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


10 Key Ways to Prepare for Extreme Snow
Forecasters are predicting a true nor'easter will hit the eastern and central states with rain, thunderstorms, ice, snow and high winds over the Thanksgiving weekend. It's crucial to plan ahead, before bad weather hits. || Posted November 26 2013


10 Most Popular Cosmetic Procedures Before the Holidays
With reunions and other get-togethers scheduled during the holiday season, most people want to look their best at this time of year. For some, that means filling in those wrinkles with a bit of botox, or having a nip and tuck down here and there. || Posted November 23 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
PFT Cost Dallas
Paid: 2568.00
My regular doctor wanted me to see a specialist since he didn't like my spirometry results. I reluctantly agreed since I never have problems. Two doctor visits later and I'm out $2568... [more]
-CHRIS REED
Pulmonary Function Test Cost
WHEEL ALIGNMENT
Paid: 85.59
GAVE ME A PAPERSHOWING RED AND GREEN ALIGNMENT, RED MEANING IT NEEDS TO BE FIXED. WHEN IT WAS DONE THEIR WAS STILL RED SHOWING IMPROPER ALIGNMENT, HE SAID WE CANT FIX THAT UNLESS I PAY ANOTHER $119.00...WHAT A BUNCH OF CROOKS..... [more]
-JAMES DENOS
Wheel Alignment Cost
Construction Company tax cost
Paid: 21000.00
I feel like we're paying way too much for our taxes. We do about 3.5 million in business and do have a lot of subcontractors (30+) but we have an in-house bookkeeper that helps with most of it... [more]
-Smallconstruction
Business Tax Preparation Cost
Am I paying too much
Paid: 1800.00
I have a small auto repair shop. He prepared my tax return in 2016. I do my own 941, wage report and monthly taxes. He does the rest and I still get charged 1800.00... [more]
-Martín Duran
Business Tax Preparation Cost
Tsh t3 and t4
Paid: 2500.00
Any ideas what to do? I do not want to pay this... [more]
-Thisbillistohigh
Thyroid Test Cost
Teeth Cleaning
Paid: 0.00
in order to prefer cleaning, $149 for blood work, chest X-rays and an ekg another $375 and then he brings in a specialist to sedate, X-ray and clean, scale and polish for $809 and then extra if anything is wrong... [more]
-breaking the bank
Dog Teeth Cleaning Cost