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Gallstone Surgery Insurance Coverage - 100% Cashless

Gallstone removal surgery i.e. cholecystectomy is covered under both health insurance and mediclaim. Pristyn Care provides a streamlined, transparent treatment experience and makes sure that the insurance claim process is hassle-free for the patients.

Gallstone removal surgery i.e. cholecystectomy is covered under both health insurance and mediclaim. Pristyn Care provides a streamlined, transparent treatment experience and makes ... Read More

Gallstones Treatment Insurance Claim

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Benefits of Choosing Pristyn Care Treatment with Insurance

Is Gallstone Removal Surgery Covered Under Insurance or Mediclaim?

Gallstone removal surgery or cholecystectomy is covered under both, health insurance or mediclaim. Every patient’s health insurance plan and mediclaim policy may have different terms and conditions. In order to make a wise purchase, you need to check the details of the insurance policy.

Whether gallstone surgery is covered under insurance or mediclaim depends on your specific policy and the terms and conditions of your coverage. Generally, most health insurance plans cover the cost of cholecystectomy as it is considered a necessary medical procedure.

However, the extent of coverage may vary depending on the type of policy you have and the deductible, co-payment, and coinsurance amounts you are responsible for paying. It’s important to review your policy details carefully and understand what is covered and what is not before undergoing any medical treatment.

In some cases, insurance companies may deny coverage for gallstone surgery if they determine that it is not medically necessary. If you are uncertain whether your insurance policy covers gallstone surgery or have any questions about the coverage, it’s important to contact your insurance provider or consult with a healthcare professional who can help you understand the insurance policy better.

• Disease name

Gallstone (Gallbladder Stone)

• Surgery name

Cholecystectomy

• Duration

45 - 90 minutes

• Treated by

General Surgeon

Gallstones Surgery Cost Calculator

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How to get Gallstone Treatment under Insurance?

The insurance claim process for Gallstone treatment may seem complicated, but is actually quite easy. Additionally, it is advisable that you contact your policy provider to understand the terms and conditions of your policy, and other necessary details.

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 Gallstone Doctors

Dr. Milind Joshi

MBBS, MS - General Surgery

26 Yrs.Exp.

4.9/5

26 Years Experience

Kimaya Clinic, 501B, 5th floor, One Place, SN 61/1/1, 61/1/3, near Salunke Vihar Road, Oxford Village, Wanowrie, Pune, Maharashtra 411040

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6366-528-292

Dr. Chethan Kishanchand

MBBS, MS-General Surgery

26 Yrs.Exp.

4.8/5

26 Years Experience

4M-403 2nd Floor, TRINE House, Kammanahalli Main Rd, HRBR Layout 3rd Block, HRBR Layout, Kalyan Nagar, Bengaluru, Karnataka 560043

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6366-528-013

Dr. Naveed Pasha Sattar

MBBS, MS, DNB- General Surgery

25 Yrs.Exp.

4.7/5

25 Years Experience

266/C, 80 Feet Rd, near C.M.H HOSPITAL, HAL 3rd Stage, Indiranagar, Bengaluru, Karnataka 560038

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6366-528-013

What Happens While Gallstone Treatment?

There are two main types of cholecystectomy:

Laparoscopic Cholecystectomy (keyhole surgery): It is the most common and best treatment for gallbladder stone. During a laparoscopic cholecystectomy, numerous small incisions (cuts) are made in the abdomen. A laparoscope (a thin, flexible tube with a camera) and surgical instruments are inserted through these incisions. Your abdomen is then inflated with carbon dioxide gas to allow room for the surgeon to work with surgical tools. The laparoscope is used to visualize the gallbladder and nearby structures on a monitor. The gallbladder is detached from its attachments and the bile duct and blood vessels.

Once the gallbladder is separated, it is pulled out through one of the small incisions. The remaining incisions are closed, and the surgery is complete. Laparoscopic cholecystectomy is minimally invasive, resulting in minor pain, faster recovery, and smaller scars than open surgery.

Open Cholecystectomy: In some instances, laparoscopic cholecystectomy may not be appropriate, and open surgery may be performed. During an open cholecystectomy, a larger incision is made in the abdomen, and the gallbladder is directly accessed and removed. Open cholecystectomy is used in circumstances where there are complications, extensive scarring from previous surgeries, or certain medical conditions that make gallstone laparoscopic surgery challenging.

Both laparoscopic and open cholecystectomy effectively remove the gallbladder, stopping the risk of recurrent gallstone-related symptoms and complications. After removing the gallbladder, bile flows directly from the liver to the small intestine, bypassing the gallbladder. The absence of the gallbladder does not generally significantly impact digestion or overall health.

All Major Insurance Acceepted

Difference between types of Gallstone Treatment:

Basis	Open Cholecystectomy	Laparoscopic Cholecystectomy
Surgical Approach	Large abdominal incision (typically 6-8 inches long)	Several small incisions (usually 3-4)
Scarring	Larger and more prominent scar	Smaller and less prominent scars
Pain and Recovery	More postoperative pain and longer recovery time	Less postoperative pain and quicker recovery
Hospital Stay	Longer hospital stay (typically 2 to 3 days)	Shorter hospital stay (usually 1 day or outpatient)
Risk of Complications	Slightly higher risk of complications	Lower risk of complications
Operating Time	Longer operating time (usually 1 to 2 hours)	Shorter operating time (typically less than 1 hour)

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Frequently Asked Questions on Gallstone Surgery

What is the waiting period for an insurance claim in gallstone removal surgery?

The waiting period for an insurance claim in gallstone removal surgery will vary depending on the specific coverage you have. Generally, the waiting period for most insurance policies is 30 days from the date of service. It is important to contact your insurer for more specific information about your policy.

What is the cost of gallstone removal surgery in India?

The cost of gallstone removal surgery in India can vary depending on the type of surgery and the facility where it is performed. Generally, the cost can range anywhere from Rs. 10,000 to Rs. 1,50,000. Factors such as the type of gallstones, the complexity of the procedure, and the experience of the doctor can also affect the cost.

What is the cost of gallstone removal surgery without insurance coverage?

The exact cost of gallstone removal surgery without insurance coverage will depend on several factors, such as the type of surgery and the hospital or clinic where the procedure is done. It is important to discuss the exact cost with your doctor or surgeon before undergoing the procedure.

What is the best treatment for gallstones?

The best treatment for gallstones is a cholecystectomy. This is a minimally invasive procedure that involves making a small cut in the abdomen, which allows the removal of the gallbladder. The procedure is generally performed under general anesthesia, and recovery times vary from person to person. In most cases, patients can resume normal activities within a few days.

Gallstone Size Indication for Surgery

When deciding if surgery is necessary, the size of the gallstones can be a crucial factor. Gallstone size is typically measured in millimeters (mm) and can vary from 2 mm to as large as a few centimeters. Small gallstones, measuring less than 2 mm, rarely cause symptoms and are typically observed without treatment. However, the risk of developing complications increases if the gallstone size exceeds 2 mm.

Gallstones that measure between 3 and 5 mm can cause mild to moderate symptoms, such as abdominal pain and indigestion. These symptoms can be treated with medication and dietary changes, but surgery may be required if they become more severe.

Gallstones that measure between 5mm and 10 mm are considered the intermediate size and can cause moderate to severe symptoms. Treatment with medication and dietary modifications is generally ineffective, so surgery is often suggested by healthcare professionals. In addition, a greater risk of developing complications such as cholecystitis is more likely with this gallstone size.

Gallstones larger than 10 mm pose a significant risk for developing complications, and surgery is most often recommended. These gallstones can cause obstructions in the gallbladder or digestive tract, leading to complications such as pancreatitis. Therefore, if the gallstone size is greater than 10 mm, it is essential to seek medical care immediately to evaluate the risk for these serious complications.