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Canaloplasty Cost

Can You Advise the Availability of Costs for Performing Canaloplasty Surgery?

QUESTION:

David,

I am from Australia and have advanced glaucoma – I have been advised by Dr Richard Lewis of Sacramento that I am a suitable candidate for getting Canoplasty surgery. I haven’t been able to secure an appointment date. Can you advise the availability of costs for performing this surgery for me.

‎P****** Glindemann via Facebook


ANSWER:

‎P******,

I’d be happy to set up an appointment date if you are interested in traveling to Southern California for surgery. As I have a number of patients who travel significant distances to have canaloplasty glaucoma surgery I’ve created an international patient guide which can be access using the following link: http://david-richardson-md.com/patient-guide/patient-travel-guide/

My fees are listed here: http://david-richardson-md.com/payment-options/

 

Warm regards,
David Richardson, MD

Date: December 31, 2013

 

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Will My Insurance Cover Canaloplasty?

ANSWER:

The good news with regard to insurance coverage is that canaloplasty is covered by most major insurances including Medicare. Although there are some smaller insurance companies and HMOs that do not currently cover canaloplasty as of early 2012, more are adding canaloplasty as a covered benefit every month. Simply because, it works so well, and it is a safer option compared to other glaucoma surgeries. I’ve also had patients who have paid for canaloplasty without their insurance helping them, simply because the cost of drops was so high for them, that overtime, canaloplasty was an option that actually paid for itself.

 

Warm regards,
David Richardson, MD

Date: Aug 29, 2013

 

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What Would the Approximate Total Cost for Canaloplasty Be?

QUESTION:

What would the approximate total cost for canaloplasty be ?


ANSWER:

Dear Mr. ******,

You can find the self-pay fee schedule here: Schedule of Fees.

If you have PPO insurance it might reimburse you for a portion of the cost of surgery.

If you have Medicare that has not been signed over to an HMO then Medicare will cover the majority of the Hospital Fee and Anesthesiologist’s fee. Medicare will not cover my surgeon’s fee as I have opted out of Medicare.

If you have an HMO or Medicare HMO (such as SCAN or Secure Horizons or a “Medicare Advantage” plan) then none of the fees listed will be covered by your insurance.

I’ve copied my billing specialist, Helah, on this email. If you provide her with your insurance information she can research this for you.

Warm regards,
David Richardson, MD

Date:Thu, Jan 29, 2015 at 3:39 AM

 

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Are You “In-Network” with My Insurance Plan?

QUESTION:

Dr. Richardson:

Thank-you for this information. I am a resident of Northern California (Mendocino County). I will soon have a new Covered California Silver 87 plan that will provide much better coverage. The plan is through Anthem Blue Cross. I am currently visiting my mother on an extended stay in SW Florida, but will be returning to the west coast in late April or early May, and can route myself through SOCAL on my return trip. Are you “in network” for my plan?

Attached is a letter of referral from my local ophthalmologist.

******, Ph.D.
Fort Bragg, CA


ANSWER:

Dear ******,

I’ve reviewed the note you forwarded from Dr. ******. I can’t be 100% certain that you are a candidate for Canaloplasty without examining what is called “the angle” at the slit lamp (microscope). That being said, it does appear that you would be a candidate for this surgery. If you are considering Canaloplasty then I would avoid ALT as it can make Canaloplasty more challenging to complete. Selective laser trabeculoplasty (SLT), on the other hand, would not be expected to interfere with Canaloplasty.

I am out-of-network for all insurances. Some insurances, however, may reimburse you for a significant portion of my fees. I’ve copied my billing specialist, Helah, on this email. If you forward your new insurance information she can do some research and may be able to tell you what reimbursement you might expect from your insurance.

I’ve also copied my nurse, Ana, on this email so that she may create a record and upload ******’s note in anticipation of a possible future consultation with me. Please let me or my staff know if there is anything else with which we may be of assistance.

Warm regards,
David Richardson, MD

Date: Tue, Feb 10, 2015 at 2:16 PM

 

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What Is the Cost of the Canaloplasty Surgery?

ANSWER:

My surgeon’s fee for canaloplasty surgery is $3,700 per eye.  In addition to that are the surgery center fee and anesthesiologist’s fee.  I will have my nurse, Ana, provide you with the updated fees as the surgery center changes them from time to time. [Note: Click here for the Latest Cataract Surgery Fees]

 

Warm regards,
David Richardson, MD

Date: Jul 5, 2013

 

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What Is The Cost Of Canaloplasty Treatment?

QUESTION:

What Is The Cost Of Canaloplasty Treatment?


ANSWER:

The fees for exams, testing, and surgery are available here: http://david-richardson-md.com/insurance/payment-options/ There is a downloadable PDF link on that page which outlines the fees associated with Canaloplasty.

Warm regards,
David Richardson, MD

Date: Thu, Jan 15, 2015 at 1:53 AM

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