Search thousands of topics on CostHelper.com

BROWSE ALL TOPICS >> appliances babies & children  cars  consumer electronics health & personal care home & garden personal finance  pets  schools small business weddings
CostHelper > Health & Personal Care  > Opthamology & Optometry > Macular Degeneration Treatment

Macular Degeneration Treatment Cost


How Much Does Macular Degeneration Treatment Cost?

 
average costWith Health Insurance: Copays or 10%-50% Coinsurancehigh costWithout Health Insurance: $9,000-$65,000+
post E-mail post Post  

Macular degeneration is the age-related breakdown of cells in the part of the retina called the macula. There are two forms -- dry macular degeneration, in which symptoms appear gradually, and wet macular degeneration, a more severe form. Symptoms can include blurring or loss of central vision.

Typical costs:

  • For patients covered by health insurance, out-of-pocket costs typically consist of doctor visit copays, prescription drug copays or coinsurance of 10%-50%. Treatment for macular degeneration typically is covered by insurance.
  • For patients not covered by health insurance, treatment for macular degeneration typically costs about $9,000-$65,000, depending on which drug is used, for a two-year course of treatment with drugs injected into the eye to inhibit formation of and leakage from excess blood vessels. It typically costs up to $10,000 for two years of treatments with injection and photodynamic therapy, which works in a similar way. Laser treatment to burn leaky blood vessels, which is used much less frequently because only a small percentage of patients are candidates, typically costs about $1,700; it often needs to be repeated, and the procedure itself can cause vision loss.
  • According to the American Macular Degeneration Foundation[1] , a vial of the brand-name cancer drug Avastin, used off-label[2] because it has not been approved by the FDA for macular degeneration, costs about $50 -- a total of $1,200 for monthly injections over the two years typically required -- while a vial of the brand-name drug Lucentis costs about $2,000 -- or a total of about $48,000 for monthly injections over the two years typically required; doctors also charge several hundred dollars or more for each injection. For example, Midwest Eye Care[3] in Nebraska charges $380 for one treatment with Avastin -- or $9,120 for monthly treatments for two years. According to Retinal Consultants of San Antonio[4] in Texas, a Visudyne injection with photodynamic therapy (PDT) costs about $2,000 per treatment -- or a total of $10,000 for five treatments over two years. And, according to Retinal Consultants of San Antonio[5] , one treatment with Macugen costs about $1,250 -- or more than $21,000 for treatments every six weeks for two years. Midwest Eye Care[6] charges $2,700 for one treatment with Lucentis.
Related articles: Macular Hole Treatment, Dry Eye Treatment, Cataract Surgery, Glaucoma Treatment, Eye Exam

What should be included:
  • For dry macular degeneration[7] , a doctor might recommend monitoring vision at home with an Amsler grid[8] .
  • For wet macular degeneration[9] , in which a cluster of leaky blood vessels forms in the eye, a doctor might prescribe injections into the eye with bevacizumab[10] (brand name Avastin), a chemotherapy drug that is used off-label, or pegaptanib[11] (brand name Macugen) or ranibizumab[12] (brand name Lucentis). All three drugs block blood vessel formation and leakage. Injections typically are required once a month to every six weeks, depending on the drug, for about two years. Or, the doctor might recommend treatment with verteporfin[13] (brand name Visudyne) combined with photodynamic therapy[14] (PDT). The drug typically is injected into a vein in the body, then the doctor shines a special laser into the eye, causing the drug to close off blood vessels in the eye. Several more treatments might be needed, usually every three months.
  • In laser photocoagulation, which usually requires local anesthesia, a doctor uses a laser to burn and seal off blood vessels. According to WebMD[15] , this treatment only can be used in about 15% of cases and has several other drawbacks.
Additional costs:
  • A National Eye Institute study[16] found that patients with early-stage macular degeneration might be able to slow progression by taking certain antioxidants and zinc. Supplements formulated based on the study cost about $15 to $30 for a three-month supply.
Discounts:
  • Many hospitals and doctors give discounts of up to 30% or more to uninsured/cash-paying patients. For example, Washington Hospital Healthcare System[17] in California offers a 35% discount.
  • Some drug manufacturers offer patient assistance programs. Any patient without prescription drug coverage who also is not eligible for Medicare typically qualifies for Together Rx Access[18] , a discount card that offers 25%-40% off many brand-name drugs. Most companies also offer free drugs to patients who have no coverage and meet certain criteria.
Shopping for macular degeneration treatment:
  • The American Academy of Ophthalmology provides an ophthalmologist locator[19] .
  • The first-year results from a clinical trial by the National Institutes of Health[20] show the less expensive Avastin is as effective as Lucentis in treating macular degeneration. However, The U.S. Food and Drug Administration recently sent out an alert[21] stating that some patients in Florida had gotten eye infections from the off-label use of Avastin, injected into the eye.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
post E-mail post Post  
CostHelper News


Top 7 Ways to Trim Pet Expenses
Pets, for many, are part of the family; another member that needs love, feeding and treatment, just like anyone else in the household. || Posted September 18 2013


Forgotten Expenses In a Home Addition Budget
Items like construction costs, permit fees or debris removal aren't the only expenses to consider when calculating the total costs of a home remodeling project. || Posted August 5 2013

‣ All CostHelper Blog Posts


What People Are Paying - Recent Comments


 

Comment On Your Experience With Macular Degeneration Treatment
 
Subject:  *
Amount Spent:  *
Type of Treatment: Provider or Clinic: 
Insurance:   
Comments: 
Purchased:  Year: 
City:  * State:  *
 
Information about you:
Email:  * Email addresses are not displayed.
Name:  This is the name we'll display with your post.
me on this computer
*=required field.
 



External Resources:
  1.  www.macular.org/lucentis.html
  2.  www.fda.gov/RegulatoryInformation/Guidances/ucm126486.htm
  3.  www.midwesteyecare.com/SubSection/index.php?SectionID=7&SubSectionID=192&ParentID=58
  4.  www.retinasanantonio.com/services/macular-degeneration/treatment-for-wet-macular-degene...
  5.  www.retinasanantonio.com/services/macular-degeneration/treatment-for-wet-macular-degene...
  6.  www.midwesteyecare.com/SubSection/index.php?SectionID=7&SubSectionID=192&ParentID=58
  7.  www.macular.org/dry.html
  8.  www.amd.org/living-with-amd/resources-and-tools/31-amsler-grid.html
  9.  www.macular.org/wet.html
  10.  www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000352/
  11.  www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000406/
  12.  www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000394/
  13.  www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000409/
  14.  www.webmd.com/eye-health/macular-degeneration/photodynamic-therapy-for-age-related-macu...
  15.  www.webmd.com/eye-health/macular-degeneration/laser-photocoagulation-for-age-related-ma...
  16.  www.nei.nih.gov/amd/summary.asp
  17.  www.whhs.com/about/washington-hospital-discount-policy-for-uninsured/
  18.  www.togetherrxaccess.com/p/prescription-savings/about-together-rx-access/enroll.aspx
  19.  www.aao.org/aao/find_eyemd.cfm
  20.  www.nih.gov/news/health/apr2011/nei-28.htm
  21.  www.fda.gov/Drugs/Drugsafety/ucm270296.htm
More Health & Personal Care Topics
Check Out All Costs for Health & Personal Care How Much Do Crutches Cost? How Much Do Eyeglasses Cost? How Much Do Botox Treatments Cost?

Search Thousands of Topics on CostHelper.com

 


Today's Featured Cost Articles

About CostHelper
CostHelper is based in Silicon Valley and provides consumers with unbiased price information about thousands of goods and services. Our writers are experienced journalists who adhere to our strict editorial ethics policy.

CostHelper Community
Angiogram of heart
Paid: 55150.00
Had this procedure done to check heart due to abnormal stress test. Did not need any stents or any other procedure as everything was negative... [more]
-Pamela Garrett
Angiogram Cost
HELP: asbestos in furance - many questions
Paid: 0.00
I am renting out my home in Grand Rapids, MI and have received a notice from the city that the home must be inspected... [more]
-Busa
Asbestos Removal Cost
Belly
Paid: 45.00
The clamp was annoying so it took away concentration of the tiny sting of the needle. I had just turned 15 at the the time and I've had it for almost a year and it has healed fast and never given me any trouble... [more]
-Madi
Body Piercings Cost
Duckwork
Paid: 3009.00
Single family home... [more]
-Lfdykes
Ductwork Cost
2 half shafts replaced
Paid: 140.00
Bought the axles myself on ebay for 40 each, then had a mobile mechanic come to my house to do the work. It is not a hard job, but has a couple tricky parts for a subaru. Easier for a honda or toyota... [more]
-Subbie Giy
Replacing a CV Boot Cost
Even with insurance looking at going broke
Paid: 55000.00
Recently on a camping vacation my 11 year old became very sick. Took him to the closest hospital. Found out he is type 1 diabetic. Was very sick and had to be flown from Rock Springs WY, to Salt Lake City, UT. 185 mile on the ground... [more]
-Broke and confused.
Air Ambulance Cost