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Is Hymenoplasty Surgery Covered Under Insurance?

Hymenoplasty surgery, also known as hymen restoration surgery, is a cosmetic surgical procedure that involves the reconstruction of the hymen. Most insurance companies in India do not cover the cost of hymenoplasty surgery. However, in rare circumstances, if surgery is medically necessary for various reasons, including a blocked hymen or a hymen with a complicated structure, then it may cover under insurance. Read on to know the details of insurance coverage of hymenoplasty surgery in India.

Hymenoplasty surgery, also known as hymen restoration surgery, is a cosmetic surgical procedure that involves the reconstruction of the hymen. Most insurance companies ... Read More

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

Hymenoplasty Surgery 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 do Health Insurance Or Mediclaim Policies Not Cover the Hymenoplasty Cost?

Insurance policies and mediclaim plans typically cover medical treatments and surgeries that are medically necessary, and hymenoplasty is considered to be an elective or cosmetic procedure. Therefore, most insurance providers do not cover it in their health insurance and mediclaim policies.

However, in certain cases, insurance companies or mediclaim plans may consider covering the cost of the hymenoplasty surgery if the hymen was damaged due to sexual assault or injury. In such cases, the individual would need to provide proper documentation, medical reports, and other evidence to support their claim.

It is important to read the policy document and understand the coverage, inclusions, and exclusions of insurance and mediclaim policies before purchasing them. If you are considering hymenoplasty surgery, it is recommended to consult with your insurance company or mediclaim provider to understand the coverage and reimbursement options available.

• Disease name

Hymenoplasty

• Surgery name

Hymenoplasty Surgery

• Duration

30-40 Mins

• Treated by

Gynecologists and Plastic Surgeons

Hymenoplasty Surgery Cost Calculator
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List of Top Health Provider for Hymenoplasty
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 Hymenoplasty Surgery 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 Hymenoplasty Surgery. 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 Hymenoplasty Surgery
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    Dr. Sujatha (KrxYr66CFz)

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    Dr. Amrita Singh (LGhUlDfCx1)

    Dr. Amrita Singh

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    Dr. M Swapna Reddy (XwWKGko4uB)

    Dr. M Swapna Reddy

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    Obstetrician

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  • Difference Between Health Insurance and Mediclaim

    Health insurance and mediclaim are both types of insurance policies that provide coverage for medical expenses, but there are some key differences between them:

    • Scope of Coverage: Health insurance provides a broader scope of coverage than mediclaim. While health insurance covers medical expenses related to hospitalization, outpatient treatment, surgeries, and other medical treatments, mediclaim is usually limited to covering expenses related to hospitalization.
    • Claim Process: The claim process for health insurance is usually more involved than for mediclaim. Health insurance typically requires more documentation and verification, while mediclaim is a more straightforward process.
    • Premiums: Health insurance premiums tend to be higher than mediclaim premiums, reflecting the broader scope of coverage provided.
    • Policy Limits: Health insurance policies typically have higher limits on the amount of coverage provided, while mediclaim policies are usually limited to a fixed amount.
    • Waiting Period: Health insurance policies usually have a waiting period of 30 days before coverage begins, while mediclaim policies may have a shorter waiting period.

    In summary, health insurance provides broader coverage than mediclaim, but at a higher cost. Mediclaim, on the other hand, provides more limited coverage for hospitalization-related expenses but is more affordable.

    Are you going through any of these symptoms?

    All Major Insurance Accepted

    Cashless Payment Service For Hymenoplasty Surgery at Pristyn Care

    Pristyn Care is India’s largest surgery care provider. We provide cashless payment service for Hymenoplasty Surgery. Our primary goal is to make sure that our patients are at ease and are not inconvenienced in any way during the course of their therapy. Utilizing the Mediclaim policy or health insurance plan to pay for the cost of treatment with Pristyn Care is a very simple procedure that we offer. Our contactless payment method operates as follows:

    • We start the insurance process by requesting all necessary paperwork from the patients, which we later confirm with the insurance companies.
    • We provide two payment choices to patients: cashless payment options for the surgery and no-cost EMI.
    • To handle all the paperwork and send the claim paperwork to the patient’s insurance company, we have a dedicated insurance team.
    • The patient is admitted to the hospital once the claim amount has been approved, and our care coordinator handle all hospital-related formalities while the patient is receiving treatment.

    Pristyn Care’s Free Post-Operative Care

    Diet & Lifestyle Consultation

    Post-Surgery Free Follow-Up

    FREE Cab Facility

    24*7 Patient Support

    FAQs around Hymenoplasty and Insurance Coverage

    What set of documents are required to claim the insurance?

    The documents required for the approval of a health insurance may vary depending on the insurance provider and the respective policy. However, some common documents that are typically required for the approval of health insurance claim include: - Health insurance policy document - Claim form - Medical record - Prescription receipts - Hospital and pharmacy bills

    Why consult Pristyn Care for hymenoplasty surgery in India?

    Here are some reasons why you should select Pristyn Care for hymenoplasty surgery in India: - We provide FREE follow-up consultations to the patients - We provide free transportation on the day of surgery. - We provide a dedicated care coordinator to help patients throughout their treatment. - No Cost EMI service along with multiple payment options.

    What is the cost of hymenoplasty surgery in India?

    The average cost of hymenoplasty surgery in India is around INR 20,000 to INR 30,000. However the cost of hymenoplasty surgery can vary depending on various factors.

    Who needs hymenoplasty surgery?

    Hymenoplasty surgery is typically sought by women who have a cultural, religious, or personal reason for wanting to restore the appearance of an intact hymen.

    Expenses Covered Under Health Insurance and Mediclaim

    Health insurance and mediclaim are both types of insurance policies that provide coverage for medical expenses. While they have some similarities, they are not the same thing.

    Health insurance is a broad term that refers to any insurance policy that covers medical expenses. It can include a range of benefits, such as doctor visits, hospitalization, prescription drugs, preventive care, mental health services, and emergency services.

    Mediclaim, on the other hand, is a specific type of health insurance policy that provides coverage for hospitalization expenses. It typically covers expenses related to room and board, nursing care, surgeon fees, anesthesia, and diagnostic tests. Some mediclaim policies may also cover pre- and post-hospitalization expenses, such as doctor consultations and medication.

    In general, health insurance policies tend to offer more comprehensive coverage than mediclaim policies. However, mediclaim policies can be a good option for individuals who are primarily concerned about the cost of hospitalization.

    It’s important to carefully review the details of any health insurance or mediclaim policy you are considering to understand what is and isn’t covered, as well as any limits, exclusions, or copayments/deductibles that may apply.

    Takeaway

    Finally, there are numerous benefits to having health insurance and mediclaim coverage. Large deductibles, however, can rarely leave some people unable to pay the balance. In these situations, patients may need to employ a number of different methods to pay for all of their therapy. For this purpose, the majority of patients search for free EMI options as well as healthcare credit cards that are only used for medical expenditures. Conversely, insurance premium plans might not have any difficulty obtaining enough insurance protection for their business.

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