I have a choice of the following:

1. The standard covered by medicare package, This is pretty basic.
2. ORA Custom Package ($540 per eye) - Choice 1 plus extra interop measurements, monovision, and up to 6 refractions during pre-op/post-op period,
3. Full Range Custom Vision Package ($3,000 per eye) - All of the above including the ORA stuff, plus Panoptix or Vivity lens (he reccommends Vivity), Correction for residual astigmatism and distance, intermediate, or near vision, Lasik touchup if needed, and 6 months of clinical care.

Based on his description of the results with the choices I am leaning toward spending the $6k for the Full Range Custom Vision Package and the Vivity lens.

Edit to add that I have a while to think about it. I have my appointment to get all the measurements done on the 15th of this month (march). Then I have 6 months to get the surgery done without having to redo the measurements. I am least fond of summer weather here so will most likely schedule for June, July, or August.