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Hip Replacement Surgery Under Insurance 100% Cashless

Most insurance policies cover the expense of hip replacement as it is considered a medically necessary treatment. Read on to know more about hip replacement surgery, its insurance coverage in India, treatment aspects covered under insurance (hospitalization cost, hip implant cost, etc.), and so on.

Most insurance policies cover the expense of hip replacement as it is considered a medically necessary treatment. Read on to know more about ... Read More

Hip Replacement Treatment Insurance Claim

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Benefits of Choosing Pristyn Care Treatment with Insurance

Is Hip Replacement Covered Under Insurance and Mediclaim?

Yes, hip replacement is covered by most insurance policies nowadays. However, the coverage may differ based on the health insurance or mediclaim policy you chose. Health insurance and mediclaim are two terms that are often used interchangeably, but they actually have some key differences.

Health Insurance

Health insurance is a type of insurance that provides coverage for medical expenses incurred by an individual or a group. It is a comprehensive insurance plan that covers a wide range of medical expenses, including hospitalization, doctor’s fees, diagnostic tests, cost of hip implants, medicines, etc. Health insurance can be purchased for individuals or for families, and the policyholder pays an annual premium to the insurance company in exchange for coverage. Health insurance policies may also include additional benefits like maternity coverage, dental and vision coverage, and wellness benefits.

Mediclaim

Mediclaim is a type of health insurance policy that provides coverage for hospitalization expenses only. It is a limited insurance plan that covers the cost of hospitalization, including room charges, nursing charges, cost of hip implants, and other medical expenses, but does not cover other expenses like doctor’s consultation fees, diagnostic tests, and medicines. Mediclaim policies are usually cheaper than comprehensive health insurance policies, but they provide limited coverage. Mediclaim policies are popular in India, where they are often offered as part of an employee’s benefits package.

In summary, health insurance provides comprehensive coverage for a wide range of medical expenses, while mediclaim provides limited coverage for hospitalization expenses only.

• Disease name

Osteoarthritis

• Surgery name

Total Hip Replacement Surgery

• Duration

1 to 2 Hours

• Treated by

Orthopedic Surgeon

Hip Replacement Surgery Cost Calculator

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How to get Knee Replacement under Insurance?

Both, health and Mediclaim insurance policies cover the cost of Hip Replacement Surgery. However, it is advised to choose an insurance policy that provides extensive benefits at an affordable price. At Pristyn Care, you get not only the best Surgery for Hip Replacement . but also a hassle-free experience during filing the health insurance and Mediclaim. We take care of the complete procedure, including insurance-related paperwork, of getting approval on an insurance claim. This is to ensure that the patient nor their family members have to face any additional hassles.

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 Hip Replacement Tear Surgery

Dr. Pradeep Choudhary

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Dr. Kamal Bachani

MBBS, MS(Ortho), M.Ch(Ortho)

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Dr. Nallamothu Anil Kuma...

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List of Expenses Covered By Health Insurance

The expenses covered by health insurance can vary depending on the specific policy and the insurance provider. However, here are some of the common expenses covered by health insurance:

Hospitalization expenses, including room rent, nursing charges, and medical expenses.
Cost of hip implant used
Doctor’s fees and consultation charges.
Diagnostic tests, including blood tests, x-rays, and MRI scans.
Prescription medicines and drugs.
Surgical expenses, including pre and post-operative expenses.
Maternity and childbirth expenses, including pre-natal and postnatal care.
Mental health treatment and counseling.
Rehabilitation and physiotherapy expenses.
Ambulance charges.
Home healthcare expenses.
Dental and vision care expenses (depending on the policy).
Alternative and complementary therapies, such as Ayurveda, Yoga, and Naturopathy (depending on the policy).

It’s important to note that health insurance policies may have certain exclusions or limitations, so it’s important to carefully review the policy document and understand what expenses are covered before making a claim.

All Major Insurances Accepted

Hip Replacement Cost Covered Under Mediclaim

Mediclaim insurance policy that provides coverage for hospitalization expenses only. The specific cost covered under mediclaim may vary depending on the policy and the insurance provider. However, here are some of the common costs that are covered under mediclaim:

Room rent charges during hospitalization
Cost of hip implant used
Nursing charges and intensive care unit (ICU) charges
Medical expenses related to the hospitalization, including the cost of medicines and surgical dressings
Charges for medical consultation and surgeon’s fees
Diagnostic tests, including laboratory tests, x-rays, and MRI scans
Pre-hospitalization expenses, which may include tests and doctor’s consultation fees incurred before the hospitalization
Post-hospitalization expenses, which may include follow-up consultations, tests, and medicines prescribed after the hospitalization
Daycare procedures, which do not require hospitalization for more than 24 hours
Ambulance charges for transportation to and from the hospital

Before filing a claim, it is crucial to thoroughly check the policy documents and understand what expenses are covered because Mediclaim insurance may have some exclusions or limitations.

Pristyn Care’s Free Post-Operative Care

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Post-Surgery Free Follow-Up

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Frequently Asked Questions about Hip Replacement Insurance

Does mediclaim cover hip replacement surgery?

Yes, medicare covers hip replacement surgery when it is considered medically necessary. It covers the presurgical visits, surgery, rehabilitation and follow-up care, etc.

Does health insurance cover hip replacement?

Yes, hip replacement is covered by most insurance policies. However, before the surgery there are certain factors you should consider and be aware of to ensure a smooth treatment and recovery process.

What is the cost of hip replacement surgery?

The cost of hip replacement surgery typically ranges between INR 2,80,000 to INR 5,50,000.

What factors do I need to consider while calculating the cost of hip replacement surgery?

There are a number of factors which can affect the cost of hip replacement surgery. These may include: Consultation charges Any pre-existing health condition City of the treatment Cost of diagnostic tests Cost of hip implants

Cashless Payment Service For Hip Replacement At Pristyn Care

Pristyn Care provides a seamless surgical experience to all the patients. At Pristyn Care we provide a cashless payment service for hip replacement surgery. Our main objective is to reduce the patients’ financial burden. We have a dedicated insurance team to help patients utilize their health insurance or mediclaim policy without hassles. You can avail the cashless service at Pristyn Care in the following steps:

Firstly you have to submit insurance related documents and all other required documents and we’ll verify the documents with the respective insurance provider.

We offer two options to patients, i.e., cashless payment and zero cost EMI to pay for the ACL surgery.
Our team shares the patients’ preferred mode of payment and their documents with the insurer.
Once the claim amount is sanctioned, the patient is admitted to the hospital and our care coordinator takes care of all the hospital related formalities during the treatment.

Moreover, we provide our patients an assisted surgical experience together with extra facilities, thorough diagnosis, a free deluxe hospital room, free cab service on the day of surgery, and free follow-ups. All of these services are helpful in making the surgery affordable for all the patients across India.