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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

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No-Cost EMI

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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

All you need to do is to fill a pre-authentication form along with relevant insurance documents for availing cashless treatment at our partner hospital.

2 Approval/Rejection

Your pre-authentication form is approved or denied based on the terms and conditions of your health insurance policy.

3 Hospitalisation

Hospitalisation can be done based on pre-authentication approval. Hence, it is advisable to finish the pre-authentication procedure beforehand.

4 Claim Settlement

At the time of discharge, we will coordinate and settle your bills directly with the hospital and insurance provider.

1 Hospitalization At Non Network Hospital

If hospitalised at a non-network hospital, you don't need to pay the medical bills. Pristyn Care will settle the bills with the hospital on your behalf.

2 Register A Claim

To register a claim, please fill in the claim form with all your receipts, reports and relevant documents received from the hospital at the time of discharge. We, at Pristyn Care will help you claim reimbursement from your health insurance company.

3 Verification

We will share all your claim-related medical documents in original with your insurance provider to check if everything is in order.

4 Claim Settlement

We will coordinate with your insurance company to reimburse the claim amount to your registered bank account. You can later pay back that amount to us as per the policy terms and conditions.

Best Doctors for Bariatric-Surgery

Dr. Mohit Bhandari

MBBS, MS, DMAS (France)

22 Yrs.Exp.

4.9/5

22 Years Experience

Delhi

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6366-448-340

Dr. M Ram Prabhu

MBBS, DNB-Plastic Surgery

16 Yrs.Exp.

4.6/5

16 Years Experience

Plot no 12, PMR Avenue, Jai Hind Gandhi Rd, Cyber Hills Colony, Madhapur, Telangana 500081

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9513-316-243

Dr. Tulip Chamany

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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

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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.