhancements on most procedures
  • Other financing options

EyeMed 

  • Up to $800 on LASIK procedure + lifetime of free enhancements
  • Up to $120 value LASIK examination 
  • Bladeless procedures
  • Medically necessary post-operation appointments

Anthem Special Offers

  • Up to $800 on LASIK procedure + lifetime of free enhancements
  • Up to $120 value LASIK examination 
  • Bladeless procedures
  • Medically necessary post-operation appointments

Blue Vision 

  • Up to $800 on LASIK procedure + lifetime of free enhancements
  • Up to $120 value LASIK examination 
  • Bladeless procedures
  • Medically necessary post-operation appointments

NRA 

  • Up to $800 on LASIK procedure + lifetime of free enhancements
  • Up to $120 value LASIK examination 
  • Bladeless procedures
  • Medically necessary post-operation appointments

EyeBenefits 

  • Up to $800 on LASIK procedure + lifetime of free enhancements
  • Up to $120 value LASIK examination 
  • Bladeless procedures
  • Medically necessary post-operation appointments

Ways to Save on LASIK Surgery

Illinois Medicaid Lasik

Below are a few options to help manage the cost of LASIK.

Financing Plans

In order to help their patients pay their part of the cost, many surgical practices offer financing options for patients who qualify. Financing plans are essentially payment plans with affordable interest rates. Often, patients will choose to use their no or low-interest credits cards, which offer air travel miles or other rewards.

FSA or HSA

Some companies and employers offer FSAs (Flexible Spending Arrangements) or HSAs (Health Savings Accounts) so employees can set aside tax-free money that they can later use for any qualified procedure, including LASIK eye surgery. Check with your benefits manager to determine your company’s policies on using FSAs and HSAs for LASIK.

Bonuses

Bonuses are another way to help cover the cost of LASIK if you choose to prioritize vision correction. Bonuses can be in the form of tax refunds, a signing bonus for a new job, a bonus from a current job, financial windfalls, or even cash gifts. The recent stimulus checks given during the COVID-19 pandemic are an excellent example of an unexpected financial windfall.

Check-in with HR-manager

There is usually someone at your place of employment, generally a human resource manager or an office manager, who is responsible for company benefits. Your HR manager will be able to answer your questions regarding your vision plan, including the most pressing: “does insurance cover LASIK?” This person can also discuss other benefits with you to help cover the cost, like FSAs and HSAs.

Conclusion

When considering LASIK eye surgery, it is essential to consult an experienced ophthalmologist specializing in laser vision correction. A complete eye exam that measures vision function and evaluates the health of the eyes will help assess the medical need for the procedure. So, is LASIK surgery covered by insurance? If you are a good candidate for LASIK, consult your individual or employer's benefits manager to review your policy and determine potential coverage. At the Kraff Eye Institute, we will help you untangle complex vision insurance policies so you can get the vision care you need. Contact us today at 312-444-1111 to make an appointment and get all of your questions answered about LASIK from a leader in the field.

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Dr. Colman R. Kraff

Committed to advancing new technologies in the field of ophthalmology, Dr. Colman Kraff helped to pioneer laser vision correction. In February of 1991, as part of a five-site, U.S., FDA clinical trial team, Dr. Kraff successfully performed the first excimer laser procedures in the Chicagoland area using the VISX Excimer Laser.

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To schedule a complimentary LASIK consultation, please click Schedule LASIK Consultation. To inquire about other services, please fill out the form below and we will reach out to you.Please check with your insurance provider to see if our doctors are in your network.

Request a Consultation 312-444-1111
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