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Tonsils Removal Surgery Covered Under Insurance 100% Cashless

The cost of tonsillectomy surgery to remove infected tonsils, like most surgical procedures, can be expensive for many. Therefore, it is best to have health insurance and mediclaim policies to ensure that you don't have to worry about heavy hospital bills when receiving tonsillectomy treatment. You can learn more about the benefits of health insurance and mediclaim policies for tonsillectomy by reading on.

The cost of tonsillectomy surgery to remove infected tonsils, like most surgical procedures, can be expensive for many. Therefore, it is best to ... Read More

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Tonsillectomy Treatment Insurance Claim
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Cities

USFDA-Approved Procedure

USFDA-Approved Procedure

Support in Insurance Claim

Support in Insurance Claim

No-Cost EMI

No-Cost EMI

1-day Hospitalization

1-day Hospitalization

Benefits of Choosing Pristyn Care Treatment with Insurance

Hospitalization Expenses
Get a wide range of expenses associated with surgery covered seamlessly, including room rent, medical procedures, diagnostic tests, surgeon’s fees, nursing fees, ICU costs, OR charges, etc.
Pre & Post Hospitalization
Comprehensive coverage as specified by your insurance, including preparation and recovery for 30/60 days before and after hospitalization. Additional support through free follow-ups beyond the policy.
Cashless Payment
Eliminate the need to carry cash and make the payment process swift and easy. Pay and track the hospital transactions with added security.

Is Tonsil Removal Surgery Covered Under Insurance?

Tonsillectomy (removal of tonsils) is often covered by health insurance because it is a common surgical procedure that is considered medically necessary in certain cases.

Tonsillectomy surgery may be recommended for individuals who have chronic or recurrent tonsillitis, which is a condition where the tonsils become infected and inflamed. Chronic tonsillitis can cause severe sore throat, difficulty swallowing, and other symptoms that can significantly impact an individual’s quality of life. Tonsillectomy can also be recommended for individuals who have sleep-disordered breathing or sleep apnea, which can result in poor sleep quality and other health problems.

Tonsillectomy is generally considered a safe and effective treatment for these conditions, and it is often performed as an outpatient procedure under general anesthesia. Because it is a recognized medical procedure that can alleviate significant health problems, health insurance policies often cover the cost of the surgery. However, the specific coverage and limitations of the policy may vary depending on the individual’s insurance plan and other factors.

• Disease name

Tonsillitis

• Surgery name

Tonsillectomy

• Duration

1-2 Hours

• Treated by

ENT Surgeon (Otolaryngologists)

Tonsillectomy Surgery Cost Calculator
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List of Top Health Provider for Tonsillectomy
Insurance Company Actions
Aditya Birla Health Insurance Co. Ltd. Aditya Birla Health Insurance Co. Ltd.
National Insurance Co. Ltd. National Insurance Co. Ltd.
Bajaj Allianz General Insurance Co. Ltd. Bajaj Allianz General Insurance Co. Ltd.
Bharti AXA General Insurance Co. Ltd. Bharti AXA General Insurance Co. Ltd.
Future General India Insurance Co. Ltd. Future General India Insurance Co. Ltd.
HDFC ERGO General Insurance Co. Ltd. HDFC ERGO General Insurance Co. Ltd.
Top Health Insurance Providers for Tonsil Removal Surgery In India
Here’s a list of top health insurance providers for adenoidectomy in India. Aditya Birla Health Insurance Co. Ltd. Specialized health insurer for all patients A network of 9000+ hospitals Offers 50% of premium as ‘HealthReturns’. Future Generali India Insurance Co. Ltd. 96.15% Individual claims settlement ratio for FY 2021-2022 1.5 Million lives touched since inception Crowned as the Life Insurance Company of the Year in 2018 Note: To get clarity about the health insurance and mediclaim plans offered by the insurers above and all other major insurance providers, it is best to contact their team.
1 Intimation
Fill up the pre-auth form at the network hospital for cashless approval. Fill up the pre-auth form at the network hospital for cashless approval
2 Approval/Rejection
Fill up the pre-auth form at the network hospital for cashless approval. Fill up the pre-auth form at the network hospital for cashless approval
3 Hospitalisation
Hospitalisation can be done on the basis of pre-auth approvalHospitalisation can be done on the basis of pre-auth approval
4 Claim Settlement
At the time of discharge, we settle the claim directly with hospitalAt the time of discharge, we settle the claim directly with hospital
1 Hospitalization At Non Network Hospital
You need to pay the bills initially and preserve the original invoices
2 Register A Claim
Post hospital discharge send us all your invoices and treatment documents
3 Verification
We verify your claim related invoices and treatment documents
4 Claim Settlement
We send the approved claim amount to your bank account

Cost Covered Under Health Insurance/Mediclaim Policy for Tonsil Removal Surgery

The cost covered under health insurance or a mediclaim policy for tonsil removal surgery can vary depending on the insurance provider and the policy. Generally, the costs that may be covered under health insurance or a mediclaim policy for tonsil removal surgery include:

  • Surgeon’s fee: The fee charged by the surgeon for performing the tonsillectomy procedure.
  • Hospital charges: The charges associated with the use of the hospital facility, including room charges, nursing charges, and other charges related to the procedure.
  • Anesthesia charges: The cost of anesthesia used during the procedure.
  • Medication costs: The cost of medications prescribed for pain management and other post-operative care.

However, it is important to note that the exact coverage for cost of tonsil removal surgery may vary depending on the insurance policy and any deductibles, co-payments, or exclusions that may apply. It is best to check with your insurance provider to understand the exact coverage and any associated costs or requirements for tonsil removal surgery under your policy.

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All Major Insurances Accepted

What is the Difference Between a Health Insurance and a Mediclaim Policy?

Health insurance and mediclaim are both forms of medical insurance that provide financial protection against hefty medical expenses. However, there are some differences between the two:

  1. Coverage: Health insurance provides a broader range of coverage for medical expenses, including hospitalization, surgeries, doctor’s visits, prescription drugs, and preventive care. Mediclaim, on the other hand, is a more limited form of insurance that primarily covers hospitalization expenses.
  2. Policy Limits: Health insurance policies typically have higher policy limits than mediclaim policies. This means that health insurance policies may cover a higher amount of medical expenses than mediclaim policies.
  3. Premiums: Health insurance policies may have higher premiums than mediclaim policies due to the broader range of coverage provided.
  4. Claim Process: The claim process for health insurance policies may be more complex than mediclaim policies due to the broader range of coverage and documentation required.

In summary, health insurance provides broader coverage for medical expenses and higher policy limits, while mediclaim provides limited coverage for hospitalization expenses at a lower premium. It’s important to understand the specific terms and conditions of your policy to ensure that you get adequate coverage for your medical needs.

Pristyn Care’s Free Post-Operative Care

Diet & Lifestyle Consultation

Post-Surgery Free Follow-Up

Free Cab Facility

24*7 Patient Support

FAQs Around Tonsillectomy Insurance

What is the cost of tonsil removal surgery in India?

In general, the cost of tonsil removal surgery in India can range from approximately Rs. 15,000 to Rs. 50,000 without insurance coverage. However, the cost may be higher for more complex surgical procedures or if additional medical services are required.

What are the factors that affect the cost of tonsil removal surgery?

Here are some factors mentioned that affect the cost of tonsil removal surgery; Insurance coverage  The severity of the condition Location Doctor’s charges  Hospitalization charges 

What are the factors that affect the cost of tonsil removal surgery?

Here are some factors mentioned that affect the cost of tonsil removal surgery; Insurance coverage  The severity of the condition Location Doctor’s charges  Hospitalization charges 

What is the waiting period for tonsil removal surgery?

The waiting period for tonsil removal surgery can vary depending on several factors such as the severity of the condition, the patient's medical history, the availability of the surgical facility, and the surgeon's schedule. In some cases, the surgery may be scheduled within a few weeks of the initial consultation, while in other cases, the waiting period may be several months.

Does health insurance cover all types of tonsil removal surgery?

Health insurance coverage for tonsil removal surgery can vary depending on the policy and the specific procedure being performed. In general, health insurance policies cover tonsillectomy procedures that are considered medically necessary, such as those performed to treat chronic tonsillitis or sleep apnea.

What is the waiting period for an insurance claim in tonsil removal surgery?

The waiting period for an insurance claim for tonsil removal surgery can vary depending on the insurance provider, the policy, and the specific circumstances of the claim. Typically, the claim processing time can range from a few days to several weeks.

Cashless Payment Service for Tonsil Removal Surgery at Pristyn Care

It is well known that Pristyn Care is a top surgical treatment provider. We at Pristyn Care provide complete assistance to patients in order to make their treatment journey easy. For insurance assistance, we have a team of insurance who helps patients in utilizing their health insurance to get the treatment. 

The following steps will guide you through the process of getting cashless payment for Pristyn Care’s tonsil removal surgery. 

  • To begin, you must submit your insurance paper along with all other necessary documents.
  • Then, our insurance team will have all of the paperwork verified with your insurance provider.
  • It is now our team’s responsibility to contact your insurance provider on your behalf in order to get the claim approved.
  • Once the claim is approved, the care coordinator is responsible for completing all hospital formalities in order to begin your procedure.

Along with insurance assistance, we also provide some additional services to make the patient’s treatment journey as smooth as possible. Listed below are some of the services offered at Pristyn Care: 

  • FREE doctor consultation and follow-up appointments.
  • On the day of surgery, the patient receives a complimentary cab ride.
  • FREE meals during hospitalization
  • The hospital’s infrastructure is cutting-edge, and best-in-class technology is used.
  • Excellent care at a reasonable cost

You can schedule your FREE consultation for tonsil removal surgery from anywhere in the country at any time.

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