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Adenoid Removal Surgery Covered Under Insurance 100% Cashless

Adenoidectomy (adenoid removal surgery) is an expensive procedure performed to treat swollen or infected adenoid glands. It can be difficult for patients to bear all the expenses on their own. If you have an insurance policy or are planning to get one, read on to learn how mediclaim or health insurance policies can help you to reduce the financial burden of surgery.

Adenoidectomy (adenoid removal surgery) is an expensive procedure performed to treat swollen or infected adenoid glands. It can be difficult for patients to ... Read More

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Adenoidectomy Treatment Insurance Claim
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Free Consultation

Free Cab Facility

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No-Cost EMI

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Support in Insurance Claim

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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.

Is Adenoids Removal Surgery Covered Under Insurance?

Adenoid removal surgery is often covered under health insurance plans because it is considered a medically necessary procedure. Adenoids are a part of the immune system and play a role in protecting the body from infections. However, in some cases, adenoids can become enlarged and obstructive, causing breathing difficulties, snoring, sleep apnea, and other complications.

When other treatments such as medications and therapies fail to relieve symptoms, adenoidectomy (surgical removal of adenoids) may be necessary. This procedure is generally performed under general anesthesia and involves the removal of the adenoid tissue through the mouth using specialized instruments.

As the removal of adenoids is considered a necessary medical treatment, health insurance plans usually cover the cost of adenoidectomy. However, the extent of coverage and out-of-pocket expenses may vary depending on the insurance plan, the severity of the condition, and the type of surgery performed. It is important to check with your insurance provider regarding coverage details before undergoing any medical procedure.

• Disease name

Adenoiditis

• Surgery name

Adenoidectomy

• Duration

30 - 40 minutes

• Treated by

Otolaryngologists

Adenoidectomy Surgery Cost Calculator
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Top Health Insurance Providers for Adenoids Removal Surgery In India
Here’s a list of top health insurance providers for adenoidectomy 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.
Top Specialists for Adenoidectomy Treatment
  • 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/Mediclaim Policy for Adenoids Removal Surgery

    Generally, health insurance covers most of the standard expenses of the procedure. These include:

    • In patient hospitalization 

    In-patient hospitalization charges consist of all the expenses that occur during hospitalization. These charges include doctor’s consultation fees, ICU room charges, follow-ups charges, nursing charges, etc. If the hospitalization charges are covered under your insurance then these charges will also be covered. 

    • Pre hospitalization charges 

    Pre hospitalization charges include all the expenses that occurred before the hospitalization. These expenses are also covered under health insurance. Generally, these charges are the cost of diagnostic tests such as blood tests, urine tests, CT scans, MRI, X-rays, preoperative medications and other expenses. It is important to note that these charges are not fully covered. 

    • Post hospitalization charges 

    Post hospitalization charges are also covered under health insurance. Standard expenses that are considered under insurance are medicines, therapy, diagnostic tests etc. 

    • Ambulance Charges 

    Ambulance charges are covered under health insurance policies. The cost involves the transportation charges to the healthcare facility. This is generally covered under health insurance but it is not covered in mediclaim policies. 

    • No claim bonus 

    If you haven’t claimed your health insurance or mediclaim for a specific period of time, that insurer offers a “no claim bonus”. The insurer may also extend the coverage limit for the next year. 

    • Domiciliary Hospitalization

    Health insurance policies offer domiciliary hospitalization if you are not in the condition to go to hospital and get the treatment. If you choose home treatment, you will still get reimbursement for up to three days after the procedure. 

    • Additional Coverage 

    With a health insurance policy, you can also get additional expense coverage such as alternate medicine, etc. 

    Note: The aspects of treatment covered in an insurance policy can differ based on the policy and the insurance provider. Make sure you get clarity on the specifics of the policy beforehand.

    Are you going through any of these symptoms?

    All Major Insurances Accepted

    Cashless Payment Service for Adenoids Removal Surgery at Pristyn Care

    Pristyn Care is one of the leading surgical treatment providers in India. As a patient-centered organization, it is recognized for providing full assistance throughout the patient’s treatment journey. For insurance assistance, we have a dedicated insurance team that works tirelessly to assist patients in utilizing their insurance or mediclaim policies to get treatment. 

    Here’s how Pristyn Care will help you claim your insurance: 

    1. Firstly, you have to submit your insurance papers with all other important documents. 
    2. Then, our insurance team will get all the papers verified with your respective insurance provider. 
    3. Now, it is our team’s responsibility to get in touch with your insurance provider on your behalf to get the claim approved. 
    4. Once the claim is approved, it is the care coordinator’s responsibility to complete all the hospital’s formalities to start your procedure. 

    Along with insurance assistance, we also provide some additional services to make the patient’s treatment journey smooth. Here are some services mentioned below:

    • FREE consultation and follow up sessions with the doctor.
    • FREE cab service for the patient on the day of surgery. 
    • FREE meals during hospitalization 
    • State-of-the-art infrastructure of the hospital and best-in-class technology 
    • Best treatment at an affordable price 

    You can book your FREE consultation anytime from anywhere across the country to get adenoid removal surgery. 

    Pristyn Care’s Free Post-Operative Care

    Diet & Lifestyle Consultation

    Post-Surgery Free Follow-Up

    Free Cab Facility

    24*7 Patient Support

    FAQs Around Adenoidectomy Insurance

    What is the cost of adenoidectomy in India without insurance coverage?

    On average, the cost of adenoidectomy in India can range from INR 25,000 to INR 60,000. However, this is just an estimate and the actual cost may be higher or lower depending on the aforementioned factors.

    What are the factors that affect the cost of adenoidectomy?

    The cost of adenoidectomy can vary depending on several factors, including: Hospital or clinic  Surgeon’s fee Anesthesia  Severity of the condition Location

    What is the waiting period for an insurance claim in adenoid glands removal surgery?

    The waiting period for an insurance claim in adenoidectomy surgery can vary depending on the insurance policy and the insurance provider. In general, most insurance providers have a waiting period of 30 days to 90 days before the coverage process for surgery is completed. This waiting period is designed to prevent individuals from signing up for insurance only when they need medical treatment.

    Does health insurance cover all types of adenoidectomy?

    In general, most health insurance policies cover medically necessary adenoidectomy procedures, which are deemed necessary to treat a medical condition or to alleviate symptoms that affect the patient's quality of life. This may include traditional adenoidectomy procedures performed under general anesthesia or newer procedures such as coblation adenoidectomy or laser-assisted adenoidectomy.

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