Select City
location
Get my Location
search icon
phone icon in white color

Call Us

Book Free Appointment

Endometriosis Surgery Covered Under Insurance 100% Cashless

Most insurance companies in India cover the expense of endometriosis treatment. However, the extent of coverage can vary from policy to policy. Read on to know all about endometriosis insurance coverage in India.

Most insurance companies in India cover the expense of endometriosis treatment. However, the extent of coverage can vary from policy to policy. Read ... Read More

anup_soni_banner
Endometriosis Treatment Insurance Claim
Anup Soni - the voice of Pristyn Care pointing to download pristyncare mobile app
i
i
i
i

To confirm your details, please enter OTP sent to you on *

i

40+

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

Endometriosis Treatment with Insurance at Pristyn Care

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.

Why Insurance Covers the Cost of Endometriosis Treatment?

Insurance companies typically cover the cost of endometriosis treatment because it is considered a medically necessary treatment. Endometriosis is a disorder in which the tissue that normally lines the inside of the uterus grows outside of it, causing pain, inflammation, and other symptoms.

Endometriosis can be a chronic and debilitating condition, and can interfere with a person’s ability to work, attend school, or carry out daily activities. Treatment for endometriosis may involve a combination of medications, such as pain relievers and hormonal therapies, as well as surgery to remove the affected tissue.

Insurance companies recognize the medical necessity of endometriosis treatment and typically cover the cost of the procedure, including hospitalization, anesthesia, and other associated expenses. However, coverage may vary depending on the specific insurance plan and the individual’s policy. It’s always important to check with your insurance provider to understand your coverage and any potential out-of-pocket expenses.

Endometriosis Surgery Cost Calculator
i
i
i
i

To confirm your details, please enter OTP sent to you on *

i
List of Top Health Provider for Endometriosis
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.
How to get Endometriosis Treatment 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 Endometriosis. 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
Best Female Gynaecologist for Uterine Fibroids Treatment
  • online dot green
    Dr. Sujatha (KrxYr66CFz)

    Dr. Sujatha

    MBBS, MS
    18 Yrs.Exp.

    4.5/5

    18 + Years

    Chennai

    Obstetrician

    Gynaecologist

    Call Us
    6366-524-567
  • online dot green
    Dr. M Swapna Reddy (XwWKGko4uB)

    Dr. M Swapna Reddy

    MBBS, DGO
    13 Yrs.Exp.

    4.5/5

    13 + Years

    Hyderabad

    Obstetrician

    Gynaecologist

    Call Us
    6366-524-567
  • online dot green
    Dr. Chitra Soni (3McRsVv47t)

    Dr. Chitra Soni

    MBBS, MS (Obs & Gyne)
    12 Yrs.Exp.

    4.5/5

    12 + Years

    Jaipur

    Obstetrician & Gynecologist

    Call Us
    6366-524-567
  • What is the Difference Between Health Insurance and Mediclaim?

    Health insurance and mediclaim are both types of insurance policies that provide financial protection against medical expenses. However, there are several differences between the two:

    • Coverage: Health insurance policies provide comprehensive coverage for a wide range of medical expenses such as hospitalization, diagnostic tests, surgeries, doctor consultations, prescription drugs, and even outpatient care. In contrast, mediclaim policies are typically limited to covering expenses related to hospitalization only.
    • Premiums: Health insurance premiums are generally higher than mediclaim premiums due to the broader coverage they provide. The cost of premiums, however, can vary based on factors like age, health status, and the amount of coverage needed.
    • Policy benefits: Health insurance policies may include additional benefits such as coverage for pre-existing conditions, maternity care, preventive care, and outpatient treatments. Mediclaim policies, however, are usually more focused on in-patient treatments and may not include these additional benefits.
    • Claim process: The claim process for health insurance policies is generally more complicated and requires more documentation than that of mediclaim policies. This is because health insurance policies cover a wider range of medical expenses, which may require more detailed medical reports and bills.
    • Renewal: Health insurance policies are typically valid for longer periods and can be renewed annually, while mediclaim policies usually need to be renewed more frequently, sometimes even monthly.

    In summary, health insurance policies provide more comprehensive coverage for medical expenses and offer additional benefits like preventive care and coverage for pre-existing conditions. In contrast, mediclaim policies offer coverage primarily for hospitalization expenses and have simpler claim procedures.

    All Major Insurance Accepted

    Cashless Payment Service For Endometriosis Treatment at Pristyn Care

    Pristyn Care offers a cashless payment option for cutting-edge Endometriosis treatment as part of its commitment to ensuring that patients have a seamless surgical experience. In order to make things easier for the patients, we try to lessen their financial load. Also, we have a committed insurance team that works relentlessly to assist patients in using their mediclaim or health insurance policies. The steps to use Pristyn Care’s cashless payment option are as follows:

    • Submit all your insurance related documents along with other important documents, and we’ll verify the documents with the respective insurance provider.
    • You can choose to pay for your endometriosis surgery with a cashless transaction or by taking advantage of no-cost EMI.
    • Our insurance department will provide the insurer with the patient’s paperwork and preferred method of payment.
    • Eventually, the claim is approved, and our care coordinators handle all hospital paperwork to reduce the load on the patients.

    Pristyn Care’s Free Post-Operative Care

    Diet & Lifestyle Consultation

    Post-Surgery Free Follow-Up

    FREE Cab Facility

    24*7 Patient Support

    FAQs around Hysterectomy and Insurance Coverage

    What is the cost of endometriosis treatment in India?

    The average cost of endometriosis surgery in India typically ranges around INR 55,000 to INR 75,000. However, the cost can vary depending on various factors.

    What factors can affect the cost of endometriosis treatment ?

    The cost of endometriosis treatment depends on the various factors including: - Severity of the condition - Cost of diagnostic tests - Any pre-existing health condition - Experience of surgeon - Medication charges A - Anesthesia charges

    What documents are required to claim the insurance plan?

    The documents required to claim the insurance can vary depending on the insurance provider and the policy. However, common documents that are required for the approval of health insurance claim include: - Claim form - Medical record - Prescription receipts - Hospital and pharmacy bills

    What is the procedure to claim the insurance for endometriosis treatment?

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

    Expenses Covered Under Health Insurance and Mediclaim

    The expenses covered by health insurance and Mediclaim for endometriosis treatment can vary based on the specific policy and insurance provider. However, here is a list of some of the common expenses that may be covered:

    Health Insurance:

    • Consultation fees of gynecologists, obstetricians, and other specialists
    • Diagnostic tests and laboratory expenses for the diagnosis of endometriosis
    • Surgical expenses for laparoscopy or other surgical procedures
    • Hospitalization expenses including room charges, nursing expenses, and medical supplies
    • Prescription medication expenses for pain relief, hormonal therapy, or other related treatments
    • Follow-up visits and post-operative care expenses
    • Outpatient treatment expenses such as physiotherapy or counseling if prescribed by the treating doctor.

    Mediclaim:

    • Hospitalization expenses including room charges, nursing expenses, and medical supplies
    • Surgical expenses for laparoscopy or other surgical procedures performed during hospitalization
    • Pre and post hospitalization expenses for a specified period
    • Prescription medication expenses for pain relief, hormonal therapy, or other related treatments prescribed during hospitalization.
    • Day care procedures that do not require 24-hour hospitalization.

    It is important to carefully review the policy documents and understand the coverage limitations, exclusions, and deductibles before seeking treatment for endometriosis.

    Takeaway

    In conclusion, health insurance and mediclaim policies can be helpful in many ways. Visit Pristyn Care, to undergo safe and effective endometriosis treatment. Moreover, we provide some additional services such as a care coordinator, online consultation, round-the-clock insurance support, and more.

    Read More

    Get in Touch

    Tell us about your problems and we'll figure out the best treatment option for you.

    Pristyn Care services are accessible Pan India

    Let's Schedule Your Surgery
    i
    i
    i
    i
    i

    To confirm your details, please enter OTP sent to you on *

    i