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Dilation and Evacuation Covered Under Insurance- 100% Cashless

Dilation and Evacuation (D&E) is a surgical procedure of abortion that is used after 13 weeks of pregnancy. Most insurance plans do not cover the cost of a dilation and evacuation. However, maternity insurance plans cover the cost of this surgical procedure.

Dilation and Evacuation (D&E) is a surgical procedure of abortion that is used after 13 weeks of pregnancy. Most insurance plans do not ... Read More

Dilation and Evacuation Treatment Insurance Claim

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Dilation and Evacuation with Insurance at Pristyn Care

Is Dilation and Evacuation Covered Under Insurance Or Mediclaim?

A typical mediclaim and health insurance plan does not provide insurance coverage for medical expenses related to dilation and evacuation. However, an insurance add-on known as maternity cover covers this Dilation and Evacuation surgical procedure. You can choose this add-on when buying or renewing an insurance plan by paying an additional premium over and above the base premium. However, you should also remember that the terms and conditions around the insurance coverage and the amount you can claim differ for each patient undergoing dilation and evacuation. Therefore, you must check the components of the insurance policy before purchasing it.

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How to get D&E Procedure under Insurance?

Pristyn Care emphasizes making the treatment journey hassle-free for the patients. Thus, we accept all health insurance policies and assist patients to get cashless treatment for D&E Procedure. Read the below steps to know Health Insurance claims process works differently for cashless and reimbursement claim requests.

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

What is Maternity Health Insurance?

Maternity health insurance is insurance coverage that provides a financial backup related to childbirth and abortion. Most maternity insurance plans provide coverage for abortion after an initial waiting period of 9 months to 24 months. This means that you cannot raise a claim for abortion under your maternity insurance plan until the waiting period is over. This insurance policy usually includes a rider or add-on benefit along with a regular health insurance plan.

All Major Insurance Accepted

Who Can Benefit From Maternity Insurance Cover?

One can benefit from the maternity add-on cover in their health insurance plan if they meet the following criteria:

If you had opted for this cover while buying the health insurance policy or have included it at a later stage.
If you have completed the waiting period, only then can you claim and benefit from this maternity cover.

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FAQs around D&E Procedure for Abortion

What is the meaning of the waiting period in health insurance?

The waiting period in health insurance is when you cannot raise a claim against a health insurance policy. It is usually applied to pre-existing medical conditions and maternity benefits.

Are there any eligibility criteria for availing of the maternity benefit?

Yes, there are some eligibility criteria for availing maternity benefits. The maternity can only be claimed by an insured person in the base plan. The entry age is 18 years, i.e., the policy seeker should be at least 18 to avail of maternity insurance benefits. The exit age set by some companies can be 45 years.

Does the D&E procedure impact future pregnancy?

D&E procedure does not impact the chances of future pregnancy. However, doctors usually suggest waiting for one to three normal menstrual cycles before trying to conceive.

Is D&E a safe procedure?

D&E is a safe and effective medical procedure for abortion in the second trimester of pregnancy. It is used to remove tissues that remain after miscarriage and takes around only 30 minutes.

How long does it take to heal after the D&E procedure?

Healing after the D&E procedure will take about 4 to 6 weeks. You can expect bleeding that lasts for four to six days.

Why Should You Buy Maternity Health Insurance Coverage For D&E Procedure?

Purchasing maternity health insurance coverage will help you be less worried about your financial costs related to dilation and evacuation. When bought as an add-on cover for your existing health insurance plan, this insurance cover comes at a low cost and offers adequate financial coverage during abortion.

Also, the cost of this abortion is as high as 20,000 to 50,000 rupees. The price may be proportional to the quality of medical services availed during this time. It can be implied that buying maternity insurance can ensure higher quality healthcare facilities for female patients during abortion. Thus, the importance of this insurance is high.

How Is The Cost Of The Maternity Benefit Calculated?

The cost of maternity benefit coverage depends upon the coverage offered by the insurance companies. Since the insurance coverage may vary, the cost of this add-on is also different at different insurers. The premium depends upon the following factors:

Cost of the base plan
Entry age
Medical services offered
Scope of the coverage
Waiting period
Sum insured of the maternity benefit

Takeaway

Both health and mediclaim insurance policies cover the cost of dilation and evacuation. However, taking this surgical procedure as an add-on to your existing insurance plan is better.

Contact Pristyn Care for a safe and effective dilation and evacuation procedure. We will help you get in touch with some of the best gynecologists who will diagnose and plan the complete D&C procedure. In addition, we also provide a hassle-free experience while filing health insurance and mediclaim for this medical procedure. We take care of the complete procedure of getting approval on an insurance claim, including insurance-related paperwork. This ensures that neither the patient nor their family faces additional hassles.