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Is Diabetic Foot Ulcer Covered Under Insurance?

Does insurance cover diabetic foot ulcers? This question is common among those who are grappling with this health issue. The good news is that most health insurance providers in India typically cover the treatment for diabetic foot ulcers, including surgical intervention if necessary. However, coverage can vary based on the severity of the ulcer and the specific insurance plan. To get a comprehensive understanding of your coverage and how it applies to the treatment of diabetic foot ulcers, book an appointment with us at Pristyn Care now.

Does insurance cover diabetic foot ulcers? This question is common among those who are grappling with this health issue. The good news is ... Read More

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Diabetic Foot Ulcers Treatment Insurance Claim
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Benefits of Choosing Pristyn Care Treatment with Insurance

Hospitalization Expenses
Just like every other health insurance plan, we also cover your hospitalization expenses such as room rent, ICU, investigations, surgery, doctor consultations etc due to illnesses and injuries seamlessly.
Pre & Post Hospitalisation
Just like every other health insurance plan, we also cover your hospitalization expenses such as room rent, ICU, investigations, surgery, doctor consultations etc due to illnesses and injuries seamlessly.
Cashless Payment
Just like every other health insurance plan, we also cover your hospitalization expenses such as room rent, ICU, investigations, surgery, doctor consultations etc due to illnesses and injuries seamlessly.

Is Diabetic Foot Ulcer Covered Under Insurance?

Diabetic Foot Ulcer is when open sores or wounds develop on the foot of a person suffering from diabetes. These ulcers may arise due to several factors such as nerve damage, poor blood circulation, or high blood sugar levels. If left untreated, these ulcers can lead to severe complications like infections, peripheral artery disease, or even amputation. Therefore, treating diabetic foot ulcers is often considered medically necessary rather than cosmetic, especially when they pose a risk to a patient’s health. It is always important to check with your specific insurance provider for precise coverage details relating to diabetic foot ulcer treatment. For detailed information and personal guidance, set up a consultation with our experts at Pristyn Care.

Conditions for which Diabetic Foot Ulcer Surgery is Recommended

There are several conditions where surgery for diabetic foot ulcers becomes necessary:

  • When the ulcer is severe and continues to worsen despite conservative treatment methods.
  • In case of deep infection that has spread to the bone leading to a condition called osteomyelitis.
  • If there are deformities like hammertoes or bunions causing recurring ulcers.
  • In situations where there is severe peripheral artery disease resulting in poor blood supply to the foot.
  • If despite optimal wound care for 4-6 weeks, the ulcer shows no signs of healing.

Remember, in advanced cases where the foot is severely infected or has extensive tissue death, amputation might be the only life-saving option.

• Disease name

Diabetic Foot Ulcers

• Surgery name

Debridement

• Duration

1 -2 Hours

• Treated by

Podiatrist

Diabetic Foot Ulcers Surgery Cost Calculator
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How to get Diabetic Foot Ulcer Treatment under Insurance?
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 Diabetic Foot Ulcer Treatment
  • online dot green
    Dr. Chevuturu Chandra Sekhar - Diabetic Foot Ulcers Treatment Specialist in Pristyn Care Archana Hospital, Madeenaguda, Hyderabad, over 30  Years Experience

    Dr. Chevuturu Chandra Se...

    MBBS, DNB-Vascular Surgery, MS
    30 Yrs.Exp.

    5.0/5

    30 Years Experience

    location icon Pristyn Care Archana Hospital, Madeenaguda, Hyderabad
    Call Us
    080-6542-3712
  • online dot green
    Dr. Daipayan Ghosh - Diabetic Foot Ulcers Treatment Specialist in Pristyn Care Sheetla Hospital, Sector 8, Gurgaon, over 23  Years Experience

    Dr. Daipayan Ghosh

    MBBS, DNB-General Surgery
    23 Yrs.Exp.

    4.5/5

    23 Years Experience

    location icon Pristyn Care Sheetla Hospital, Sector 8, Gurgaon
    Call Us
    080-6542-3711
  • 4.5/5

    location icon Pune
    Call Us
    080-6541-7794
  • Cost Covered Under Health Insurance & Mediclaim for Diabetic Foot Ulcer

    The treatment for diabetic foot ulcers is covered under insurance in most health insurance plans In India, It’s essential to understand the extent and specifics of your coverage thoroughly. Here is a breakdown of the typical costs covered:

    Hospitalisation expenses

    These include room charges, nursing fees, medicines, diagnostic tests, and consultant fees, which are covered if hospitalisation lasts for at least 24 hours.

    Treatment of complications

    Any complications from untreated foot ulcers such as infections, gangrene, or peripheral artery disease are also typically covered.

    However, it’s crucial to note that coverage can vary depending on your specific policy and its terms and conditions. Therefore, reviewing your insurance policy is strongly advised to gain a clear understanding of your coverage.

    Are you going through any of these symptoms?

    List of Top Health Insurance Providers

    Questions to Ask Your Insurance Provider About Diabetic Foot Ulcer

    Knowing what questions to ask your insurance provider can help clarify any doubts about your coverage. Here are some questions you might consider:

    • Is treatment for diabetic foot ulcers covered under my policy?
    • Does my plan cover surgical correction if needed?
    • Are there any waiting periods or exclusions related to diabetic foot complications?
    • What is the sum insured specifically for diabetic foot ulcer treatment?
    • Does the plan allow me to receive treatment at my preferred hospital?
    • Are there any sub-limits or capping on room rent, ICU charges, or other expenses?
    • Does my policy cover outpatient consultations and follow-up visits?
    • Is there any benefit payable on diagnosis of diabetic foot ulcer?
    • What documents do I need to submit for claim settlement?
    • In case of denial of claim, what is the process for appealing the decision?

    Why Choose Pristyn Care for Diabetic Foot Ulcer

    Pristyn Care is a preferred choice for many when it comes to managing diabetic foot ulcers. Here’s why:

    • Expertise: Pristyn Care is home to experienced vascular surgeons who specialise in treating diabetic foot complications.
    • Advanced Techniques: They use minimally invasive endovascular procedures, ensuring less pain and quicker recovery times.
    • Network: Pristyn Care has tie-ups with leading hospitals and clinics across India, offering a wide choice for your treatment location.
    • Hassle-free Insurance Process: Pristyn Care provides assistance with insurance paperwork and cashless claims, making the process smooth and comfortable for patients.

    Whether your treatment is covered under insurance or not, Pristyn Care strives to provide the best care possible for your diabetic foot ulcer. With their combination of medical expertise, advanced techniques, and patient-centric approach, you can focus on your recovery without financial worries.

    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

    What does 'covered under insurance' mean when it comes to diabetic foot ulcer treatments?

    When we say that a treatment is 'covered under insurance', it means that the cost of the treatment for a diabetic foot ulcer, which may include medications, doctor's consultations, diagnostics tests, and hospitalisation charges, will be paid for by your insurance company, either fully or partially depending on the terms of your policy.

    How can I find out if my insurance policy covers diabetic foot ulcer treatments?

    To know if your insurance policy covers diabetic foot ulcer treatments, you will need to read through the terms and conditions of your policy. Most policies in India have a list of covered illnesses and treatments. If diabetic foot ulcer is mentioned in this list, it means it is covered. Alternatively, you can contact your insurance provider directly and ask them about the same.

    Are there any exclusions or limitations when it comes to insurance coverage for diabetic foot ulcers?

    Yes, there can be exclusions or limitations. Some insurance policies might not cover complications arising from a diabetic foot ulcer. Others might have a waiting period before coverage begins. It's also common for policies to have a co-insurance clause, where you have to pay a certain percentage of the costs out of pocket.

    If my insurance policy doesn't cover diabetic foot ulcers, what are my alternatives?

    If your insurance policy doesn't cover diabetic foot ulcers is not covered under , you might want to consider upgrading your policy or switching to a different provider that offers this coverage. Alternatively, you could look into government schemes or non-profit organizations that provide financial aid for healthcare costs.

    Will my insurance cover the cost of medications prescribed for treating a diabetic foot ulcer?

    Usually, most health insurance policies in India do cover the cost of medications as long as they are prescribed by a doctor and are part of the treatment plan for a covered illness such as a diabetic foot ulcer. However, it's always a good idea to confirm this with your insurance provider.

    Are follow-up visits to the doctor covered under insurance after treatment for a diabetic foot ulcer?

    Typically, follow-up consultations after the treatment are also covered under insurance, providing they are within a specified timeframe and related to the same medical condition - in this case, the diabetic foot ulcer. However, this varies among different insurance policies, so it is crucial to check with your insurer about the extent of coverage.

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