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Stapedectomy Covered Under Health Insurance 100% Cashless

Stapedectomy is a critical surgical procedure, performed to prevent hearing loss caused by otosclerosis. It is an expensive procedure, and the treatment cost can be quite difficult for most patients to bear out of their pockets. You can opt for health insurance or a mediclaim policy to avoid taking the financial burden all on your own. Read on to learn all about insurance coverage for stapedectomy in India.

Stapedectomy is a critical surgical procedure, performed to prevent hearing loss caused by otosclerosis. It is an expensive procedure, and the treatment cost ... Read More

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Stapedectomy Treatment Insurance Claim
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Free Consultation

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Free Cab Facility

No-Cost EMI

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1-day Hospitalization

1-day Hospitalization

USFDA-Approved Procedure

USFDA-Approved Procedure

Benefits of Choosing Pristyn Care Treatment with Insurance

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 is Stapedectomy Covered Under Health Insurance?

Stapedectomy is a surgical procedure of the stapes bone in the middle ear, that involves the removal and replacement  of these bones to treat hearing loss caused by a condition called otosclerosis. This procedure is covered under health insurance because it is considered a medically necessary treatment for a serious health condition that affects a person’s ability to hear and communicate effectively. Health insurance plans typically cover treatments that are medically necessary and proven effective in treating a specific condition, and stapedectomy meets both of these criterias. Additionally, without insurance coverage, the cost of a stapedectomy procedure can be prohibitively expensive for many people, making it difficult for them to access the care they need.

• Disease name

Otosclerosis

• Surgery name

Stapedectomy

• Duration

1 - 2 hours

• Treated by

ENT Surgeon (Otolaryngologists)

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Top Health Insurance Providers for Stapedectomy In India
Here’s a list of top health insurance providers that cover the cost of surgery of stapes bone in the middle ear (stapedectomy) in India. Aditya Birla Health Insurance Co. Ltd. Specialized health insurer for all patients A network of 9000+ hospitals Offers 50% of premium as ‘HealthReturns’. 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 Stapedectomy Surgery
  • online dot green
    Dr. Divya Badanidiyur (XiktdZyczR)

    Dr. Divya Badanidiyur

    MBBS, DNB
    16 Yrs.Exp.

    4.5/5

    16 Years Experience

    location icon No. 76, HVV Plaza 15th Cross, 4th Main Rd, Malleshwaram, Bengaluru, Karnataka 560055
    Call Us
    9175-793-953
  • online dot green
    Dr. Vidya H  (YTiKnplaH2)

    Dr. Vidya H

    MBBS, MS-ENT
    14 Yrs.Exp.

    4.8/5

    14 Years Experience

    location icon Insight Tower, MIG:1-167, Insight Towers, Opp: Prime Hospital 4th Floor, Rd Number 1, Kukatpally Housing Board Colony, Hyderabad, Telangana 500072
    Call Us
    6366-447-375
  • online dot green
    Dr. Bency Benjamin (gAuutHXpd7)

    Dr. Bency Benjamin

    MBBS, MS-ENT
    13 Yrs.Exp.

    4.9/5

    13 Years Experience

    location icon Golden Hawk Building, 1-8-208, PG Road, Jogani, Ramgopalpet, Hyderabad, Telangana 500003
    Call Us
    6366-447-375
  • Cost Covered Under Health Insurance Policy for Stapedectomy

    Some standard expenses covered under health insurance policies, include:

    • In patient hospitalization expenses incurred during hospitalization such as doctor’s consultation fees, nursing fees, diagnostic tests etc.
    • Pre hospitalization charges incurred before your admission to the hospital such as diagnostic tests, Pre-surgical medicines etc. 
    • Post hospitalization charges incurred when you are leaving the hospital such as medicines, follow up charges, diagnostic test charges etc. 
    • Ambulance charges are covered under the health insurance policy but not in the mediclaim policy. 
    • Day care treatment expenses that need hospitalization for more than a day. 
    • No claim bonus if you haven’t claimed your insurance for a specific period of time, then the insurance provider offers the bonus. 
    • If you are not in a condition to visit the hospital, then you can get the home treatment for the same disease for up to 3 days and get the reimbursement. 
    • You can also get additional insurance coverage such as ICU charges, therepy etc. 

    Note: Some of these expenses may not be covered under mediclaim policies. However, you can contact your insurance provider to obtain clarity on what’s covered in your mediclaim policy. 

    Are you going through any of these symptoms?

    All Major Insurances Accepted

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

    A health insurance policy is a comprehensive insurance policy that covers a wide range of medical expenses, including the cost of hospitalization, pre and post-hospitalization requirements, diagnostic tests, doctor consultations, and more. It also covers pre-existing medical conditions and has a higher ‘sum insured’ limit.

    On the other hand, a mediclaim policy is a limited insurance policy that covers only hospitalization expenses up to a certain sum insured limit. It covers expenses like room charges, doctor’s fees, nursing charges, and other medical expenses incurred during hospitalization.

    In simple terms, health insurance covers more medical expenses and offers a wider range of coverage, while a mediclaim policy covers only hospitalization expenses up to a certain limit.

    Pristyn Care’s Free Post-Operative Care

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    Post-Surgery Free Follow-Up

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    FAQs Around Stapedectomy Insurance

    What is the cost of a stapedectomy in India without insurance coverage?

    On average, the cost of a stapedectomy in India can range from Rs. 50,000 to Rs. 1,50,000 or more. The cost can be higher in private hospitals compared to government hospitals.

    How long can we wait to have a stapedectomy?

    In general, a stapedectomy is recommended for patients with a certain type of hearing loss known as conductive hearing loss, caused by a condition called otosclerosis. The surgery involves replacing the stapes bone in the middle ear with a prosthesis to improve hearing.

    What is the waiting period for insurance coverage for stapedectomy?

     In general, most health insurance policies have a waiting period of 2 to 4 years for covering pre-existing conditions, including otosclerosis, which is the most common cause of conductive hearing loss treated with a stapedectomy.

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

    The cost of a stapedectomy may vary depending on several factors, including: Hospital and Location Surgeon's Experience Type of Anesthesia Diagnostic Tests Post-operative Care Insurance Coverage

    Which documents are required to claim insurance?

    Some of the common documents that may be required for most insurance claims include: Claim Form Original Bills and Receipts Discharge Summary Doctor's Prescription Investigation Reports Insurance Policy Copy Photo ID Proof

    Cashless Payment Service for Stapedectomy at Pristyn Care

    Yes, along with the insurance support, you can get the cashless payment service at Pristyn Care. Our aim is to reduce the financial burden of the patients to let them get quality treatment. 

    You can follow these steps to get a cashless facility at Pristyn Care:

    • Share with us your insurance related documents, and we will get them verified with the respective insurance provider.
    • You can choose the cashless facilities such as No Cost EMI or other methods.
    • Our insurance team will then inform the insurer about your selected method of payment with supporting papers.
    • Once the claim is approved from the insurance provider’s side, then our insurance team will only take care of all the hospitals’ formalities on your behalf.

    In addition to complete insurance support, Pristyn Care aims to provide the best stapedectomy surgery experience to the patients. We offers 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 surgery. 
    • FREE complimentary meals during hospitalization. 
    • Treatment at the best hospitals with the most advanced technology. 

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

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