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Bariatric Surgery Under Insurance - 100% Cashless

Since the cost of undergoing bariatric surgery is on the higher side, it is most often included under health insurance.. Contact Pristyn Care to undergo Bariatric Surgery with end-to-end assistance in insurance claim.

Since the cost of undergoing bariatric surgery is on the higher side, it is most often included under health insurance.. Contact Pristyn Care ... Read More

Bariatric Surgery Treatment Insurance Claim

Anup Soni - the voice of Pristyn Care pointing to download pristyncare mobile app

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No-Cost EMI

Support in Insurance Claim

1-day Hospitalization

USFDA-Approved Procedure

Benefits of Choosing Pristyn Care Treatment with Insurance

Is Bariatric Surgery Covered Under Insurance Or Mediclaim?

The cost of bariatric surgery is covered under health insurance since the cost of availing of the surgery is on the higher side. However, the surgery is usually not included in a mediclaim insurance policy.

Health insurance covers bariatric surgery only if the following criteria are met by the patient.

The patient must be at least 18 years of age while undergoing bariatric surgery.
The Body Mass Index (BMI) value of the patient must be 40 or above. Or, the BMI is 35 or above and they suffer from comorbidities like heart disease, diabetes, or stroke.
The patient should have the doctor’s prescription and appropriate diagnostic test result reports.

Bariatric Surgery Surgery Cost Calculator

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How to get Bariatric Surgery Covered under Insurance?

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 Bariatric-Surgery

Dr. Mohit Bhandari

MBBS, MS, DMAS (France)

14 Yrs.Exp.

4.9/5

14 + Years

Delhi

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6366-526-937

Dr. Sanjeev Gupta

MBBS, MS- General Surgeon

25 Yrs.Exp.

4.9/5

25 + Years

Pristyn Care Clinic, Greater Kailash, Delhi

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6366-526-937

Dr. M Ram Prabhu

MBBS, DNB-Plastic Surgery

15 Yrs.Exp.

4.6/5

15 + Years

Pristyn Care Clinic, Hyderabad

Call Us

6366-526-937

Exclusions Under Insurance For Bariatric Surgery

The following are the exclusions for bariatric surgeries under health insurance:

In some cases, health insurance does not include bariatric surgery if it is for a pre-existing medical condition.
If an insurance plan includes pre-existing medical conditions, these conditions may be included only after a waiting period of around 2 to 4 years.
If bariatric surgery is being performed for aesthetic or cosmetic reasons, it may not be covered under the health insurance plan.
In addition, if the weight gain is because of medication or poor mental health, bariatric surgery for the same may not be covered under the insurance plan.

All Major Insurances Accepted

What Is The Difference Between Mediclaim and Health insurance?

Mediclaim and health insurance are two terms that people use interchangeably, but these two are very different from each other. A health insurance policy is a more comprehensive insurance policy whereas mediclaim is a more restricted one. A health insurance plan includes medical expenses in the pre and post-hospitalization period along with the surgery costs. Whereas, mediclaim insurance covers only hospitalization expenses related to the surgery.

Also, a health insurance plan provides the benefit of add-ons like critical illness coverage, loss of income, etc which increases the coverage, but mediclaim insurance does not provide any add-on cover. Furthermore, to claim a mediclaim policy, the insured person should be hospitalized otherwise they won’t be able to get the claim. But, there is no such requirement if you are using a health insurance policy to undergo bariatric surgery.

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 Bariatric Surgery

How much does bariatric surgery cost in India?

The basic cost for undergoing bariatric surgery in India ranges from Rs. 2.8 lakhs to Rs. 6 lakhs. However, the exact cost may differ from one hospital to another. Also, besides the surgery cost, you may need to consult a dietician after the surgery to adopt a new lifestyle which may cost you extra.

Will I still get insurance coverage for bariatric surgery if I port my health insurance?

Yes, you can get insurance coverage for bariatric surgery if you port to a new insurance plan. But, you will be subject to a fresh waiting period if applicable under the new plan.

Do I need to pay any additional payment to get coverage for bariatric surgeries under insurance?

Some health insurance plans do not include bariatric surgeries under the base plan. However, they may provide this coverage as an add-on by charging a little extra premium.

What is the waiting period in health insurance for bariatric surgery?

The waiting period in insurance for bariatric surgery ranges from 2 to 4 years.

What is a cashless health insurance policy?

A cashless health policy provides the advantage to get treatment at network hospitals without making any payment. To avail of this advantage, the insurance policyholder must take approval from the insurance company in advance in case of planned surgeries, and within the specified time in case of emergencies.

Cost Covered Under Health Insurance Policy

Pristyn Care aims to make bariatric surgery almost cashless for all patients who meet the criteria for surgery under health insurance. Our cashless payment service for bariatric surgery works in the following manner:

We collect insurance-related documents from the patients and verify the documents with the insurance providers.
Once the verification is done, we go through the patient’s insurance policy to determine what is and isn’t covered under it, and inform them of any applicable deductibles.
The patients get two options, i.e., cashless payment and no-cost EMI to pay for the bariatric surgery.
Our care coordinators are responsible for handling the cashless payment and submitting the claim documents to the insurance provider.
As soon as the claim gets sanctioned, the patient is admitted to the hospital and our care coordinator takes care of all the required formalities during the surgery.

Cashless Payment Service for Bariatric Surgery at Pristyn Care

We collect insurance-related documents from the patients and verify the documents with the insurance providers.
Once the verification is done, we go through the patient’s insurance policy to determine what is and isn’t covered under it, and inform them of any applicable deductibles.
The patients get two options, i.e., cashless payment and no-cost EMI to pay for the bariatric surgery.
Our care coordinators are responsible for handling the cashless payment and submitting the claim documents to the insurance provider.
As soon as the claim gets sanctioned, the patient is admitted to the hospital and our care coordinator takes care of all the required formalities during the surgery.