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Septoplasty Covered Under Health Insurance 100% Cashless

Septoplasty is a surgical procedure that aims to correct a deviated nasal septum. The total expense of this procedure can be quite high, which is why it is always beneficial to have health insurance or mediclaim coverage. It prevents you from having to manage medical expenses on your own. Learn how health insurance and mediclaim policies can benefit you if you have to undergo septoplasty.

Septoplasty is a surgical procedure that aims to correct a deviated nasal septum. The total expense of this procedure can be quite high, ... Read More

Septoplasty Treatment Insurance Claim

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Is Septoplasty Covered Under Health Insurance?

Septoplasty is a surgical procedure that aims to correct a deviated nasal septum, which is a wall of bone and cartilage that separates the two nostrils. This condition can cause breathing difficulties, snoring, chronic sinusitis, and other related problems.

Septoplasty is typically covered under health insurance because it is considered a medically necessary procedure. If left untreated, a deviated septum can lead to serious health problems, such as chronic sinus infections, sleep apnea, and headaches.

In most cases, health insurance providers cover septoplasty if the patient meets certain criteria, such as having documented breathing difficulties or chronic sinusitis that has not responded to other forms of treatment. The specific requirements for coverage may vary depending on the insurance provider and the patient’s individual health plan.

It is important to note that while septoplasty is typically covered under health insurance, there may be certain out-of-pocket costs associated with the procedure, such as deductibles, copayments, or coinsurance. Patients should check with their insurance provider to determine their specific coverage and costs.

• Disease name

Deviated Nasal Septum

• Surgery name

Septoplasty

• Duration

1 - 2 hours

• Treated by

ENT Surgeons (Otolaryngologists)

Septoplasty Surgery Cost Calculator

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Top Health Insurance Providers for Septoplasty In India

Here’s a list of top health insurance providers that cover the cost of septoplasty (DNS Surgery) in India. Aditya Birla Health Insurance Co. Ltd. Specialized health insurer for all patients A network of 9000+ hospitals Offers 50% of premium as ‘Health Returns’. Future Generali India Insurance Co. Ltd. 96.15% Individual claims settlement ratio for FY 2021-2022 1.5 Million lives touched since inception Crowned as the Life Insurance Company of the Year in 2018 Note: To get clarity about the health insurance and mediclaim plans offered by the insurers above and all other major insurance providers, it is best to contact their team.

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 Septoplasty Surgery

Dr. Atul Kumar Singh

MBBS, MS-ENT

31 Yrs.Exp.

4.5/5

31 Years Experience

Delhi

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9513-012-507

Dr. Govindaraj R

MBBS, DLO

28 Yrs.Exp.

4.8/5

28 Years Experience

Bangalore

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9175-793-953

Dr. Vineet Gupta

MBBS, DLO, DNB-Oto Rhino Laryngology

22 Yrs.Exp.

4.7/5

22 Years Experience

J9GV+3P3, Faridabad - Noida - Ghaziabad Expy, Sector 63 A, Noida, Uttar Pradesh 201307

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9513-012-507

Cost Covered Under Health Insurance/Mediclaim Policy for Septoplasty

Here are some standard expenses that may be covered under health insurance and a mediclaim policy in your septoplasty procedure.

In patient hospitalization costs for patients, such as those related to diagnostic tests, nursing services, and doctor visits.
Pre-hospitalization expenses include diagnostic tests, pre-surgical medications, and other costs incurred prior to your admission to the hospital.
Post hospitalization charges incurred when you are leaving the hospital such as medicines, follow up charges, diagnostic test charges etc.
When you leave the hospital, you will be charged for things like medications, follow-up care, diagnostic tests, etc.
The health insurance policy covers ambulance fees, but the mediclaim policy does not.
If you are unable to visit the hospital, you can receive home treatment for the same disease for up to three days and get reimbursed.
You can also get additional insurance coverage for things like ICU charges, therapy, and so on.

All Major Insurance Accepted

What is the Difference Between Health Insurance and a mediclaim Policy?

Health insurance and a mediclaim policy are two different types of health insurance policies that can help individuals manage their healthcare costs. While both provide financial protection against medical expenses, there are some key differences between the two.

Health insurance is a broader form of coverage that typically includes a wider range of benefits than a mediclaim policy. Health insurance plans may cover not only hospitalization expenses, but also outpatient care, prescription drugs, preventive care, and other healthcare services. Health insurance plans may also offer more flexibility in terms of choosing healthcare providers and accessing care.

On the other hand, a mediclaim policy is a more specific type of health insurance that covers hospitalization expenses only. These policies are often more affordable than comprehensive health insurance plans but may offer less coverage. A mediclaim policy typically covers expenses related to room and board, doctor fees, nursing fees, surgical fees, and other hospitalization expenses.

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FAQs Around Septoplasty Insurance

What is the cost of septoplasty in India without insurance coverage?

On average, the cost of septoplasty in India without insurance can range from ₹40,000 to ₹1,00,000 or more.

How long can we wait for septoplasty?

The ideal timing for septoplasty can vary depending on the individual's specific condition and circumstances. In general, if a person is experiencing significant symptoms related to a deviated septum, such as difficulty breathing through the nose or chronic sinus infections, he/she must seek timely treatment. In some cases, the symptoms may not be severe enough to require immediate surgery, and the individual may be able to wait for a more convenient time.

What is the waiting period for an insurance claim for septoplasty?

This waiting period can range from a few weeks to several months, depending on the insurance policy. Additionally, the waiting period may vary depending on whether the procedure is considered elective or medically necessary.

What are the factors that may affect the cost of septoplasty?

There are various factors that may affect the cost of septoplasty. Some of them are: Location Hospital fee Insurance coverage Surgeon’s fee

What are the documents required for an insurance claim?

Here are some documents may require for an insurance claim: The patient's health card issued at the time of issuing the Policy (if available) along with the KYC document. The policy number Name of the policyholder Name and address of the insured person. Nature of the illness/Injury and the treatment/surgery required Name and address of the attending medical practitioner Hospital where treatment/surgery is being performed First and any subsequent consultation paper/Medical Record since beginning of diagnosis of that treatment/Surgery Admission note and the date of admission

Cashless Payment Service for Septoplasty at Pristyn Care

Pristyn Care also offers cashless payment support along with insurance support. The goal of our program is to lower the financial burdens of patients so they can receive quality care.

Follow these steps to get avail cashless facility at Pristyn Care:

You can share your insurance documents with us, so we can verify them with the insurance company.
There are cashless options such as No Cost EMI or cashless payment methods available to you.
As soon as we receive your confirmation of payment method with supporting documents, our insurance team will contact the insurer on your behalf.
Our insurance team will handle all the hospital’s formalities as soon as the insurance provider approves the claim.

Pristyn Care aims to provide the best surgical treatment experience to the patients. We offer some other additional services to our patients such as:

FREE consultation and follow up sessions with the best ENT surgeon available near you.
FREE cab service to the patient on the day of septoplasty surgery.
FREE complimentary meals during hospitalization.
Association with the best hospitals with the most advanced technology.

You can book your FREE consultation for septoplasty at any time from anywhere.