Which lens types are available for cataract surgery under ECHS?

Hello

Under the Ex-Servicemen Contributory Health Scheme (ECHS), cataract surgery is generally covered as per the approved CGHS package rates. The scheme typically covers the cost of a standard Monofocal Intraocular Lens (IOL), including both foldable and non-foldable options, subject to the applicable package and ceiling rates.

Lens types covered under ECHS

• Hydrophobic Foldable Monofocal IOL: Commonly used in modern phacoemulsification (stitchless) cataract surgery and covered as per the approved CGHS package.

• Hydrophilic Acrylic Monofocal IOL: Covered under the approved package based on medical requirements.

• PMMA (Non-foldable) Monofocal IOL: Covered for conventional cataract surgery.

• Scleral Fixated IOL: Covered when medically indicated and recommended by the treating ophthalmologist.

Are premium lenses covered?

Premium intraocular lenses such as

• Multifocal IOL

• Trifocal IOL

• Toric IOL (for astigmatism)

• Other premium imported lenses

are generally not fully covered under ECHS. If you choose one of these lenses, ECHS usually covers the cost of the standard lens as per the approved package, while the additional cost of the premium lens may need to be paid by the patient.

Which lens is commonly recommended?

For most patients, a Hydrophobic Foldable Monofocal IOL is the most commonly recommended option because it

• Provides clear distance vision.

• Is suitable for stitchless cataract surgery.

• Offers faster recovery.

• Is generally covered under the ECHS/CGHS package.

However, patients with a monofocal lens may still require reading glasses for near vision after surgery.

ophthalmologist will recommend the most suitable lens based on your eye health, lifestyle, and any existing conditions such as astigmatism.

How HexaHealth Can Assist You

• ECHS Guidance: We help you understand ECHS eligibility, coverage, and the cataract surgery process.

• Hospital Selection: We help you connect with ECHS-empanelled eye hospitals and experienced ophthalmologists.

• Lens & Treatment Guidance: We explain the differences between monofocal, multifocal, toric, and other lens options to help you make an informed decision.

• Insurance Support: We assist you in understanding package inclusions, possible additional charges, and the documents required for ECHS claims.

• Appointment Assistance: We help coordinate consultations with eye specialists and support you throughout your treatment journey.

For personalised guidance, you can share your age, whether the cataract is in one or both eyes, and the name of your preferred ECHS-empanelled hospital. We can help you understand the available lens options and guide you with the next steps.

Wishing you and your family good health always.
Warm regards,
Team HexaHealth