{"id":91596459975,"date":"2023-05-25T07:24:35","date_gmt":"2023-05-25T05:24:35","guid":{"rendered":"https:\/\/www.augenarzt-banyai.de\/blog\/general\/cataract-surgery-costs-what-does-health-insurance-cover-and-how-much-does-the-premium-option-cost\/"},"modified":"2026-06-22T09:43:33","modified_gmt":"2026-06-22T07:43:33","slug":"cataract-surgery-costs-what-does-health-insurance-cover-and-how-much-does-the-premium-option-cost","status":"publish","type":"post","link":"https:\/\/www.augenarzt-banyai.de\/en\/blog\/cataract\/cataract-surgery-costs-what-does-health-insurance-cover-and-how-much-does-the-premium-option-cost\/","title":{"rendered":"Cataract surgery costs: What does health insurance cover, and how much does the premium option cost?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">A diagnosis of cataract can be a turning point for many patients. Suddenly the world becomes cloudier, colours fade, and night vision becomes difficult. Surgery is the only effective way to restore your quality of life.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But how much does a <a href=\"https:\/\/www.augenarzt-banyai.de\/augenoperation\/grauer-star-katarakt-op\/\">cataract<\/a> surgery really cost? In this guide, you&#8217;ll learn everything about statutory benefits, the specific costs at B\u00e1nyai Augenheilkunde at our locations in <a href=\"https:\/\/neue-augen.de\/augenlasern-stuttgart\/\">Stuttgart-Mitte<\/a>, <a href=\"https:\/\/www.augenarzt-banyai.de\/standorte\/augenarzt-boeblingen\/\">B\u00f6blingen<\/a> and <a href=\"https:\/\/www.augenarzt-banyai.de\/standorte\/augenarztpraxis-leonberg\/\">Leonberg<\/a>, as well as the substantial added value of modern premium methods. Note: The following cataract surgery costs were last updated in January 2026.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.augenarzt-banyai.de\/augenbehandlung\/grauer-star-katarakt-op\/\">Cataract surgery \u2014 learn more!<\/a><\/div>\n<\/div>\n\n\n\n<h2 class=\"hx wp-block-heading\">What does the statutory health insurance (GKV) cover?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In principle, statutory health insurance covers the costs of medically necessary basic care. This includes the traditional operation using a manual scalpel and the implantation of a standard monofocal lens.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The health insurer covers the following amounts per eye:<\/p>\n\n\n<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li>Medical service (EBM GOP 31351): approx. \u20ac465.52<\/li>\n\n\n\n<li>Flat fee for the standard lens: approx. \u20ac137.00<\/li>\n<\/ul>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">This basic care restores clear vision but usually only corrects vision at a single distance (e.g., distance\/far vision), so glasses are still needed for other distances. Anything beyond this basic level\u2014such as the use of high-precision lasers or special lenses to achieve a life without glasses\u2014is billed as a private medical service.<\/p>\n\n\n\n<h2 class=\"hx wp-block-heading\">Comparison: Standard surgery vs. Premium packages<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Many patients ask: why should I pay the extra cost for a premium package? The comparison shows clear differences in precision and quality of life.<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Feature<\/strong><\/td><td><strong>Standard procedure (GKV)<\/strong><\/td><td><strong>Premium and Platinum Packages<\/strong><\/td><\/tr><tr><td><strong>Incision technique<\/strong><\/td><td>Manual scalpel<\/td><td>High-precision <strong>femtosecond laser<\/strong><\/td><\/tr><tr><td><strong>Lens Type<\/strong><\/td><td>Monofocal lens (only one distance is in focus)<\/td><td><strong>Multifocal &amp; Special<\/strong> Lenses (Distance, PC &amp; Near)<\/td><\/tr><tr><td><strong>Correction of visual defects<\/strong><\/td><td>No correction for corneal astigmatism<\/td><td><strong>Toric lenses<\/strong> correct astigmatism (irregular curvature of the cornea)<\/td><\/tr><tr><td><strong>Freedom from glasses<\/strong><\/td><td>Reading or distance glasses are still necessary<\/td><td><strong>90\u201395% freedom from glasses<\/strong> in everyday life<\/td><\/tr><tr><td><strong>Safety<\/strong><\/td><td>Established surgical standard<\/td><td>Maximum computer-controlled precision<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"hx wp-block-heading\">Cataract surgery costs at B\u00e1nyai Augenheilkunde (patient&#8217;s share after statutory health insurance deduction)<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">At B\u00e1nyai Augenheilkunde, we offer specialized packages tailored precisely to your needs. The following prices are indicative estimates of the patient contribution for the treatment of both eyes after deduction of statutory health insurance benefits.<\/p>\n\n\n\n<h3 class=\"hx wp-block-heading\">Treatment packages for both eyes<\/h3>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Package<\/strong><\/td><td><strong>Estimated personal contribution (approx.)<\/strong><\/td><td><strong>Special Features<\/strong><\/td><\/tr><tr><td><strong>Premium Lens<\/strong><\/td><td><strong>\u20ac3,582.79<\/strong><\/td><td>Use of high-quality specialty lenses (e.g., toric), including pre-examination and follow-up care.<\/td><\/tr><tr><td><strong>Premium Laser<\/strong><\/td><td><strong>\u20ac3,992.58<\/strong><\/td><td>Use of the LENSAR femtosecond laser for the highest safety and precision.<\/td><\/tr><tr><td><strong>Platinum Package<\/strong><\/td><td><strong>\u20ac7,122.47<\/strong><\/td><td>The complete solution: laser treatment, multifocal lenses &amp; additional pulsed-light therapies.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"hx wp-block-heading\">Individual lens cost (per eye)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In addition to the surgical technique, the choice of lens determines the final cost. Below is an overview of the most common options:<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Lens Type<\/strong><\/td><td><strong>Price per eye (approx.)<\/strong><\/td><td><strong>Your advantage<\/strong><\/td><\/tr><tr><td><strong>Monofocal toric<\/strong><\/td><td><strong>\u20ac277.98<\/strong><\/td><td>Compensates for corneal astigmatism; clear distance vision.<\/td><\/tr><tr><td><strong>EDOF lens (e.g., Vivity)<\/strong><\/td><td><strong>\u20ac500.54<\/strong><\/td><td>Increased depth of field for distance and computer use.<\/td><\/tr><tr><td><strong>Multifocal toric<\/strong><\/td><td><strong>\u20ac518.73<\/strong><\/td><td>Maximum freedom: clear vision at all distances without glasses.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.augenarzt-banyai.de\/augenkrankheiten\/grauer-star-katarakt\/\">Read more about cataracts<\/a><\/div>\n<\/div>\n\n\n\n<h2 class=\"hx wp-block-heading\">Why investing in premium services is worthwhile<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Many patients at B\u00e1nyai Augenheilkunde consciously accept the higher costs. Why? Because it&#8217;s a one-time investment in the decades to come.<\/p>\n\n\n<div class=\"wp-block-list\">\n<ol class=\"wp-block-list\">\n<li><strong>A life without glasses:<\/strong> With modern multifocal lenses, you can go without a visual aid for 90\u201395% of the time. Whether you&#8217;re playing sports, reading on your smartphone, or cooking \u2014 you&#8217;ll regain your freedom and spontaneity.<\/li>\n\n\n\n<li><strong>Precision, not chance:<\/strong> The femtosecond laser operates at the micrometer scale. It enables computer-controlled incisions that a human operator could hardly reproduce manually with the same consistency. This spares the surrounding tissue and promotes faster healing.<\/li>\n\n\n\n<li><strong>Correction of complex refractive errors:<\/strong> If you have astigmatism, a standard lens is often not sufficient. Your vision would remain blurred. Only toric specialty lenses can provide a truly sharp, brilliant image.<\/li>\n\n\n\n<li><strong>Individual consultation as the foundation:<\/strong> Before each operation, we carry out a precise preoperative assessment in <strong><a href=\"https:\/\/neue-augen.de\/augenlasern-stuttgart\/\">Stuttgart-Mitte<\/a>, <a href=\"https:\/\/www.augenarzt-banyai.de\/standorte\/augenarzt-boeblingen\/\">B\u00f6blingen<\/a> or <a href=\"https:\/\/www.augenarzt-banyai.de\/standorte\/augenarztpraxis-leonberg\/\">Leonberg<\/a><\/strong>. We use state-of-the-art measurement technology to identify the lens that best suits your anatomy and lifestyle.<\/li>\n<\/ol>\n<\/div>\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.augenarzt-banyai.de\/termin-buchen\/\">Schedule a consultation<\/a><\/div>\n<\/div>\n\n\n\n<h2 class=\"hx wp-block-heading\">Privately Insured Patients and Beneficiaries: What You Need to Know<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">For privately insured patients (PKV) and recipients of government aid (Beihilfe), <a href=\"https:\/\/www.augenarzt-banyai.de\/augenoperation\/grauer-star-katarakt-op\/\" data-type=\"link\" data-id=\"https:\/\/www.augenarzt-banyai.de\/augenoperation\/grauer-star-katarakt-op\/\">cataract surgery<\/a> is generally billed according to the fee schedule for physicians (GO\u00c4). Because the premium packages at B\u00e1nyai Augenheilkunde include cutting-edge techniques such as the femtosecond laser and specialized diagnostic procedures, higher multipliers are often applied above the standard rate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In our Platinum package, for example, the surgical service (GO\u00c4 item 1375) is billed at a factor of 7.0 to reflect the high level of precision and the use of specialised equipment. Depending on your individual insurance plan or entitlement to benefits, you may therefore incur a deductible. This applies in particular to:<\/p>\n\n\n<div class=\"wp-block-list\">\n<ul class=\"wp-block-list\">\n<li><strong>Higher multiplier factors:<\/strong> Rates that limit reimbursement to 2.3 or 3.5 times the standard rate may not fully cover the costs of specialized procedures.<\/li>\n\n\n\n<li><strong>Material costs for special lenses:<\/strong> Depending on the insurance plan, the costs for high-quality multifocal or EDOF lenses are only partially reimbursed if they exceed those of a standard lens.<\/li>\n\n\n\n<li><strong>Analog billing:<\/strong> Modern laser services are often billed analogously to existing GO\u00c4 codes, which should be clarified with the insurer in advance.<\/li>\n<\/ul>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">We strongly recommend that you submit the detailed estimate we prepared as part of the preliminary examination to your private health insurer or benefits office for review before the operation. Our refractive team will be happy to help you clarify the situation for your specific case so you know exactly what reimbursement to expect.<\/p>\n\n\n\n<h2 class=\"hx wp-block-heading\">Would you like to see clearly and independently again?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Book your appointment for a preliminary examination at our locations in <a href=\"https:\/\/neue-augen.de\/augenlasern-stuttgart\/\">Stuttgart-Mitte<\/a>, <a href=\"https:\/\/www.augenarzt-banyai.de\/standorte\/augenarzt-boeblingen\/\">B\u00f6blingen<\/a> or <a href=\"https:\/\/www.augenarzt-banyai.de\/standorte\/augenarztpraxis-leonberg\/\">Leonberg<\/a>. Our refractive team will be happy to provide you with detailed advice on all available options.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.augenarzt-banyai.de\/termin-buchen\/\">Get advice now<\/a><\/div>\n<\/div>\n\n\n\r\n<div class=\"klx_faq\">\r\n\r\n        <h2 class=\"hx\">FAQs: Frequently Asked Questions About the Cost of Cataract Surgery<\/h2>\r\n    \r\n    <div class=\"accordion\" id=\"accordion-53513\">\r\n                                    \r\n                                    <div class=\"card\">\r\n                      <div class=\"card-header\" id=\"heading-accordion-53513-0\">\r\n                        <h3 class=\"mb-0 btn btn-link btn-block text-left collapsed dropdown-toggle\" data-toggle=\"collapse\" data-target=\"#collapse-0\" aria-expanded=\"true\" aria-controls=\"collapse-0\">\r\n                            <span>1. Does health insurance cover cataract surgery?<\/span>\r\n                        <\/h3>\r\n                      <\/div>\r\n                      <div id=\"collapse-0\" class=\"collapse\" aria-labelledby=\"heading-accordion-53513-0\" data-parent=\"#accordion-53513\">\r\n                        <div class=\"card-body\"><p>Yes, basic medical care (scalpel surgery and a standard lens) is covered. For modern laser procedures or special lenses, patients must make a personal contribution.<\/p>\n<\/div>\r\n                      <\/div>\r\n                    <\/div>\r\n                                            \r\n                                    <div class=\"card\">\r\n                      <div class=\"card-header\" id=\"heading-accordion-53513-1\">\r\n                        <h3 class=\"mb-0 btn btn-link btn-block text-left collapsed dropdown-toggle\" data-toggle=\"collapse\" data-target=\"#collapse-1\" aria-expanded=\"true\" aria-controls=\"collapse-1\">\r\n                            <span>2. What is the co-payment for special lenses for both eyes?<\/span>\r\n                        <\/h3>\r\n                      <\/div>\r\n                      <div id=\"collapse-1\" class=\"collapse\" aria-labelledby=\"heading-accordion-53513-1\" data-parent=\"#accordion-53513\">\r\n                        <div class=\"card-body\"><p>At B\u00e1nyai Augenheilkunde, the patient&#8217;s share for the premium lens package (for both eyes) starts at approximately \u20ac3,582.79.<\/p>\n<\/div>\r\n                      <\/div>\r\n                    <\/div>\r\n                                            \r\n                                    <div class=\"card\">\r\n                      <div class=\"card-header\" id=\"heading-accordion-53513-2\">\r\n                        <h3 class=\"mb-0 btn btn-link btn-block text-left collapsed dropdown-toggle\" data-toggle=\"collapse\" data-target=\"#collapse-2\" aria-expanded=\"true\" aria-controls=\"collapse-2\">\r\n                            <span>3. How much extra does the laser treatment cost?<\/span>\r\n                        <\/h3>\r\n                      <\/div>\r\n                      <div id=\"collapse-2\" class=\"collapse\" aria-labelledby=\"heading-accordion-53513-2\" data-parent=\"#accordion-53513\">\r\n                        <div class=\"card-body\"><p>The use of the state-of-the-art femtosecond laser is charged as part of the Premium Laser Package, starting at approximately \u20ac3,992.58 (total for both eyes).<\/p>\n<\/div>\r\n                      <\/div>\r\n                    <\/div>\r\n                                            \r\n                                    <div class=\"card\">\r\n                      <div class=\"card-header\" id=\"heading-accordion-53513-3\">\r\n                        <h3 class=\"mb-0 btn btn-link btn-block text-left collapsed dropdown-toggle\" data-toggle=\"collapse\" data-target=\"#collapse-3\" aria-expanded=\"true\" aria-controls=\"collapse-3\">\r\n                            <span>4. Can I pay in instalments?<\/span>\r\n                        <\/h3>\r\n                      <\/div>\r\n                      <div id=\"collapse-3\" class=\"collapse\" aria-labelledby=\"heading-accordion-53513-3\" data-parent=\"#accordion-53513\">\r\n                        <div class=\"card-body\"><p>Yes, many of our patients use convenient financing options to pay the costs in monthly installments. Financing is only available to patients with statutory health insurance. Unfortunately, there is no financing option for private patients who must make a co-payment. If you are interested in paying in installments, please feel free to contact us.<\/p>\n<\/div>\r\n                      <\/div>\r\n                    <\/div>\r\n                                            \r\n                                    <div class=\"card\">\r\n                      <div class=\"card-header\" id=\"heading-accordion-53513-4\">\r\n                        <h3 class=\"mb-0 btn btn-link btn-block text-left collapsed dropdown-toggle\" data-toggle=\"collapse\" data-target=\"#collapse-4\" aria-expanded=\"true\" aria-controls=\"collapse-4\">\r\n                            <span>5. Why do the prices in the quote vary?<\/span>\r\n                        <\/h3>\r\n                      <\/div>\r\n                      <div id=\"collapse-4\" class=\"collapse\" aria-labelledby=\"heading-accordion-53513-4\" data-parent=\"#accordion-53513\">\r\n                        <div class=\"card-body\"><p>Because each eye is an individual biological organ, additional procedures that cannot be fully planned in advance may become necessary during the operation. The prices quoted are intended as a reliable guideline.<\/p>\n<\/div>\r\n                      <\/div>\r\n                    <\/div>\r\n                                        <\/div>\r\n\r\n<\/div>\r\n\r\n","protected":false},"excerpt":{"rendered":"<p>The cost of cataract surgery can vary depending on the country, clinic, techniques used, and individual needs. An accurate cost breakdown can only be provided by your clinic or ophthalmologist. Read more!<\/p>\n","protected":false},"author":3,"featured_media":91596457721,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","sseo_meta_title":"Cataract Surgery Costs | B\u00e1nyai Augenheilkunde","sseo_meta_description":"The cost of cataract surgery can vary depending on the country, the clinic, the techniques used, and individual needs. A precise cost breakdown can only be provided by your clinic or ophthalmologist. Read more!","sseo_reviewed_by":0,"sseo_last_reviewed":""},"categories":[104],"tags":[],"class_list":["post-91596459975","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cataract"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.augenarzt-banyai.de\/en\/wp-json\/wp\/v2\/posts\/91596459975","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.augenarzt-banyai.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.augenarzt-banyai.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.augenarzt-banyai.de\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.augenarzt-banyai.de\/en\/wp-json\/wp\/v2\/comments?post=91596459975"}],"version-history":[{"count":9,"href":"https:\/\/www.augenarzt-banyai.de\/en\/wp-json\/wp\/v2\/posts\/91596459975\/revisions"}],"predecessor-version":[{"id":91596459990,"href":"https:\/\/www.augenarzt-banyai.de\/en\/wp-json\/wp\/v2\/posts\/91596459975\/revisions\/91596459990"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.augenarzt-banyai.de\/en\/wp-json\/wp\/v2\/media\/91596457721"}],"wp:attachment":[{"href":"https:\/\/www.augenarzt-banyai.de\/en\/wp-json\/wp\/v2\/media?parent=91596459975"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.augenarzt-banyai.de\/en\/wp-json\/wp\/v2\/categories?post=91596459975"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.augenarzt-banyai.de\/en\/wp-json\/wp\/v2\/tags?post=91596459975"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}