Burden by Cost Category and Payer
Patients and their families bear 52% of the total economic burden of eye disorders and vision loss.(Table 15.2) Patients pay 10% of costs for diagnosed disorders but nearly three-quarters of the cost for medical vision aids. Private insurance, including vision plans, pays $22.1 billion, including $20.8 in combined medical costs and $1.3 billion for long-term care. Government pays $47.4 billion in total costs, including $29.5 billion in medical costs, $3.4 billion for skilled nursing facilities, $9.8 billion for nursing home care, and $4 billion in assistance programs, transfer payments, and deadweight loss. Government spending also includes $770 million for special education and school screening, which is paid primarily through state and local governments.