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In today’s times, it pays to be practical. While
improving your vision is priceless, the cost of LASIK is a legitimate
factor to consider in your decision to have LASIK or
another refractive
surgery procedure and select your eye surgeon. In life
we find we often get what we pay for, so making an informed decision
is always in our best interests.
Can You Afford LASIK or another vision correction
procedure?
Although our Trusted
LASIK Surgeons Directory features refractive
eye surgery experts who are among the most highly qualified
eye doctors in the United States, please do not assume
you cannot afford to see one of them. When you understand
the actual underlying costs of LASIK, you may well find
that seeing a LASIK expert in our directory is well within
your means. In addition, most, if not all of these
vision correction experts, offer financing.
LASIK costs vary depending on the technology
offered and which procedure is safest and best for you. In
addition, the cost of LASIK can vary from city to city as a function
of the expense required to maintain a laser eye surgery practice.
Overview
Besides the quality
and experience of the surgeon you choose, costs
can be an important factor in choosing your LASIK surgeon. Below
is a discussion about the costs of LASIK. Trusted
LASIK Surgeons provides this information
to help educate you about the underlying costs of LASIK. We’ll
break down the price of LASIK for you on several levels-
from low cost LASIK ads you’ve seen and heard, to
what issues you may want to consider when investigating
LASIK costs (like what should be included in the cost of
LASIK), to what costs the doctor or practice has. We’ll
also provide tips and suggestions in order to help you
make a more informed decision. At the end of our
discussion, we have also included a downloadable checklist
of LASIK price considerations and questions to ask a practice
about the cost of LASIK. As always, our reports to
you are free. We hope you find this information useful
and please contact us if you have any questions.
Please also take a moment to consider the LASIK
experts in our Trusted
LASIK Surgeons Directory. Once you understand
the true cost of LASIK, we believe you can find a highly qualified
vision correction doctor at an affordable price here at Trusted
LASIK Surgeons.
While our discussion focuses on LASIK, many of the points we
make can be applied to other laser eye and refractive surgery
procedures. The industry generally quotes refractive eye
surgery prices on a per eye basis, so if you are having both
eyes operated on (not always necessary), you should double the
cost.
What Is the Price for LASIK in General?
The cost of LASIK generally ranges between $1,500
and $3,000 per eye. One significant factor that account
for discrepancies in the cost of LASIK depend on whether Wavefront
(“Custom
Cornea”) and IntraLase (“bladeless”)
technologies are included in the fee. This generally puts
the cost of your LASIK procedure in the range of around $2,000
per eye, since the manufacturers of the devices typically charge
a license fee for each surgical procedure performed.
Prices for LASIK and vision correction surgeries
can vary widely depending on your particular prescription, needs
and what procedures and options you ultimately chose. Of
course, you would also expect that the cost of LASIK in a smaller
city would be different from a larger metropolis due to higher
leases and other costs of doing business in a particular city
and state.
Tip: The primary issue concerning the
cost of LASIK or any refractive eye surgery procedure is whether
the fee advertised or quoted by the practice or doctor is all
inclusive or limited in a way that additional fees will be added
on.
Even where price may be a significant concern,
with financing options offered by most practices, LASIK can be
an affordable option for you. Many laser eye surgeons and
practices are now offering interest fee financing (usually through
a third party credit service).
Beware of Low Cost Ads
No doubt you’ve seen some variation of
ads that offer LASIK for a low flat fee: “LASIK for $499”. These
ads should always be viewed with skepticism from the beginning. After
all, it is an ad and how many times have we all been fooled by
an ad because we didn’t read the fine print or look into
the matter more closely. Typically, some costs were
left out, and cheap LASIK ads are no exception. These discount
LASIK ads are designed to get you to make an appointment and
have a consultation because getting you into the office is the
first step to closing the “sale.” It’s harder
to leave an office after you’ve had an examination and
seen how much LASIK can improve your vision. There is
a concern where a practice that advertises discount LASIK may
be driven more by sales than by what is best for the patient. We
recommend you should be especially careful in that regard and
find out everything you can and if you have any doubt, we believe
you should consider getting a second opinion from a proven
LASIK expert. Of course we suggest a vision correction
specialist from our Trusted
LASIK Surgeons Directory before proceeding with any refractive
surgery procedure like LASIK.
Does the Cheap LASIK Ad apply to me?
In most cases, probably not. Typically,
only a very small percentage of the population would qualify
for the cheap price specified in these types of discount ads:
those who have very little or no astigmatism and need only a
slight correction through laser vision surgery.
In other words, the best candidates for these
ads are people who technically may be slightly farsighted or
nearsighted, but who might not even be considering LASIK. If
you’re one of those people who can pass the driving test
without a prescription, you might be one of those people who
qualify for the discounted price, but again that is no guarantee.
What’s the Catch in a Cheap LASIK Ad?
… And What You Should Ask Any LASIK
Surgeon When It Comes to Fees
These ads look great on the surface but it is
only after you have gone into the eye doctor’s office that
you find out the true costs. Unless your eyesight meets
the narrow requirements of the ad, chances are that you’ll
soon find there are additional fees that apply to you that are
not included in the price quoted in the ad. For example,
a LASIK ad may only refer to the cost of the surgeon and the
use of the laser to re-shape your cornea. That leaves
some significant extras that may easily increase to cost to an
amount equal to or higher than the average LASIK surgeon charges
in your area. It may very well be that the lower the LASIK
price in the ad, the more costs can add up later. Here
are some examples of things you may end up paying extra for when
it comes to LASIK.
- Office Visits: Your cost should
include visits before your LASIK surgery and after (for some
specified time)
- Additional Technologies Used in Laser Eye Surgery
- IntraLase: Does the LASIK fee include IntraLase
or bladeless LASIK?
- Wavefront based or (“Custom”) laser eye
surgery: Does the LASIK fee include use of Wavefront
based technology which is used to analyze the entire visual
system, not just your prescription in order to obtain better,
more accurate results from the laser eye surgery)?
- Correction Related Charges
- Amount of Correction: Does the LASIK fee vary depending
on how much correction you need?
- Astigmatism: Does the fee cover correction of astigmatism?
- About 90% of all laser eye surgery patients need to be
corrected for astigmatism (in addition to their correction
for nearsightedness (myopia) or farsightedness (hyperopia). If
the ad does not mention that the quoted price includes
correction of astigmatism, then you will likely find yourself
paying extra to correct your astigmatism. Additional
cost can be tied to the amount of astigmatism that needs
to be corrected. Sometimes very slight astigmatism
may be included but typically very few patients follow
in that category and the rest will pay additional fees.
- LASIK Retreatments: LASIK isn’t perfect and
sometimes patients may need to undergo a second LASIK procedure
(commonly referred to as a “retreatment” or “enchancement”)
to achieve a better outcome. Many surgeons will not charge
you for these retreatments within a specified time period after
your initial LASIK procedure. In some cases, there may
be a modest fee for the use of the laser. Make sure you
understand the retreatment fees and policies of the practice
before you have LASIK or another laser eye surgery procedure.
- Surgical Materials. Make sure you will not
be charged for disposal items used for your procedures, including
surgical gowns, gloves, and equipment.
- Medication: eye drops, anesthetic, prescriptions,
and the like. Sometimes you may pay for some post-surgery
medication, so check with the practice on what is covered.
- Facility Fees: These should always
be included in the cost of your LASIK surgery.
Most importantly, be certain that LASIK is your
best option. Laser eye surgery procedures like LASIK are
not always a patient’s best treatment to improve his or
her vision. In some cases, other technologies like lens
implants may be more suitable. It doesn’t make sense
to pay for one type of procedure when a better option may be
available. That’s exactly why finding an experienced
LASIK surgeon with a record of professional accomplishments
(i.e., research and teaching) can be very helpful in helping
you determine all your options and which procedure is best for
you.
What Are the Costs of the Doctor or Practice?
We would not be making a fair presentation if
we didn’t provide the other side of the equation: what
costs do doctors incur to maintain their practices? The
costs of running a refractive practice include the following:
- Laser manufacturer fees and royalties
- Office and Surgical Staff
- Office Lease or Facility Fee (if the doctor shares lasers
and technologies with other doctors)
- Surgical, technical, and office equipment: purchase and maintenance
- Surgical outerwear (gloves, surgical gowns, caps) and disposal
products used for surgery
- Medications
- Marketing costs
- Surgeon’s Fees and Time
- Initial Examination and Consultation
- Pre-Op Visit (before surgery)
- LASIK Surgery Procedure
- Follow Up Visits after surgery
- Retreatment surgery if additional correction is necessary
- Insurance (including property, medical malpractice, worker’s
comp and other liability insurance).
- Permits, Licenses, Taxes (local, state and federal)
When you consider the costs from the doctor’s
perspective, they do add up. These costs also illustrate
how impractical (if not impossible) it would be for any practice
to give every patient the cheap flat fee that is offered in the
typical discount LASIK ads that you see everywhere. Again,
be careful of any practice that promotes these types of advertisements
as this is generally a means to get you in the door and committed
to choosing to have vision correction surgery on the spot. Don’t
be surprised when you later find there are extra costs that are
tacked onto the discount fee only after you have gone into the
office for an initial consultation.
Other Vision Correction Options Than LASIK
While LASIK can help correct the majority of
vision problems, there are times when LASIK (or another laser
eye surgery procedure) is not the best option. Other refractive
procedures, like lens
implants, conductive
keratoplasty, are available. If you select a practice
that only offers laser eye surgery, you may not be presented
with these other options that might be better suited for you. Most
of the surgeons in the Trusted
LASIK Surgeons Directory offer a more complete range
of refractive surgery procedures beyond laser eye surgery. When
you choose a refractive eye surgeon, we recommend that you question
your surgeon thoroughly and do some research on your own (before
and after you visit an eye doctor) to ensure that laser eye surgery
is your best option.
How to Save Money On LASIK
Below are some tips to help you avoid any hidden
costs to help you save on your LASIK procedure.
Determine What Is Included in the LASIK Fee
Specified by Your Doctor
Make sure the LASIK Fee is all inclusive or that
you have added in all components of your LASIK procedure. Here
are some costs that you should account for in accessing the true
price of any laser vision surgery procedure:
- Pre-Operative and Post-Operative Visits. These should
always be included in the fee for some specified time.
- Supplementary Technology to LASIK. (these typically
involve additional license fees that are paid to the manufacturer)
- WaveFront Technology (for Custom Cornea laser vision correction
surgery)
- IntraLase Fee (for bladeless LASIK)
- Note: the IntraLase laser is used instead of the surgical
blade to make the corneal flap prior to the laser vision
correction surgery
- Different Fees for Different Lasers
- Because there are different lasers used for to reshape
the cornea, you might want to check whether the cost of your
surgery changes based on which laser will be used for your
surgery- please note that this is separate from the IntraLase. While
there may be price differences between lasers, you should
consider whether cost should be a factor when it comes to
which laser to use. Ask your LASIK doctor for an explanation
of the costs and benefits associated with each laser.
- Facility Fees: While typically included, you
may want to check to ensure this is included.
- Staff: While typically included, you may want
to check to see if this is included.
- Incidental costs:
- While typically medication, disposable items used for the
procedure, surgical gowns, gloves, and the like are included,
you may to check. Some nominal fees for prescription
and medication after the surgeon is common at many practices.
Find Out If the Fee Includes Follow-Up LASIK
Retreatments and Enhancements
Since LASIK involves your eyes, your surgeon
may take a conservative approach in performing the procedures. In
other words, it better to under correct than overcorrect. When
retreatments or enhancements are part of an inclusive LASIK fee,
you won’t pay extra if you need a retreatment later. We
believe 6 to 12 months is a reasonable time period. In
some cases, you may be charged a modest fee, which is usually
a fee charged by and paid to the laser manufacturer. When
in doubt, ask about the laser eye practices policies so you understand
them up front.
Are a Good Candidate for Monovision?
Patients who are age 40 or older may be candidates
for monovision, where one eye is corrected for distance vision
and the other eye for near vision to reduce the need for reading
glasses. If you have good natural distance vision you may
be able to have only one eye corrected for reading. If
you are only slightly nearsighted, you may have only one eye
corrected for distance and leave the other eye for reading. In
each of these circumstances, only one eye requires surgery. This
option is generally not available to most LASIK candidates, but
if you are one of them, it may be a less expensive and better
option. Because the experts listed in our Trusted LASIK
Surgeons Directory are experienced and generally involved in
current research in the field of refractive eye surgery, they
can help you determine if monovision is an appropriate option
for your vision.
Highly Qualified Surgeons Can Help Avoid Complications
Which Can Cost You Later
While many of the complications from LASIK have
been minimized, no surgery is without risk. There
is no greater cost regarding LASIK than if your procedure does
not go as planned and you have complications. When that
happens, you may find yourself looking for another surgeon to
help manage problems. All of the LASIK Surgeons in the
Trusted LASIK Surgeons Directory have actual experience in managing
problems due to a surgery performed by another eye doctor. This
means they have the practicable experience and knowledge to help
avoid serious complications in the first place. In addition,
these surgeons are often sought as expert witnesses in legal
cases when there are significant complications because of their
research, knowledge, and expertise in the field of refractive
surgery.
Even the most qualified doctor has had a few
patients who suffer from complications. A true LASIK expert
surgeon can help minimize potential complications, and in those
rare cases where there are problems, the patient can have the
confidence that this surgeon has the competence and experience
to help manage those complications. Patients who choose
a less qualified surgeon and later have problems often have to
incur significant expenses in hiring a new surgeon who has the
expertise to treat them. Most LASIK procedures lead to
successful outcomes without complications, but why take unnecessary
risks by choosing a less qualified surgeon?
Initial Consultation: Free or Fee
Many practices offer free initial screening consultations. Because
there is no guarantee that the person who comes into the office
for a consultation will become a patient, some laser eye centers
do charge a fee. If your research of the surgeon shows
that he or she is highly qualified, that should not dissuade
you from seeing them. Their time is valuable. A surgeon
who charges a consultation fee may be less likely to push for
LASIK surgery than one who does not charge one. Many (if
not most) of those practices that do charge a consultation fee
will apply it to your LASIK (or other refractive surgery) fee. In
those cases, we recommend that you verify or ask that the consultation
fee to be applied to any surgery performed by that practice.
Does Your Health Insurance Plan Cover LASIK?
While most health insurers do not cover LASIK,
it never hurts to ask, since even partial coverage can save you
money.
Here’s a tip: If your health
insurance covers some LASIK providers, but not others, and you
choose to go to another LASIK provider who is not part of your
health plan’s network, ask the practice if they will offer
a discount to offset the partial coverage from your health plan’s
provider. Other health plans have discount offers
for certain LASIK providers in your network. If you have
a health plan that offers discounts for LASIK providers and are
considering a surgeon outside of your network, ask that surgeon
if they will honor the discount.
How To Give Yourself a Discount on LASIK
Two options that can help you give yourself a
discount on LASIK (or any medical expenses) are Health Savings
Accounts and Flexible Spending Accounts, which can save you money
since contributions are not subject to payroll taxes. In
other words, by making tax-fee contributions, you are getting
the tax savings as your discount on LASIK.
For further details, please read the discussion
below.
Health Savings Accounts (HSA)
A health savings account (HSA) is a tax-exempt
trust or custodial medical savings account that you set up with
a qualified HSA trustee to pay or reimburse certain medical expenses
you incur. You must be an eligible individual to qualify for
an HAS and be enrolled in a High Deductible Health Plan (HDHP),
which currently means a deductible of over $1,100 for individuals
and $2,200 for a family. HSA contributions are limited
during a calendar year to $5,600 for an individual and $11,200
for a family. However, unlike Flexible Spending Accounts
(FSAs) below, you can roll over any unused amounts during the
year to use in the future. Another significant benefit is that
any funds you do not use accrue tax fee interest, so the amount
of funds in your account can grow over time. Funds from
an HSA may be used to pay for certain qualified medical expenses
at any time without federal tax liability.
If you are interested in setting up an HSA, we
suggest you first check with your employer’s human resources
department or your health care plan provider to see if you have
or can switch to a High Deductible Health Plan. You may
want to ask your health care provider is they also have HSA plans. You
can also find many companies that provide HSAs on the internet.
For more information about Health Savings Accounts
(HSA), please visit:
U.S.
Treasury- Health Savings Accounts
IRS-
Health Savings Accounts
Wikipedia-
Health Savings Accounts
Flexible Spending Account (FSA)
A Flexible Spending Account is a health flexible spending arrangement
(FSA) that allows employees to be reimbursed for medical expenses.
FSAs are usually funded through voluntary salary reduction
agreements with your employer. No employment or federal income
taxes are deducted from your contribution. The employer may
also contribute. Among
the primary benefits of an FSA include (1) tax savings, since
employment and federal income taxes are not deducting from
contributions to an FSA and (2) withdrawals from the FDA may
be tax free for payment of qualified medical expenses. One
drawback of an FSA is that the amounts you have contributed
during the current year must be used during the coverage period
of your health plan or the amount of contributions not used
will be forfeited. For example, if the coverage period
runs from January 1 to June 30, you would generally have to
use the contributions within that time frame (which may include
a grace period beyond that time). Please consult an FSA
provider for further details.
For more information about Flexible Spending
Accounts (FSA), please visit:
IRS-
Flexible Savings Accounts
Wikipedia-
Flexible Savings Account
Is Your LASIK Fee Tax Deductible?
Depending on your filing status, the cost of
your LASIK may be a deductible expense from your taxes. You
might also be able to fund fully or partially fund the cost of
LASIK with a tax refund. You should check with a certified
tax preparer to see if you may qualify.
SUMMARY
When it comes to the cost of LASIK, knowing what
is included and what may be charged extra are important considerations. This
can be especially true with any discount LASIK ads.
In our opinion, since IntraLase (all-laser
LASIK) and Wavefront (custom
LASIK) technologies can generally improve the outcome of
your LASIK procedure, you may not want to make the cost of
the use of these technologies an issue if your LASIK surgeon
recommends their use.
If cost is a significant issue for you, we believe
the best course of action is assume IntraLase and Wavefront technologies
will be used and get an estimate of the cost of LASIK which includes
IntraLase and Wavefront before you go into the office.
You should also understand whether there are
additional charges for the initial consultation (and if so, whether
it will be applied to the procedure), re-treatments, amount and
top of correction (like astigmatism), post-operative visits,
and any other additional costs.
Now that you have a better understanding of the
components of LASIK fees, we hope you can make an informed decision.
We realize price is a factor in your selection
of a LASIK surgeon. Quality and experience are important
concerns in selecting your doctor as well. We hope you
will consider a LASIK expert from our Trusted
LASIK Surgeons Directory.
Our Trusted LASIK Surgeons website is dedicated
to listing only highly
qualified eye surgeons who have professional accomplishments
that generally surpass those of other LASIK doctors you are considering. We
estimate that many of the refractive experts in our directory
are among the top 1% based on their experience, patient care,
and professional credentials. Our surgeons are among the
pioneers and leaders in refractive eye surgery to improve your
vision.
You not only will be treated by a highly
qualified LASIK expert, but we believe that the fees
charged by these laser eye surgeons are well within the range
with other practices you are considering. In other
words, we believe you can get the best of both worlds for
your eyes (expertise and reasonable fees) when you choose
a surgeon from the Trusted
LASIK Surgeons Directory.
Click
Here to Download Our LASIK
Cost Consumer Checklist
Yours Free, Courtesy
of Trusted LASIK Surgeons
*The CareCredit program(s) are voluntary. Thus
Trusted LASIK Surgeons Directory does not guarantee that all surgeons,
practices and care providers listed on our web site offer any
financial products from CareCredit.
The
screening process and standards used by Trusted LASIK Surgeons,
can be found at:
How
Are Lasik Eye Surgeons Qualified at TLS
To find a refractive specialist who has qualified to
be listed at Trusted LASIK surgeons in your local area, please
visit:
Find
a Trusted LASIK Eye Surgeon