Earlier quoted context omitted.
I would suggest checking out other optometrists, most have a much better insurance wall than they had a couple of decades ago. Or go online (to order, not suggesting an eye exam over webcam :D ). That said, I'm currently getting cataracts removed and IOL implants and insurance is like "correcting your astigmatism isn't needed so we won't cover the IOL that does that, just your distance vision". If correcting my visio…
This gets into the weeds a little but the reason boils down to money and tradition, and “what is needed” is a shifting goalpost for society. Just thirty years ago you may have never even gotten an IOL due to tradition or cost. After adoption in the developed world there was a huge push to prevent lower income countries from accessing the technology because they “didn’t need” that technology and could benefit from low…
I do think the cheapness of astigmatism correction in lenses for glasses means that more people get full correction than in the past, but if you're like me and apparently descended from mole people then correcting distance vision alone does squat. My distance vision is far from the worst at 7-8 diopters, so can be mostly corrected with normal lenses, but my astigmatism is bad enough that I wouldn't be able to legally drive without correction. Despite that, instead of getting insurance covered IOLs, I'm paying 3k each for the IOL for each eye.
Only real problem with the one I have so far is that the existing "accommodating" IOLs simply aren't particularly good, and the varying types of multi-focal IOL do cause halos, so if you're like me and already get halos they're off the table. So on the one hand my right eye now has 20/20 vision, on the other: instant presbyopia.