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Why Most Insurance Companies Consider LASIK An Elective Procedure

Thursday, November 12 2020 4:52 PM
Lasik elective procedure

Is LASIK an elective procedure?

When you’re considering LASIK, it’s common to wonder why it isn’t covered by your medical or vision insurance plans.

The short answer: LASIK is not considered medically necessary (i.e. life-saving) so most insurance providers have classified it as an elective or cosmetic procedure. It’s something you choose to do, not something you have to do. 

Additionally, some employers already offer benefits within coverage plans to help offset costs related to glasses or contacts. In this case, they often choose to limit or deny coverage for LASIK surgery. 

But if you’re tired of relying on glasses or contacts,  and LASIK isn’t a covered procedure under your plan, don’t worry — you still have options.

Read the fine print

It’s always worth checking the details of your health and vision plans. Even if LASIK isn’t fully covered by your health insurance plan, some plans do offer discounts or ways to save with certain LASIK providers.

You may also have a separate or supplemental vision plan that’s separate from your health plan. Itt may offer more coverage or discount benefits for LASIK than a health insurance plan might. Some larger vision insurance providers now offer partial coverage or higher percentages off the total cost for using approved LASIK centers or in-network surgeons.

If you have a human resources department or benefits manager through your employer, it’s worth asking them to explain exactly what is and isn’t covered under your plan. They can also provide information about any discounts or incentives your insurance company may provide for LASIK.

If you don’t have someone to contact through your job, you can always go directly to your insurance provider for an explanation of benefits. Make sure to ask specifically about any LASIK coverage or discounts under your current plan. And if none are offered, it may be worth considering a new plan during open enrollment periods — one that would offer those discounts.

Check your balances

If you have a Flexible Spending Account (FSA) or Health Savings Account (HSA) through your employer, you can use that money to pay for LASIK.

While they may not cover the entire cost of the surgery, applying your HSA or FSA balances can significantly reduce the total out-of-pocket expense.

And since LASIK is a qualifying medical expense, any HSA or FSA balances you use for it are tax-free.

This is especially valuable with an FSA, where you’ll lose funds if you don’t use them by the end of the tax year.

Make a plan

A monthly payment plan is a great way to spread out any out-of-pocket cost that your insurance, HSA, or FSA doesn’t cover.

We offer a special credit card financing plan through CareCredit. Many of our patients choose this option, as the payments are easier and the upside of better vision is worth it.

Qualifying patients receive 12 months interest-free, and you can extend the monthly payments out further if needed.

To find out more about CareCredit and see if you qualify, check out their website here.

Take the first step toward better vision

When considering LASIK, we recommend scheduling a free consultation to determine if you’re a good candidate first.

If you are, but your insurance plan doesn’t provide coverage for the procedure, don’t worry — there are still options to reduce the out-of-pocket total.

Our staff can assist you to look for any options or discounts your insurance provider may offer, how to use your HSA or FSA balances, and provide more information on how to enroll in a monthly payment plan.

Contact us today to set up your free consultation and let’s see if LASIK is right for you.

Kristen Lingg
"Even with contacts correcting my poor vision I still had problems with halos around runway lights at night. Immediately after surgery I could see better than I ever had. My vision is better than perfect and halo free."
Kristen Lingg, Pilot - Wichita, KS

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