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Is Chronic Sinusitis Treatment Covered Under Insurance?

Chronic sinusitis treatment involving surgery is generally covered under most health insurance and mediclaim schemes. The insurance coverage, however, can be complete or partial based on individual policies. Read on to know everything about chronic sinusitis insurance coverage in India.

Chronic sinusitis treatment involving surgery is generally covered under most health insurance and mediclaim schemes. The insurance coverage, however, can be complete or ... Read More

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Chronic Sinusitis Treatment 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 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 Chronic Sinusitis Treatment Covered Under Insurance?

Chronic sinusitis treatment, when managed through surgery, is covered under insurance. Surgery becomes medically necessary for chronic sinusitis when its symptoms can’t be managed through medicine and therapy. The most commonly performed surgeries for chronic sinusitis are Functional Endoscopic Sinus Surgery and Deviated Nasal Septum Surgery. The cost of both surgeries is different, and the coverage may also vary accordingly.

The ENT specialist will suggest the surgery after performing a thorough diagnosis of the condition. If you avail of health insurance or mediclaim for these treatments, you may get coverage for consultation, diagnosis, treatment, post-treatment follow-ups, etc, based on your individual policy.

• Disease name

Chronic Sinusitis

• Surgery name

Functional Endoscopic Sinus Surgery (FESS)

• Duration

1 - 2 hours

• Treated by

ENT Surgeon (Otolaryngologists)

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Top Health Insurance Providers For Chronic Sinusitis Treatment In India
Various insurance providers in India cover the cost of chronic sinusitis treatment in India. The specifics of the policy and the terms and conditions may differ. The top insurance providers for chronic sinusitis treatment in India are as follows: 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
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.
Best Doctors for Chronic Sinusitis Treatment
  • online dot green
    Dr. Richa Mina (1FJxOOyBQw)

    Dr. Richa Mina

    MBBS, DLO
    20 Yrs.Exp.

    4.6/5

    20 Years Experience

    location icon Pristyn Care La Midas, DLF Phase 3, Gurugram
    Call Us
    9513-012-507
  • online dot green
    Dr. Saloni Spandan Rajyaguru (4fb10gawZv)

    Dr. Saloni Spandan Rajya...

    MBBS, DLO, DNB
    17 Yrs.Exp.

    4.6/5

    17 Years Experience

    location icon 3A/79, Ekta Residency, Tilak Nagar, Chembur, Mumbai, Maharashtra 400089
    Call Us
    6366-421-528
  • online dot green
    Dr. Manu Bharath (mVLXZCP7uM)

    Dr. Manu Bharath

    MBBS, MS - ENT
    16 Yrs.Exp.

    4.8/5

    16 Years Experience

    location icon WH6J+7R6, MARIGOLD SQUARE, 9th Cross Rd, ITI Layout, 1st Phase, J. P. Nagar, Bengaluru, Karnataka 560078g
    Call Us
    9175-793-953
  • Chronic Sinusitis Coverage Under Health Insurance & Mediclaim

    Insurance providers in India offer health insurance as well as mediclaim policies to help ease the financial burden of the patients. Most people are confused between health insurance and mediclaim, and what these two policies encompass. Let’s understand these two in detail:

    Health Insurance

    Health insurance involves medical coverage for a range of medical expenses and is a more comprehensive type of insurance. It covers a range of medical expenses incurred by an individual seeking chronic sinusitis treatment. Most health insurance policies cover the cost of anything from hospitalization charges, doctor’s fees, cost of diagnostic tests, surgery costs, cost of medicines, and other additional costs. The person holding the policy has to pay an annual premium in return for coverage.

    Mediclaim

    A mediclaim policy is a type of insurance that can be beneficial for patients but doesn’t provide as many benefits as a health insurance policy. It offers coverage for hospitalization expenses, in addition to some other benefits. In general, this insurance plan is limited to the cost of hospitalization, which includes the cost of rooms, nursing, and other medical expenses. Mediclaim generally doesn’t cover the cost of consultation, diagnostic tests, medicine, etc. Since this policy does not include as many benefits as a health insurance policy, it also costs much less compared to comprehensive health insurance policies.

    Both health insurance and mediclaim policies provide benefits, but the advantages of health insurance policies surpass that of a mediclaim policy. Make sure you check out the benefits and limitations of both the policies before making a choice.

    Note: It is best to contact your insurance provider to get clarity on health insurance and mediclaim, as the terms and conditions of both policies can differ based on your choice of insurance provider.

    Are you going through any of these symptoms?

    All Major Insurance Accepted

    Cost-Effective Chronic Sinusitis Treatment In India

    Chronic sinusitis treatment costs can be quite expensive for patients to bear. Therefore, Pristyn Care provides cost-effective chronic sinusitis treatment, along with several other facilities to ease the financial burden of the patients. We provide the following benefits to help patients avail treatment without having to worry about hefty bills:

    Complete insurance assistance: We have a dedicated insurance team that works tirelessly to help patients avail of insurance without hassles. They take care of all the necessary paperwork to share their burden of filing for a claim and other formalities. Also, we accept all insurance.

    Competitive treatment costs: We provide competitive treatment costs, and our plans are priced to cater to all sections of society.

    No Cost EMI offers: Bearing the entire treatment cost at once can be quite difficult for most patients. Therefore, we provide No Cost EMI offers to let patients pay in easy monthly installments. Patients can reach out to our team to get more clarity on our No Cost EMI offers.

    Multiple payment modes: To make the payment process convenient for patients, we provide multiple payment options including cashless methods.

    FREE consultation and follow-up sessions: We provide a free initial consultation with the top ENT specialists in India. Additionally, post-treatment follow-up sessions are also free of charge.

    FREE commute: To help patients manage the commuting cost, we provide FREE transportation facility on the day of surgery and discharge, respectively.

    In addition to the facilities mentioned above, we provide additional services such as a care coordinator to assist patients throughout treatment, consultation with the best ENT specialists near you, treatments at the best hospitals in India, etc. 

    Pristyn Care’s Free Post-Operative Care

    Diet & Lifestyle Consultation

    Post-Surgery Follow-Up

    Free Cab Facility

    24*7 Patient Support

    FAQs Around Chronic Sinusitis Surgery Insurance

    What is the cost of chronic sinusitis surgery in India?

    The cost of chronic sinusitis treatment in India isn’t the same nationwide and varies based on the type of surgery you’re receiving, in addition to several other factors. The cost of the common surgical procedures performed for chronic sinusitis treatment is as follows:  Endoscopic sinus surgery: 35,000 to Rs. 55,000  Deviated Septum Surgery: Rs. 35000 to Rs. 60000

    What factors affect the cost of chronic sinusitis treatment in India?

    The cost of chronic sinusitis treatment- medical or surgical is different across the country, and the total expense one has to bear can vary. The following factors can affect the cost of chronic sinusitis treatment in India:  The type of treatment you’re receiving- medical or surgical  Your choice of treatment city Your choice of treatment hospital  Cost of diagnostic tests The consultation fee of the doctor  Charges of follow-up sessions  Cost of medicines Anesthesia charges, etc.

    Do all insurance companies cover the cost of chronic sinusitis treatment?

    Yes. Most insurance companies cover the cost of chronic sinusitis treatment in India. However, you should note that most health insurance and mediclaim policies cover the cost of only surgical treatments, and medical management is generally not covered. It is best to reach out to the insurance provider to understand the benefits of the policy in detail.

    Are all chronic sinusitis treatments covered under insurance?

    No. In general, medical management is the first line of treatment for chronic sinusitis. Treatment provided through medicines is generally not covered under health insurance or mediclaim, and patients generally have to bear the total treatment expense on their own. However, when the condition fails to respond to medicines and demands surgery, insurance can be availed. Additionally, since sinusitis can be cured through various different surgical procedures, you should note that the insurance coverage for each treatment might also vary.

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