Fistula & Abscess Treatment Surgery, Insurance Coverage, and Costs

Based on your diagnosis, you have a fistula with an abscess. Since fistulas create hollow tracts that do not heal with medication and abscesses involve pus accumulation, surgical treatment is necessary. The abscess will be drained first, and the entire procedure is quick, taking around 20–25 minutes, so it can be completed as a one-day treatment.

Regarding insurance, corporate health insurance is preferred because it usually covers these conditions after just a one-month waiting period. Personal insurance policies typically have a 2–3 year waiting period and generally do not cover piles, fissures, fistulas, or other anal conditions.

The treatment package including the surgeon’s fees, laser procedure, pre-operative tests, MRI, OT charges, and room rent—can be covered under corporate insurance. The total cost ranges from ₹50,000 to ₹90,000 depending on the type of room chosen (private, semi-private, or general).

If you share your current insurance card, our team can confirm cashless coverage, check for any co-payments or disease capping, and guide you on all expenses. It is recommended to call tomorrow to finalize the details and schedule your procedure.