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Myomectomy Surgery Under Insurance- 100% Cashless

Myomectomy refers to the surgical removal of uterine leiomyomas, also known as uterine fibroids. Uterine fibroids is a severe medical condition that can impact a woman's health. Hence, surgical treatment of uterine fibroids is covered under the insurance policy.

Myomectomy refers to the surgical removal of uterine leiomyomas, also known as uterine fibroids. Uterine fibroids is a severe medical condition that can ... Read More

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Myomectomy Treatment Insurance Claim
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No-Cost EMI

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1-day Hospitalization

1-day Hospitalization

USFDA-Approved Procedure

USFDA-Approved Procedure

Myomectomy 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.

Is Myomectomy Covered Under Insurance Or Mediclaim?

One of the most frequent questions patients ask after being diagnosed with uterine fibroids is: does insurance cover myomectomy surgery? Fortunately, the answer is yes! If you are experiencing the symptoms of uterine fibroids, like heavy menstrual bleeding, constipation, pelvic pressure, pain, etc.,the last thing you need to worry about is paying for surgery.

Myomectomy surgery removes uterine fibroids that develop in and around a woman’s uterus. Most health insurance and mediclaim plans cover myomectomy. However, there are certain exceptions to this rule. The insurance policy won’t include the cost of surgery if the size and number of fibroids are small and can be treated through medications.

Also, each insurance plan will have its own policies about which medical procedures are included, how much insurance coverage is provided, and the qualifying measures for coverage. Hence, it is essential to check the details of the insurance policy before purchasing it.

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How to get Myomectomy 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 Myomectomy Surgery. Read the below steps to know Health Insurance claims process works differently for cashless and reimbursement claim requests.
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 Female Gynaecologist for Myomectomy Surgery
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    Dr. Monika Dubey (L11rBuqCul)

    Dr. Monika Dubey

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    location icon No G32, Tulsi Marg, G Block, Pocket G, Sector 27, Noida, Uttar Pradesh 201301
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    Dr. Ketaki Tiwari (aADwBLsAYK)

    Dr. Ketaki Tiwari

    MBBS, MS-Obs & Gyne
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    4.7/5

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    location icon Pristyn Care Clinic_Dr. Ketaki Tiwari
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    Dr. Samhitha Alukur (83t9oYCWt5)

    Dr. Samhitha Alukur

    MBBS, DGO, DNB, FRM, DMAS, FMAS
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    location icon Plot no: 116, Lumbini Enclave Hitech city main road, Landmark:, near IKEA, Gachibowli, Hyderabad, Telangana 500081
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  • What Is The Difference Between Mediclaim and Health insurance?

    Basis Mediclaim Health insurance
    Sum assured Typically, the maximum sum insured is Rs. 5 lakhs. The amount insured may be increased to crores.
    Number of claims Mediclaim insurance allows additional claims until the amount insured is gone. Typically a single claim, like one for a lump sum payment in the event of a critical medical condition.
    Add-on benefits Extensions and add-ons to insurance coverage are not permitted with medical insurance. For a variety of healthcare requirements, including maternity, serious illnesses, etc., health insurance offers add-ons.
    Insurance Coverage Hospitalization coverage related to the medical condition, specific medical illnesses, and a set amount are all included under medical insurance. Comprehensive coverage is provided by a health insurance plan, including coverage for hospitalization, acute sickness, routine checkups, and more.
    Payments When using a cashless payment method, payments are either repaid to the policyholder or made directly to the hospital. When using a cashless payment method, the policyholder is either refunded, the hospital receives payment, or a lump sum payment is made in circumstances like critical illness, specific illness policies, etc.

    All Major Insurance Accepted for Myomectomy Surgery

    Cost Covered Under Health Insurance Policy

    If you opt for enough coverage, your health insurance policy will cover most of the treatment costs for your medical condition. Some of the costs that are included in a health insurance policy include:

    • Pre-hospitalization costs

    When you fall sick, you visit a physician and get a consultation for your medical condition. If the physician recommends you to get hospitalized and undergo a medical procedure that is covered by a health insurance plan, the expenses you incur before getting admitted are borne by the insurer. These medical expenses include preliminary procedures, diagnostic tests, preventive surgeries, etc.

    Since myomectomy is a surgical procedure covered under a health insurance policy, the insurance company will bear all the hospitalization costs incurred before getting admitted to the hospital. 

    • Post-Hospitalization Expenses

    The medical expenses incurred after discharge generally include medications and medical tests to monitor overall health and recovery. However, it is essential to know that while most health insurance plans include post-hospitalization expenses, they are restricted to a specified number of days. In most cases, insurers cover post-hospitalization costs for up to 90 days (the duration varies from insurer to insurer).

    In addition, the post-hospitalization expenses are covered only if the disease or the ailment for which you get hospitalized is included in your health insurance plan.

    • Cash allowances 

    A daily cash allowance under health insurance is a fixed amount that can be availed to pay for the added inadmissible expenses when you are hospitalized for your treatment. The amount is normally fixed at the time of availing the insurance policy and is fixed until the end of the policy tenure.

    • Daycare treatment

    A health insurance plan also covers the costs of all treatments and medical procedures undertaken as an in-patient for less than 24 hours. 

    • Home treatment

    Home treatment, also known as a domiciliary treatment, refers to a scenario where a policyholder requires hospitalization but is treated at home. It may happen when the patient’s medical condition is such that they can’t leave home or when there is a shortage of beds or other resources. Almost all health insurance plans today include this feature and do not differentiate a professional medical setup from a domiciliary one.

    Cashless Payment Service for Myomectomy at Pristyn Care

    Pristyn Care aims to make myomectomy surgery almost cashless for all patients who have a genuine mediclaim or health insurance policy. Our cashless payment service works in the following manner:

    • We collect insurance-related documents from the patients and verify the documents with the insurance provider.
    • Once the verification is done, we go through the patient’s insurance policy to determine what is and isn’t covered under it, and inform them of any applicable deductibles.
    • The patients get two options, i.e., cashless payment and no-cost EMI to pay for the myomectomy surgery.
    • Our care coordinators are accountable for handling the cashless payment and submitting the claim-related documents to the insurance provider.
    • As soon as the claim gets sanctioned, the patient is admitted to the hospital and our care coordinator takes care of all the required formalities during the surgery.

    Pristyn Care’s Free Post-Operative Care

    Diet & Lifestyle Consultation

    Post-Surgery Free Follow-Up

    FREE Cab Facility

    24*7 Patient Support

    FAQs around Myomectomy Surgery and Insurance Coverage

    What if I already have a health insurance policy for myomectomy but want to increase my sum insured?

    If you already have a health insurance policy for myomectomy but want to extend your coverage, you can do so at the time of policy renewal.

    Will I still get insurance coverage for myomectomy surgery if I port my health insurance?

    Yes, you can get insurance coverage for myomectomy surgery if you port to a new insurance plan. But, you will be subject to a fresh waiting period if applicable under the new plan.

    What documents do I need to buy health insurance for a myomectomy?

    To buy health insurance, you must submit documents like an aadhaar card, voter ID, driving license, and pre-medical check-up report. The documents are required for age proof, identity proof, address proof, and medical check-ups.

    What is the cost of myomectomy surgery in India?

    The cost of myomectomy surgery in India ranges from Rs. 1,00,000 to Rs. 1,50,000. However, the exact cost of surgery is determined after considering numerous factors, like the experience and expertise of the doctor, hospitalization charges, grade of uterine fibroid, pre and post-surgery medications, etc.

    Takeaway

    Both health and mediclaim insurance policies cover the cost of myomectomy surgery. With advancements in medical science and surgery, you can get rid of your uterine fibroids without affecting your fertility. Avail one of the best uterine fibroid treatments with Pristyn Care, and get a hassle-free experience while filing the health insurance and mediclaim.

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