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ACL Surgery Under Insurance 100% Cashless

Insurance coverage for Anterior Cruciate Ligament or ACL surgery helps patients avail treatment without worrying about hefty hospital bills, and other medical and non-medical expenses. This page provides a brief about ACL surgery insurance coverage in India.

Insurance coverage for Anterior Cruciate Ligament or ACL surgery helps patients avail treatment without worrying about hefty hospital bills, and other medical and ... Read More

Dr. Manu Bora Orthopedic Surgeon
ACL Tear Treatment Insurance Claim
Anup Soni - the voice of Pristyn Care pointing to download pristyncare mobile app
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45+

Cities

Free Consultation

Free Consultation

Free Cab Facility

Free Cab Facility

No-Cost EMI

No-Cost EMI

Support in Insurance Claim

Support in Insurance Claim

1-day Hospitalization

1-day Hospitalization

USFDA-Approved Procedure

USFDA-Approved Procedure

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 ACL Surgery Covered Under Insurance?

ACL surgery is often covered under insurance because it is a medically necessary procedure that is typically performed to help individuals regain stability, function, and mobility in their knee joint. ACL injuries are common among athletes and active individuals, and can occur due to sudden twisting or impact to the knee.

If left untreated, an ACL injury can lead to chronic pain, instability, and reduced quality of life. ACL surgery is generally considered the most effective treatment for repairing or reconstructing a torn ACL, and can help individuals return to their normal daily activities, including sports and exercise.

Insurance companies typically cover ACL surgery because it is a recognized, accepted, and a medically necessary treatment for a common medical condition. However, coverage may vary depending on the specific insurance plan and the individual’s medical history and needs. It is important to check with your insurance provider to understand what is covered under your policy and what out-of-pocket expenses you may have to bear.

• Disease name

ACL Tear

• Surgery name

ACL Reconstruction

• Duration

2 Hours

• Treated by

Orthopedic Surgeon

ACL Tear Surgery Cost Calculator
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How to get Acl Tear Treatment under Insurance?
Both, health and Mediclaim insurance policies cover the cost of Acl Tear Surgery. However, it is advised to choose an insurance policy that provides extensive benefits at an affordable price. At Pristyn Care, you get not only the best treatment for Acl tear. but also a hassle-free experience during filing the health insurance and Mediclaim. We take care of the complete procedure, including insurance-related paperwork, of getting approval on an insurance claim. This is to ensure that the patient nor their family members have to face any additional hassles.
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
Best Doctors for Acl Tear Surgery
  • online dot green
    Dr. Pradeep Choudhary (iInTxtXANu)

    Dr. Pradeep Choudhary

    MBBS, MS-Orthopedics
    33 Yrs.Exp.

    4.8/5

    33 + Years

    location icon Indore
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    6366-370-250
  • online dot green
    Dr. Kamal Bachani (3uCOy0grwa)

    Dr. Kamal Bachani

    MBBS, MS(Ortho), M.Ch(Ortho)
    32 Yrs.Exp.

    4.7/5

    32 + Years

    location icon Delhi
    Call Us
    6366-370-250
  • online dot green
    Dr. Nallamothu Anil Kumar (FMnPN7WBhc)

    Dr. Nallamothu Anil Kuma...

    MBBS, DNB,MS-orthopedics
    29 Yrs.Exp.

    4.9/5

    29 + Years

    location icon Hyderabad
    Call Us
    6366-370-250
  • Expenses Covered By Health Insurance

    • Pre-hospitalization expenses:

    All medical costs incurred before you are hospitalized, up to a pre-specified period, are covered in the insurance plan. These include doctor consultation charges, the cost of diagnostic tests and medicines, preliminary procedure charges, the expense of medical investigations, etc.

    • Post-hospitalization expenses: 

    All costs involved in your care and medicines, after the discharge from the hospital, up to a pre-specified period, are included in your healthcare insurance. These include post-hospitalization consultation, diagnostic tests, medicines, therapy drugs, etc. 

    • Ambulance charges:

    Health insurance plans also cover expenses involved in transporting you to a hospital by ambulance. 

    • Daily hospital cash:

    Your health insurance will provide a lump sum amount daily in case of hospitalization. 

    • In-patient hospitalization:

    In case you are hospitalized because of an injury or illness, it is covered by your health insurance plan. In-patient hospitalization costs include room rent or boarding expenses, nursing expenses, ICU charges, doctor’s consultation fees., etc. 

    Are you going through any of these symptoms?

    All Major Insurances Accepted

    What Is The Difference Between Mediclaim and Health insurance?

    Health insurance is a type of insurance that provides financial protection to individuals and their families against the high costs of medical treatment in case of illness, accidents, or hospitalization. Health insurance plans cover a wide range of medical expenses such as hospitalization charges, diagnostic tests, surgeries, doctor consultations, and even some preventive care.

    On the other hand, Mediclaim is a type of health insurance plan that covers hospitalization expenses only. Mediclaim policies are usually offered by health insurance companies and provide coverage for expenses incurred due to hospitalization arising from illness or injury, subject to certain limits and exclusions.

    In summary, health insurance is a more comprehensive type of insurance that covers a wider range of medical expenses, whereas mediclaim is a specific type of health insurance plan that covers hospitalization expenses only.

    Pristyn Care’s Free Post-Operative Care

    Diet & Lifestyle Consultation

    Post-Surgery Free Follow-Up

    Free Cab Facility

    24*7 Patient Support

    Frequently Asked Questions about ACL Surgery Insurance

    What factors do I need to consider while calculating the cost of ACL surgery?

    There are a number of factors that can affect the cost of ACL surgery. These may include: Any pre-existing health condition  City of the treatment Consultation charges of the doctor Cost of diagnostic tests

    What is the cost of ACL surgery?

    The average cost of ACL surgery ranges from INR 1,40,000 to INR 2,00,000 including the cost of surgery, pre-hospitalization expenses, and post-hospitalization expenses.

    How does insurance help in ACL surgery?

    Expenses during ACL reconstruction surgery are covered under insurance. The insurance policies cover: room and operation theater rent, nursing expenses incurred during the surgery, fee charged by the doctor, etc. to ease the financial burden of the patients. 

    What are the out-of-pocket payments for ACL surgery?

    Out-of-pocket payments for ACL surgery generally depend on insurance coverage, i.e., type of policy, deductibles, and insurance premium. Most policies provide partial coverage for the surgery, so even if insurance covers ACL surgery, you will most likely have to pay yourself for a portion of the total surgery cost. 

    How to claim insurance for ACL surgery?

    Here are some steps to follow to claim the insurance: Fill the cashless request form at hospital Submit the form and medical records to TPA TPA will inspect all the documents  After approval, the insurance company will settle the hospital bills

    What is the cost of ACL surgery?

    The average cost of ACL surgery ranges from Rs. 1,40,000 to Rs. 2,00,000, including the cost of surgery, pre-hospitalization expenses, and post-hospitalization expenses. The cost of the surgery generally depends on the following factors: The extent of the damage Choice of graft Hospitalization fees Insurance coverage Surgeon’s experience and fees Follow-up and rehabilitation required Anesthesia and anesthesiologist cost Assistive devices (crutches, braces, etc.) and medicines required after the surgery Pre-existing conditions of the patent and complications during the surgery Make sure you are aware of the co-payments, deductibles, and coinsurance amounts for your surgery. With prior approval you can apply the funds for your payment from your health savings account or flexible spending account.

    What are the out-of-pocket payments for ACL surgery?

    Out-of-pocket payments for ACL surgery generally depend on insurance coverage, i.e., type of policy, insurance premium, deductibles, etc. Most policies provide partial coverage for the surgery, so even if your insurance covers ACL surgery, you will most likely have to pay yourself for a portion of the total surgery cost.  Ask your insurance provider about your costs - copays, deductibles and coinsurance - for your surgery. Apply for a flexible spending account (FSA), health savings account (HAS), and health reimbursement account (HRA) funds to your out-of-pocket costs if they are too high for you to pay all at once.

    Cashless Payment Service For ACL Surgery at Pristyn Care

    Visit Pristyn Care to undergo safe and effective ACL surgery. We offer cashless payment services for ACL surgery. Our main objective is to ensure that our patients are comfortable and don’t have to face any kind of hassle during the treatment procedure. We have a very easy process to utilize the mediclaim policy or health insurance policy to cover the cost of treatment with Pristyn Care. The cashless payment facility works in the following way:

    • We initiate the insurance by collecting all the documents from the patients and then verifying the documents with the insurance providers. 
    • We offer two options to patients, i.e., cashless payment and zero-cost EMI to pay for the ACL surgery.
    • We have a dedicated insurance team to handle all the documentation and submit the claim documents with the patient’s insurance provider. 
    • Once the claim amount is sanctioned, the patient is admitted to the hospital and our care coordinator takes care of all the hospital related formalities during the treatment. 

    Additionally, we provide an assisted surgical experience to the patients with additional benefits like detailed diagnosis, a well-maintained room in the hospital, cab service on the day of surgery, free post-surgery follow-ups, etc. All these services are meant to make the advanced ACL surgery accessible and cost-effective for people all over India.  

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