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Does Health Insurance Cover Sebaceous Cyst Removal?

Sebaceous cyst treatment is covered by health insurance when the surgery is performed for medical reasons. Talk to the insurance providers to understand the terms and conditions of coverage for sebaceous cyst removal.

Sebaceous cyst treatment is covered by health insurance when the surgery is performed for medical reasons. Talk to the insurance providers to understand ... Read More

Sebaceous Cyst Treatment Insurance Claim

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When Is Sebaceous Cyst Treatment Covered by Health Insurance?

Sebaceous cysts are mostly a cosmetic concern. Due to this, the treatment is generally not covered by health insurance. However, in several conditions, a sebaceous cyst can become symptomatic and cause several problems.

The treatment is covered by health insurance if the following symptoms are present-

The cyst is inflamed and appears tender and swollen.
The cyst is infected, and an abscess has started to form, causing severe pain.
The cyst has ruptured, and a boil-like infection has formed.
The pus and blood from the cyst are leaking out and infecting the surrounding skin tissues.
The cyst can become cancerous.

In all these scenarios, treating the cyst is considered a medical necessity. Thus, health insurance providers will approve the claim request and cover the treatment cost.

• Disease name

Sebaceous cyst

• Surgery name

surgery, aspiration, or percutaneous sclerotherapy

• Duration

30-45 minutes

• Treated by

Plastic Surgeon or Dermatologists

Sebaceous Cyst Surgery Cost Calculator

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How to get Sebaceous Cyst Treatment covered under Insurance?

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 Doctors for Sebaceous Cyst

Dr. Sasikumar T

MBBS, MS-GENERAL SURGERY, DNB-PLASTIC SURGERY

23 Yrs.Exp.

4.7/5

23 Years Experience

Z-281, first floor, 5th Avenue,Anna nagar Next to St Luke's church, Chennai, Tamil Nadu 600040

Call Us

8530-164-267

Dr. Ashish Sangvikar

MBBS, DNB- General Surgery, M.CH-Plastic Surgery

25 Yrs.Exp.

4.8/5

25 Years Experience

4th Floor- Block no-401-Doctors House.Plot-101, Sector 21, Landmark:, behind D’Mart, behind DMart, Nerul (E, Navi Mumbai, Maharashtra 400706

Call Us

8095-214-100

Dr. Ranganath V S

MBBS, MS-General Surgery, M.Ch-Plastic Surgery

23 Yrs.Exp.

4.5/5

23 Years Experience

No. 5ac, 927, 5th A Cross Rd, HRBR Layout 1st Block, Babusabpalya, Kalyan Nagar, Bengaluru, Karnataka 560043

Call Us

8095-214-500

Expenses Covered by Health Insurance for Sebaceous Cyst Treatment

The coverage offered by a health insurance plan will be different from other plans. The basic coverage includes but is not limited to the following-

Hospitalization Expenses- This coverage includes the expenses incurred during the hospitalization period, such as room rent, doctor’s fee, nursing fee, meal charges, etc. This service can only be availed if the patient is hospitalized for 24 hours or surgery is covered under daycare procedures.
Pre & Post Hospitalization Expenses- With this benefit, the patient can avail insurance to cover the expenses incurred before and after the treatment, such as initial consultations, second opinion, and post-op follow-up consultations.
ICU & OT Charges- The intensive care unit (ICU) and operation theater (OT) charges are included in the insurance policy. The charges for these components are calculated on an hourly basis.
Ambulance Cost- In case a sebaceous cyst is treated on an emergency basis, the insurance policy will also cover the cost of an ambulance. The same is applicable to the treatment of other diseases.
Cashless & Reimbursement Claim- One of the biggest benefits of a health insurance policy is the cashless claim service that allows the patient to avail of insurance to pay the hospital bills upfront at a network hospital. If the patient gets treatment at a non-paneled hospital, he/she can get a reimbursement claim.
Daycare Procedure- This benefit covers the expenses of daycare surgeries that don’t require 24-hour hospitalization. Thus, if sebaceous cyst surgery is performed on an outpatient basis, the patient can still use the insurance policy.

To learn all about the coverage inclusions and exclusions, it’s best to talk to the insurance agent.

All Major Insurances Accepted

List of Top Health Insurance Plans for Sebaceous Cyst Treatment

Here, we are listing some plans that offer sufficient coverage and other benefits to the patients.

Insurance Plan	Entry Age	Sum Insured	Network Hospital
Aditya Birla Active Assure Diamond Plan	5 years and above	Rs. 2 lakhs to Rs. 2 crores	7100+
Bajaj Allianz Health Guard	18 to 65 years	Rs. 1.5 lakhs to Rs. 50 lakhs	6500+
Care Health Care Plan	91 days and above	Rs. 4 lakhs to Rs. 6 crores	7800+
Manipal Cigna ProHealth Insurance	18 years and above	Rs. 2.5 lakhs to Rs. 1 crore	6500+
Niva Bupa Health Companion Individual Plan	91 days and above	Rs. 3 lakhs to Rs. 1 crore	4500+
Star Family Health Optima Plan	18 to 65 years	Rs. 1 lakh to Rs. 25 lakhs	9900+
Tata AIG MediCare Plan	No Limit	Rs. 3 lakhs to Rs. 20 lakhs	4000+
Oriental Individual Mediclaim Policy	18 to 65 years	Rs. 1 lakh to Rs. 10 lakhs	4300+
Kotak Mahindra Health Premier	18 to 65 years	No Limit	4800+
IFFCO Tokio Health Protector Plus	18 to 65 years	Rs. 2 lakhs to Rs. 25 lakhs	5000+
Digit Health Plan	No Limit	Rs. 2 lakhs to Rs. 25 lakhs	5900+
Future Generali CriticCare Plan	18 to 65 years	Rs. 1 lakh to Rs. 50 lakhs	5100+
Reliance Critical Illness Insurance	18 to 65 years	Rs. 5 lakhs to Rs. 50 lakhs	7300+

Though health insurance plans offer comprehensive coverage, there are chances that one policy won’t meet all of the patient’s requirements. It’ll be best to research well and understand the policy properly to avail maximum benefits.

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Cashless Payment Service for Sebaceous Cyst Treatment at Pristyn Care

Being a patient-centric healthcare provider, Pristyn Care focuses on making the patient’s treatment journey comfortable and hassle-free. We accept all health insurance policies and offer a cashless payment option to the patients.

The cashless payment option is availed in the following way-

Our care coordinators gather the necessary documents, including the insurance E-card, ID proofs, clinical evidence, diagnostic tests reports, and proposed treatment plan.
The patient is given the cashless claim form to fill out.
The claim form and the required documents are submitted and sent for verification.
Our coordinators will stay in touch to update the patient regarding the claim request and approval process.
Once the claim request is approved, the patient will receive an email or message regarding the confirmation.
The specified claim amount will be sanctioned directly to the hospital’s account with minimal intervention from the patient.

Thus, the hospital bills are settled directly by the insurance company and the patient doesn’t need to pay an upfront fee. We assist the patients at every step with all treatment-related formalities.