Compare 107 ophthalmologists in Madison, WI. Check ratings, insurance, and availability.
107
Ophthalmologists
100%
Accepting patients
80%
Most common: MD
Ranked by Clarity Score, based on profile detail, verification, and patient activity.
Madison is a college town with academic medical center resources that punch well above its size. UW Health dominates the local market, and the population is younger, more educated, and more health-engaged than most comparably sized cities. The result is a healthcare environment where preventive care and wellness are the norm, not the exception.
Madison has 107 ophthalmologists. The most common credential is MD (80%). 100% are currently accepting new patients. Practitioners see patients in neighborhoods including Downtown (Capitol Square), Williamson Street (Willy Street), Monroe Street, and Hilldale.
UW Health University Hospital sits on the west side of the isthmus near the UW-Madison campus. SSM Health St. Mary's is on the south side, and Meriter Hospital (UnityPoint) is centrally located near the Capitol. Most medical offices cluster along University Avenue, the Beltline Highway corridor, and the west side near the hospital. Parking at UW Hospital can be tight, so use the shuttle from the garage on Highland Avenue.
Nearby hospitals include UW Health University Hospital, SSM Health St. Mary's Hospital, and Meriter Hospital (UnityPoint Health). Local training programs run through University of Wisconsin School of Medicine and Public Health and University of Wisconsin-Madison. Madison is consistently ranked among the healthiest cities in the US due to high physical activity rates and healthcare access.
Quartz (formerly Physicians Plus), affiliated with UW Health, and Dean Health Plan are the dominant local carriers. Group Health Cooperative also serves the Madison market. National carriers like UnitedHealthcare and Anthem have less market share here than in Milwaukee. BadgerCare Plus enrollment is lower in Dane County than in most Wisconsin counties, reflecting the area's higher employment and income levels. 68% accept Medicare.
The first visit includes a comprehensive eye exam with dilation, detailed imaging of your retina and optic nerve, and a review of your symptoms and medical history. The ophthalmologist will explain their findings, discuss treatment options (including whether surgery is indicated), and outline next steps. Plan for two to three hours total because of dilation and imaging.
UW Health uses the MyChart patient portal. If you are new to the area and coming from a different health system, request your records be sent electronically or bring printed copies. Many UW Health clinics offer same-day or next-day appointments for established patients.
See an ophthalmologist for cataracts, glaucoma requiring surgery or advanced management, diabetic retinopathy, macular degeneration, retinal tears or detachment, eye injuries, LASIK evaluation, eyelid problems, crossed eyes in children, or any eye condition your optometrist has referred you for. You should also see one if you have a systemic disease (diabetes, autoimmune conditions) that affects the eyes.
Office visit copay: $30-75 · Cataract surgery: $3,000-5,000 per eye · LASIK: $2,000-3,000 per eye · Retinal imaging: $50-200
Madison, WI has 107 licensed ophthalmologists. 100% are currently accepting new patients, so finding an available provider should be straightforward.
Yes. 100% of ophthalmologists in Madison, WI are currently accepting new patients. You can filter your search on FindClarity to show only providers who are taking new patients.
Wisconsin residents enroll through HealthCare.gov for ACA marketplace plans. In Dane County, options include Quartz (affiliated with UW Health), Dean Health Plan, and Group Health Cooperative. BadgerCare Plus covers Medicaid-eligible residents. Many Madison employers offer Quartz or Dean plans that include the UW Health network.
An office visit copay is $30 to $75. Cataract surgery costs $3,000 to $5,000 per eye. LASIK runs $2,000 to $3,000 per eye. Retinal imaging costs $50 to $200. Actual costs in Madison, WI depend on the provider and your insurance plan. Medical eye conditions (cataracts, glaucoma) are billed to medical insurance. Routine refraction for glasses is billed to vision insurance. LASIK is typically self-pay. Verify which insurance applies to your visit type.
UW Health is the dominant system in Madison, operating the university hospital, dozens of clinics, and the American Family Children's Hospital. SSM Health and UnityPoint (Meriter) offer alternatives. For most specialty care, UW Health will be the primary option. If your insurance does not include UW Health, SSM and Meriter cover a wide range of primary and acute care needs.
68% of ophthalmologists in Madison, WI accept Medicare. Medicare covers eye exams for conditions like glaucoma and diabetic retinopathy. Cataract surgery is covered. Routine vision exams for glasses prescriptions are not covered under Original Medicare. You can filter for Medicare-accepting providers on FindClarity.
Some ophthalmologists in Madison, WI accept BadgerCare Plus, the state's Medicaid program. Medicaid covers medically necessary eye care in all states. Coverage for routine vision exams and glasses varies by state. Children have broader coverage than adults. Contact the provider's office directly to confirm BadgerCare Plus participation before scheduling.
UW Health is the largest and most comprehensive system, but SSM Health St. Mary's Hospital and UnityPoint Health-Meriter both operate in Madison. For complex specialty care, oncology, and transplants, UW Health is typically the referral destination. Primary care and many surgical procedures are available at all three systems.
Madison has a relatively strong supply of therapists compared to most cities its size. UW Health Behavioral Health, Journey Mental Health Center, and many private practices accept new patients. Check whether your plan includes Quartz or Dean network providers, as that will determine your in-network options.
Top accepted carriers in Madison, WI include medicare, unitedhealthcare, qhp-44228, hcsc, and qhp-37833.
Medical insurance covers ophthalmology visits for eye diseases and conditions (glaucoma, cataracts, diabetic eye exams). Vision insurance covers routine refraction and glasses prescriptions. LASIK is typically not covered by either. Cataract surgery is covered by medical insurance. Verify in-network status and whether pre-authorization is needed for surgery or diagnostic imaging.