Views: 4,439
Is fistula surgery covered under insurance?
Social share:
Dedicated Support at Every Step!
Our Doctors are available 24 hours a day, 7 days a week to help you!
An anal fistula is one of the most common anorectal diseases that require surgery for permanent riddance. In this condition, a small tunnel or internal passage forms between the opening of the anus and the peri-anal skin (skin surrounding the anus). In most cases, delay in the anal fistula increases the chances of complications.
Individuals who need to undergo fistula surgery often wonder whether or not their fistula surgery is covered under insurance. Fortunately, the answer is yes! Usually, all medical or health insurances in India cover fistula surgery. The details of coverage vary greatly among different policies.
Health insurances in general cover pre-operative, post-operative, and follow-up treatments for a certain time. However, in rare cases, the patient may not be able to get their surgery expenses covered under insurance. Let us further understand it in detail.
Table of Contents
Do insurance policies provide cover for advanced laser surgery for fistula?
Yes, health insurances provide cover for advanced laser treatment for fistula. In insurance policies, laser surgery is not an exemption as it is a safe medical procedure. Patients can get cover for fistula surgery irrespective of whether they undergo an advanced laser procedure or conventional open.
Furthermore, the advanced USFDA approved laser surgery is minimally invasive and allows the patient to recover without any complications. That is why, nowadays, most healthcare providers prefer laser fistula surgery over open surgery.
Some of the Insurance policies that cover fistula surgery in India are
- Star Health Insurance Cover
- HDFC ERGO Health Insurance
- National Insurance Company Ltd
- Bajaj Allianz
- Max Bupa Health Insurance
- Tata AIG Health Insurance
Several other insurance companies also offer coverage for fistula and other anorectal surgeries. Choose the one that suits you best and offers the maximum benefits at an affordable cost.
Read also: fissure laser treatment- you need to know all about it.
No Cost EMI, Hassle-free Insurance Approval
When do insurance providers not provide coverage for fistula surgery?
You must do your research before selecting an insurance plan. It will help you understand what is excluded and what is covered. There are several policies where coverage for some medical conditions starts after a mandatory waiting period is over. So before you do take an insurance policy check whether fistula surgeries are among such exceptions.
In addition, if an individual had suffered from an anal fistula before taking the health insurance policy and does not share this with the insurance provider, their future claims for fistula surgery coverage won’t be approved.
Thus, it is of utmost importance to maintain transparency in terms of your medical history with your insurance provider. The best way to ensure complete coverage is to read the policy thoroughly and speak with your insurance provider regarding any queries or concerns.
Doctor available
5.0/5
47 Years Experience Overall
Doctor available
MBBS, Diploma in Radio Diagnosis & MD-TB & Respiratory Diseases
FREEConsultation Fee
4.5/5
46 Years Experience Overall
Doctor available
4.5/5
44 Years Experience Overall
Doctor available
5.0/5
43 Years Experience Overall
Doctor available
5.0/5
41 Years Experience Overall
Doctor available
4.5/5
41 Years Experience Overall
Doctor available
4.5/5
40 Years Experience Overall
Doctor available
4.5/5
40 Years Experience Overall
Doctor available
4.5/5
39 Years Experience Overall
Doctor available.jpg/1746696151998_ban-Icon.png){kind=icon}
5.0/5
39 Years Experience Overall
Pristyn Care helps their patients with the insurance process and other services
We, at Pristyn Care, aim to make the best-advanced treatments affordable for all our patients. Our dedicated team members strive to make surgery for fistula and several other diseases almost cashless for patients who hold a reliable medical or health insurance policy. The team gets insurance claims approval for the patient so they can undergo treatment without any hassle.
Other cost-saving benefits that we offer to our patients-
- No cost EMI- We make sure that the final bill of the treatment is what we promise them. Understandably, the cost is a major influencing factor while opting for fistula surgery. Thus we do not take a single penny extra and guarantee zero or no-cost EMI.
- Free follow-up consultation- The first follow-up within a week after fistula surgery is free of cost. The patient does not have to pay any extra amount. This encourages the patient to not miss their follow-up.
- Free cab facility on the day of surgery- We make sure that the patient receives treatment without any delay. To prevent any travel hiccups, we offer free-of-cost door-to-door pick and drop service for the patient on the surgery day. Every patient gets a dedicated medical coordinator who assists them from booking the first consultation to booking the cab after discharge from the hospital. Thus, the patient reaches back home safely after surgery.
- Same-day discharge from hospital- The advanced laser fistula surgery that we provide is performed as a daycare or outpatient. Hence, there is no need for overnight hospital stays. So, a major expense of a long hospital stay is off the list.
- Permanent relief from fistula- Getting treatment for recurring fistula can be difficult and also financially troublesome. The USFDA approved laser surgery for fistula offers permanent riddance from fistula with a success rate of more than 95%. The chances of recurrence are very rare and may only happen in severe cases. Thus, just one laser procedure is sufficient to cure the problem.
You can get in touch with us on call or book your consultation via the ‘Book Appointment’ icon. Our medical coordinators will attend to all your queries regarding fistula surgery and its expenses under health insurance cover.
Read also: How does Pristyn Care help during insurance claims?
The Bottom Line
Getting health insurance for yourself and your family members is one of the wisest investments. It can prove to be highly beneficial in the case of surgical treatment for even a critical illness. It is best to do your research and be well-informed on the health insurance policy you intend to buy.
Author:
Dedicated Support at Every Step!
Our Doctors are available 24 hours a day, 7 days a week to help you!
