Purchase of presbyopia-correcting IOL clarified

Medicare beneficiaries can purchase presbyopia-correcting intraocular lenses (IOLs), under a new ruling from the Centers for Medicare & Medicaid Services (CMS).

Previously, outpatient surgery providers generally have not offered beneficiaries presbyopia-correcting IOLs because the costs substantially exceed Medicare’s payment.

The ruling clarifies that a beneficiary may request insertion of a presbyopia-correcting IOL in place of a conventional IOL following cataract surgery.

In this case, the presbyopia-correcting IOL device and associated services for fitting one lens are considered partially covered by Medicare.

The beneficiary is responsible for payment of that part of the charge for the presbyopia-correcting IOL and associated services that exceed the charge for insertion of a conventional IOL following cataract surgery.

For more information, go to the CMS web site at www.cms.hhs.gov/rulings and click on "CMS Ruling 05-01."

Resources

For more information, contact:

  • Eyeonics, 6 Journey, Suite 125, Aliso Viejo, CA 92656. Phone: (949) 916-9352. Fax: (949) 916-9359. E-mail: Contact@eyeonics.com. Web: www.eyeonics.com. The crystalens costs $825.
  • Alcon, 6201 South Freeway, Fort Worth, TX 76134. Phone: (800) 862 5266. E-mail: web master@alconlabs.com. Web: www.alconinc.com. AcrySof ReStor costs $895.
  • Advanced Medical Optics, 1700 E. St. Andrew Place, Santa Ana, CA 92705. Phone: (714) 247-8200. Fax: (714) 247-8672. Web: www.amo-inc.com. ReZoom is $895.