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Is Vaginoplasty Covered Under Insurance?

Vaginoplasty is a safe surgery to restore vaginal tightness. Most insurance plans do not include vaginoplasty. The most suitable explanation is that people tend to choose this medical procedure for cosmetic benefits.

Vaginoplasty is a safe surgery to restore vaginal tightness. Most insurance plans do not include vaginoplasty. The most suitable explanation is that people ... Read More

Vaginoplasty Treatment Insurance Claim

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Vaginoplasty Surgery with Insurance at Pristyn Care

Is Vaginoplasty Covered Under Insurance Or Mediclaim?

Vaginoplasty is a medical procedure to construct or restore a vagina. It treats several medical problems, including vaginal injury due to childbirth and pelvic floor complications. Typically, most insurance companies in India do not include any vaginal rejuvenation procedures including vaginoplasty in their insurance plans. The explanation is that people choose this medical procedure for cosmetic reasons. But, if patients have a medical diagnosis like stress urinary incontinence or severe pelvic prolapse, health insurance and mediclaim may include the medically necessary procedure possibly reducing fees from the elective portion of the surgery.

People thinking about the alternatives to finance for vaginoplasty can speak with a reliable healthcare institution to undergo the surgery. These healthcare institutions can help in providing essential information regarding possible payment options like no-cost EMI. With the Pristyn Care no-cost EMI option, you will have one less thing to worry about regarding your health. Every patient undergoing vaginoplasty can now avoid lump sum payments on bills of surgeries with the no-cost EMI option.

• Disease name

Vaginoplasty

• Surgery name

Colporrhaphy, Vaginal reconstruction surgery

• Duration

5-7 hours

• Treated by

Gynecologist

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How to get Vaginoplasty 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 Vaginoplasty 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.

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What Is The Difference Between Health Insurance And Mediclaim?

If Vaginoplasty is not performed for cosmetic reasons but for treating a medical condition like severe pelvic prolapse it can be covered under health insurance and mediclaim. However, it entirely depends on the insurance company and the terms and conditions of the policy the buyer buys. But, before purchasing insurance for a medical procedure like vaginoplasty, the buyer needs to know the basic difference between health insurance and mediclaim.

One of the major differences between both insurance plans is that a health insurance plan provides comprehensive medical coverage against hospitalization expenses, pre-hospitalization charges, post-hospitalization charges, ambulance costs, etc. Whereas, a mediclaim insurance plan provides coverage only against hospitalization that occurs due to the medical condition, surgery, and pre-existing illnesses up to a pre-specified limit.

In addition, a health insurance plan provides flexibility to enhance or reduce coverage, whereas under mediclaim there is no flexibility when it comes to coverage. Also, to claim a mediclaim policy, the insured person should be hospitalized otherwise they won’t be able to get the claim. But, there is no such requirement if you are using a health insurance policy to get treatment for Vaginoplasty.

All Major Insurance Accepted

Cashless Payment Service For Vaginoplasty At Pristyn Care

To provide advanced medical facilities to its patients, Pristyn Care offers a cashless payment service for vaginoplasty when performed as a medical necessity. Our main purpose is to ensure that our patients are comfortable and they don’t face any kind of hassle during their surgery.

Our cashless payment service works in the following manner:

We collect insurance-related documents from the patients and verify the documents with the respective insurance providers.
After proper verification, the patients get two options, i.e., cashless payment and no-cost EMI to pay for their surgery.
Our care coordinators are responsible for handling the cashless payment and submitting the claim documents to the insurance provider.
As soon as the claim amount is sanctioned, the patient is admitted to the hospital and our care coordinator takes care of all the hospital-related formalities during the surgery.

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FAQs around Vaginoplasty and Insurance Coverage

What is the cost of vaginoplasty surgery in India?

The average cost of vaginoplasty in India is around Rs. 45000. The price range of the surgery is around Rs. 40000 to Rs. 50000. However, depending on the city where the surgery takes place and other factors like the doctor’s fee or consultation fee, the actual cost of vaginoplasty varies.

What is a cashless health insurance policy?

A cashless health policy provides the advantage to get treatment at network hospitals without making any payment. To avail of this advantage, the insurance policyholder must take approval from the insurance company in advance in case of planned surgeries, and within the specified time in case of emergencies.

What are the documents required for claiming health insurance for vaginoplasty?

Some of the documents that are required for claiming health insurance for vaginoplasty include: - Valid identity proof - Doctor’s prescription suggesting vaginoplasty in the hospital. - Doctor’s prescription suggesting diagnostic tests, medicines, and consultation. - Original pharmacy bills - Insurance policy details that include the policy number, name of the insured, address, and the reason for which surgery is performed.

What are the medical reasons for undergoing vaginoplasty?

Vaginoplasty treats various medical problems, like vaginal injury due to childbirth and pelvic floor disease complications.

Who needs vaginoplasty?

- Women seeking repair of childbirth defects to enhance sexual function. - Women who require vaginal reconstruction - Women born with congenital abnormalities impacting the development of the vagina.

Why consult Pristyn Care for vaginoplasty in India?

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

What Does A Health Insurance Plan cover?

It depends on the type of health insurance policy you purchase. Different insurance plans provide different coverage for medical expenses, few of which can be common to all. The most common medical costs included in a health insurance policy are as follows:

Hospital room rent or room charges
Pre-hospitalization costs
Post-hospitalization costs
Operation theater charges in case of surgeries
ICU room charges
Cost of medicines
Cost of X-Rays, MRI scans, and CT scans
Expenses toward surgical tools and devices

Takeaway

When vaginoplasty is performed as a medical necessity, it is covered under insurance. But, when performed for aesthetic reasons, it is not. In addition, it varies from policy to policy.

At Pristyn Care, you get not only the best treatment for vaginal rejuvenation but also a hassle-free experience during filing the health insurance and mediclaim. We take care of the complete procedure, including insurance-related paperwork, of getting approval on an insurance claim. This is to ensure that the patient nor their family members have to face any additional hassles during their treatment journey.