Insurance coverage for Anterior Cruciate Ligament or ACL surgery helps patients avail treatment without worrying about hefty hospital bills, and other medical and non-medical expenses. This page provides a brief about ACL surgery insurance coverage in India.

Insurance coverage for Anterior Cruciate Ligament or ACL surgery helps patients avail treatment without worrying about hefty hospital bills, and other medical and ...non-medical expenses. This page provides a brief about ACL surgery insurance coverage in India.Read More

💯 No Booking Fees

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Support in Insurance Claim

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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 Recovery 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.

Is ACL Surgery Covered Under Insurance?

ACL surgery is often covered under insurance because it is a medically necessary procedure that is typically performed to help individuals regain stability, function, and mobility in their knee joint. ACL injuries are common among athletes and active individuals, and can occur due to sudden twisting or impact to the knee.

If left untreated, an ACL injury can lead to chronic pain, instability, and reduced quality of life. ACL surgery is generally considered the most effective treatment for repairing or reconstructing a torn ACL, and can help individuals return to their normal daily activities, including sports and exercise.

Insurance companies typically cover ACL surgery because it is a recognized, accepted, and a medically necessary treatment for a common medical condition. However, coverage may vary depending on the specific insurance plan and the individual’s medical history and needs. It is important to check with your insurance provider to understand what is covered under your policy and what out-of-pocket expenses you may have to bear.

• Disease name

ACL Tear

• Surgery name

ACL Reconstruction

• Duration

2 Hours

• Treated by

Orthopedic Surgeon

💯 No Booking Fees

How to get Acl Tear Treatment under Insurance?

Both, health and Mediclaim insurance policies cover the cost of Acl Tear Surgery. However, it is advised to choose an insurance policy that provides extensive benefits at an affordable price. At Pristyn Care, you get not only the best treatment for Acl tear. 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.

1Intimation

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.

2Approval/Rejection

Your pre-authentication form is approved or denied based on the terms and conditions of your health insurance policy.

3Hospitalisation

Hospitalisation can be done based on pre-authentication approval. Hence, it is advisable to finish the pre-authentication procedure beforehand.

4Claim Settlement

At the time of discharge, we will coordinate and settle your bills directly with the hospital and insurance provider.

1Hospitalization 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.

2Register 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.

3Verification

We will share all your claim-related medical documents in original with your insurance provider to check if everything is in order.

4Claim 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 Acl Tear Surgery

Dr. Bhagat Singh Rajput

MBBS, D.Ortho

45 Yrs.Exp.

4.5/5

45 Years Experience

Pristyn Care Elantis, Ring Road, Lajpat Nagar

Call Us

080-6542-3711

Dr. Bhattiprolu Sarangad...

MBBS, MS-Orthopedics

41 Yrs.Exp.

4.5/5

41 Years Experience

Pristyn Care Diyos Hospital, Safdarjung Enclave, Delhi

Call Us

080-6962-5908

Dr. Saket Jati

MBBS, MS-Orthopedics

36 Yrs.Exp.

4.5/5

36 Years Experience

Manorama Ganj, Old Palasia, Indore, Madhya Pradesh 452003

Call Us

080-6542-3720

Expenses Covered By Health Insurance

Pre-hospitalization expenses:

All medical costs incurred before you are hospitalized, up to a pre-specified period, are covered in the insurance plan. These include doctor consultation charges, the cost of diagnostic tests and medicines, preliminary procedure charges, the expense of medical investigations, etc.

Post-hospitalization expenses:

All costs involved in your care and medicines, after the discharge from the hospital, up to a pre-specified period, are included in your healthcare insurance. These include post-hospitalization consultation, diagnostic tests, medicines, therapy drugs, etc.

Ambulance charges:

Health insurance plans also cover expenses involved in transporting you to a hospital by ambulance.

Daily hospital cash:

Your health insurance will provide a lump sum amount daily in case of hospitalization.

In-patient hospitalization:

In case you are hospitalized because of an injury or illness, it is covered by your health insurance plan. In-patient hospitalization costs include room rent or boarding expenses, nursing expenses, ICU charges, doctor’s consultation fees., etc.

💯 No Booking Fees

All Major Insurances Accepted

What Is The Difference Between Mediclaim and Health insurance?

Health insurance is a type of insurance that provides financial protection to individuals and their families against the high costs of medical treatment in case of illness, accidents, or hospitalization. Health insurance plans cover a wide range of medical expenses such as hospitalization charges, diagnostic tests, surgeries, doctor consultations, and even some preventive care.

On the other hand, Mediclaim is a type of health insurance plan that covers hospitalization expenses only. Mediclaim policies are usually offered by health insurance companies and provide coverage for expenses incurred due to hospitalization arising from illness or injury, subject to certain limits and exclusions.

In summary, health insurance is a more comprehensive type of insurance that covers a wider range of medical expenses, whereas mediclaim is a specific type of health insurance plan that covers hospitalization expenses only.

Pristyn Care’s Free Post-Operative Care

Diet & Lifestyle Consultation

Post-Surgery Recovery Follow up

Free Cab Facility

24*7 Patient Support

Frequently Asked Questions about ACL Surgery Insurance

What factors do I need to consider while calculating the cost of ACL surgery?

There are a number of factors that can affect the cost of ACL surgery. These may include: Any pre-existing health condition City of the treatment Consultation charges of the doctor Cost of diagnostic tests

What is the cost of ACL surgery?

The average cost of ACL surgery ranges from INR 1,40,000 to INR 2,00,000 including the cost of surgery, pre-hospitalization expenses, and post-hospitalization expenses.

How does insurance help in ACL surgery?

Expenses during ACL reconstruction surgery are covered under insurance. The insurance policies cover: room and operation theater rent, nursing expenses incurred during the surgery, fee charged by the doctor, etc. to ease the financial burden of the patients.

What are the out-of-pocket payments for ACL surgery?

Out-of-pocket payments for ACL surgery generally depend on insurance coverage, i.e., type of policy, deductibles, and insurance premium. Most policies provide partial coverage for the surgery, so even if insurance covers ACL surgery, you will most likely have to pay yourself for a portion of the total surgery cost.

How to claim insurance for ACL surgery?

Here are some steps to follow to claim the insurance: Fill the cashless request form at hospital Submit the form and medical records to TPA TPA will inspect all the documents After approval, the insurance company will settle the hospital bills

What is the cost of ACL surgery?

The average cost of ACL surgery ranges from Rs. 1,40,000 to Rs. 2,00,000, including the cost of surgery, pre-hospitalization expenses, and post-hospitalization expenses. The cost of the surgery generally depends on the following factors: The extent of the damage Choice of graft Hospitalization fees Insurance coverage Surgeon’s experience and fees Follow-up and rehabilitation required Anesthesia and anesthesiologist cost Assistive devices (crutches, braces, etc.) and medicines required after the surgery Pre-existing conditions of the patent and complications during the surgery Make sure you are aware of the co-payments, deductibles, and coinsurance amounts for your surgery. With prior approval you can apply the funds for your payment from your health savings account or flexible spending account.

What are the out-of-pocket payments for ACL surgery?

Out-of-pocket payments for ACL surgery generally depend on insurance coverage, i.e., type of policy, insurance premium, deductibles, etc. Most policies provide partial coverage for the surgery, so even if your insurance covers ACL surgery, you will most likely have to pay yourself for a portion of the total surgery cost. Ask your insurance provider about your costs - copays, deductibles and coinsurance - for your surgery. Apply for a flexible spending account (FSA), health savings account (HAS), and health reimbursement account (HRA) funds to your out-of-pocket costs if they are too high for you to pay all at once.

Cashless Payment Service For ACL Surgery at Pristyn Care

Visit Pristyn Care to undergo safe and effective ACL surgery. We offer cashless payment services for ACL surgery. Our main objective is to ensure that our patients are comfortable and don’t have to face any kind of hassle during the treatment procedure. We have a very easy process to utilize the mediclaim policy or health insurance policy to cover the cost of treatment with Pristyn Care. The cashless payment facility works in the following way:

We initiate the insurance by collecting all the documents from the patients and then verifying the documents with the insurance providers.
We offer two options to patients, i.e., cashless payment and zero-cost EMI to pay for the ACL surgery.
We have a dedicated insurance team to handle all the documentation and submit the claim documents with the patient’s insurance provider.
Once 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 treatment.

Additionally, we provide an assisted surgical experience to the patients with additional benefits like detailed diagnosis, a well-maintained room in the hospital, cab service on the day of surgery, free post-surgery follow-ups, etc. All these services are meant to make the advanced ACL surgery accessible and cost-effective for people all over India.

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Pristyn Care services are accessible Pan India

Pristyn Care has taken the latest medical technologies to ensure consistent quality of advanced surgical care in 30+ cities of India including Ahmedabad , Bangalore , Bhubaneswar , Chandigarh , Chennai , Coimbatore , Delhi , Faridabad , Ghaziabad , Gurgaon , Hyderabad , Indore , Jaipur , Kochi , Kolkata , Kozhikode , Lucknow , Madurai , Mumbai , Nagpur , Nashik , Noida , Patna , Pune , Raipur , Ranchi , Thiruvananthapuram , Vijayawada and Visakhapatnam .

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Patient Name

Mobile Number

Select City

Select Disease

Proctology

","

Pilonidal Sinus

","

Piles

","

Rectal Prolapse

","

Fissure

","

Fistula

","

Fecal Incontinence

","

Constipation

","

Hemorrhoids

","

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","

Umbilical Hernia

","

Hydrocele

","

Inguinal Hernia

","

Incisional Hernia

","

Appendicitis

","

Gallstone

","

Hernia

","

Achalasia Cardia

","

Acid Reflux Surgery

","

Large Intestine

","

Indirect Hernia

","

Small Intestine

","

Colonoscopy

","

Gastric Bypass Surgery

","

Gynaecology

","

Pain During Intercourse

","

Vaginoplasty

","

Labiaplasty

","

Vaginal Discharge

","

Laser Vaginal Tightening

","

Vaginal Dryness

","

Ovarian Cyst

","

Hysterectomy

","

Hymenoplasty

","

Clitoral Hoodoplasty

","

Abortion

","

Hysteroscopy

","

Pap Smear

","

Vaginal Rejuvenation

","

Ectopic Pregnancy

","

Laser Vaginal Rejuvenation

","

Vaginal Recurrent Infection

","

Pelvic Pain

","

Female Urinary Problems

","

Lichen Sclerosus

","

Menstrual Disorders

","

Preconception Care

","

Uterine Fibroid

","

Pcos Pcod

","

Pregnancy Care

","

Medical Termination Of Pregnancy

","

Laser Vaginal Bleaching

","

Anal Bleaching

","

Vaginal Wart

","

Molar Pregnancy

","

Bartholin Cyst

","

Miscarriage

","

Endometriosis

","

Adenomyosis

","

Myomectomy

","

Dilation And Evacuation (D&E)

","

Polypectomy

","

ENT

","

Turbinate Reduction

","

Uvulopalatopharyngoplasty

","

Adenoidectomy

","

Myringotomy

","

Microlaryngeal

","

Mastoidectomy

","

Tongue Base Reduction

","

Tonsils Removal

","

Deviated Nasal Septum

","

Eardrum Surgery

","

Sinus Surgery

","

Thyroidectomy

","

Tonsillectomy

","

Ear Surgery

","

Sinusitis

","

Tympanoplasty

","

Fess Surgery

","

Stapedectomy

","

Septoplasty

","

Tonsillitis

","

Adenoids

","

Hearing Problem

","

Thyroid Infection

","

Chronic Sinusitis

","

Recurrent Sinusitis

","

Subacute Sinusitis

","

Mastoiditis

","

Parotidectomy

","

Nose Surgery

","

Vocal Cord Polyps

","

Adenotonsillectomy

","

Otitis Media

","

Nasal Polyps

","

Turbinoplasty

","

Ear Infection

","

Ear Hole

","

Throat Infection

","

Middle Ear Perforation

","

Urology

","

Urinary Tract Infection

","

Urinary Incontinence

","

Erectile Dysfunction

","

Urethral Stricture

","

Stress Urinary Incontinence

","

Circumcision

","

Kidney Stones

","

Male Urinary Tract Infection

","

Prostate Enlargement

","

Phimosis

","

Paraphimosis

","

Foreskin Infection

","

Balanoposthitis

","

Balanitis

","

Frenuloplasty

","

Cystoscopy

","

Cystolithotripsy

","

DJ Stent

","

cystolithotomy

","

Urethral Stricture

","

pyeloplasty

","

nephrostomy

","

Corn Removal

","

Vasectomy

","

Toenail treatment

","

Testicular Torsion

","

Epididymal Cyst

","

Vascular

","

Varicose Veins

","

Varicocele

","

Diabetic Foot Ulcer

","

AV Fistula For Dialysis

","

Deep Vein Thrombosis

","

Spider Veins

","

Aesthetics

","

Gynecomastia

","

Liposuction

","

Lipoma

","

Sebaceous Cyst

","

Breast Lift

","

Rhinoplasty

","

Breast Reduction

","

Breast Augmentation

","

Breast Lump

","

Hair Loss

","

Breast Surgery

","

Axillary Breast

","

Abdominoplasty

","

Double Chin

","

Buccal Fat

","

Earlobe Repair

","

Blepharoplasty

","

Hair Fall PRP

","

Orthopedics

","

Carpal Tunnel Syndrome

","

Knee Replacement

","

Spine Surgery

","

Hip Replacement

","

Arthroscopy

","

ACL Tear

","

Rotator Cuff Repair

","

Bankart Surgery

","

Bankart Repair

","

Meniscus Repair Surgery

","

Shoulder Replacement Surgery

","

Discectomy

","

Laminectomy

","

Acdf Surgery

","

Spinal Fusion

","

Ligament Injury

","

Knee Arthroscopy

","

Shoulder Arthroscopy

","

Femur Fracture

","

Ophthalmology

","

Lasik

","

Cataract

","

Squint Surgery

","

Glaucoma Surgery

","

Retinal Detachment Surgery

","

Diabetic Retinopathy Treatment

","

Intravitreal Injections

","

Vitrectomy

","

Monofocal Lens

","

Multifocal Lens

","

Toric Lens

","

PRK Lasik

","

Smile Lasik Surgery

","

Femto Lasik Surgery

","

ICL Surgery

","

Macular Edema

","

Retinal Surgery

","

Contoura Vision

","

Phaco Surgery

","

Pterygium

","

Dentistry

","

Teeth Alignment (Fix)

","

Dental Others

","

Crossbite Teeth

","

Overbite Teeth

","

Openbite Teeth

","

Weight Loss

","

Bariatric Surgery

","

SPATZ Intragastric Balloon

","

Intragastric Balloon

","

Weight Loss Surgery

","

Weight Loss

","

Dermatology

","

Scar Removal

","

Beard Transplant

","

Face Threadlift

","

Botox

","

Derma Fillers

","

Vampire Facial with Dermaroller

","

Hair Transplant

","

Hair Reduction

","

Fat Loss

","

Allergan for Double Chin

","

Allergan for Arms

","

Allergan for Underarm Fat

","

Allergan for Tummy

","

Allergan for Inner Thigh

","

Allergan for Outer Thigh

","

Anti Aging

","

Uneven Skin Tone

","

Acne & Scar

","

Pigmentation

","

Tattoo removal

","

Hair Treatment

","

Vitiligo for Face

","

Roascea (Gold Toning laser)

","

Dark Circle & Puffy Eyes

","

Foundation full Face

","

Acne Scar

","

Fertility

","

Male Infertility

","

Female Infertility

","

Ivf

","

Iui

","

Embryo Transfer

","

ICSI Treatment

","

Neurology

","

Headache or migraine

","

Neurology-Others

","

Nephrology

","

Chronic kidney disease (CKD) follow-up

","

Pulmonology

","

Chest pain or tightness

","

Oncology

","

Oncology

","

General Physician

","

General Physician-Others

","

Diabetes

"]" data-all-dropdown-items-arr="[]">

ACL Surgery Under Insurance 100% Cashless

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Expenses Covered By Health Insurance

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Pristyn Care’s Free Post-Operative Care

Frequently Asked Questions about ACL Surgery Insurance

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