INSIGHTS He and His Wife Both Got Cataract Surgery. His Bill Was 20 Times Higher Than Hers By Staff Tuesday, August 2, 2022 3:08 PM "People often focus on premiums because they are easy to compare, but premiums don't tell the full story, and this example illustrates the trade-offs."Tricia Neuman, a Medicare expert at the Kaiser Family Foundation, commenting to NPR for its recent report, “He and His Wife Both Got Cataract Surgery. His Bill Was 20 Times Higher Than Hers.”