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Is Fissure Treatment Covered Under Health Insurance?

Treatment for anal fissures is covered under both health insurance and Mediclaim. Pristyn Care is your one-stop solution for all your health and Mediclaim insurance needs since we streamline the claim process and make it transparent for you.

Treatment for anal fissures is covered under both health insurance and Mediclaim. Pristyn Care is your one-stop solution for all your health and ... Read More

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Anal Fissure Treatment Insurance Claim
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No-Cost EMI

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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 Treatment For Anal Fissure Covered Under Insurance Or Mediclaim?

Patients who require treatment for anal fissures often wonder whether the treatment is covered under Mediclaim or health insurance. Treatment for fissures is covered under both Mediclaim and health insurance. However, the terms and conditions around the insurance coverage and the amount you can claim under them may differ for each patient. Therefore, you must check the details of the insurance policy before purchasing it.

• Disease name

Anal Fissure

• Surgery name

Lateral Internal Sphincterotomy

• Duration

15-20 minutes

• Treated by

General Surgeon

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How to get Fissure Treatment under Insurance?
Since medical emergencies can happen anytime it is essential to have adequate health insurance and Mediclaim coverage, which can help you manage medical emergencies in a better manner. Both, health and Mediclaim insurance policies cover the cost of anal fissure treatment. However, it is advised to choose an insurance policy that provides extensive benefits at an affordable cost. At Pristyn Care, you not only get the best treatment for fissures but also a hassle-free experience during filing the health insurance and Mediclaim.
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 Fissure Treatment
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    Dr. Sunil Gehlot (Rcx3qJQfjW)

    Dr. Sunil Gehlot

    MBBS, MS-General Surgery
    33 Yrs.Exp.

    4.7/5

    33 Years Experience

    location icon Navjeevan Tower, 8/2, Near Saket Square, Old Palasia, Indore, Madhya Pradesh 452001
    Call Us
    6366-421-442
  • online dot green
    Dr. Amol Gosavi (Y3amsNWUyD)

    Dr. Amol Gosavi

    MBBS, MS - General Surgery
    26 Yrs.Exp.

    4.7/5

    26 Years Experience

    location icon 1st floor, GM House, next to hotel Lerida, Majiwada, Thane, Maharashtra 400601
    Call Us
    6366-528-316
  • online dot green
    Dr. Dhamodhara Kumar C.B (0lY84YRITy)

    Dr. Dhamodhara Kumar C.B

    MBBS, DNB-General Surgery
    26 Yrs.Exp.

    4.5/5

    26 Years Experience

    location icon PA Sayed Muhammed Memorial Building, Hospital Rd, opp. Head Post Office, Marine Drive, Ernakulam, Kerala 682011
    Call Us
    6366-421-436
  • Cost Covered Under Health Insurance Policy

    Costs covered under a health insurance policy depend on the kind of policy you buy. You can buy an individual health insurance plan in general but cannot expect it to include all the medical conditions that one is prone to without paying an additional premium.

    Therefore, you must scrutinize the plan coverage before you select any. Some of the costs that are covered under a health insurance policy include:

    • In-patient hospitalization: In medical emergencies, it is possible to get an in-patient cashless hospitalization facility under the health insurance policy. It helps you get proper treatment without having a considerable amount of cash to begin the treatment. The costs covered are room charges, nursing expenses, doctor’s fees, ICU, etc. 
    • Pre and Post Hospitalization Expenses: As the name suggests, pre-hospitalization expenses include all the medical expenses before you are admitted to the hospital. It includes medical diagnosis and check-ups to analyze the medical condition. 
    • Post-hospitalization costs amount to the sum of the bill which is paid after the patient is discharged from the hospital. It includes the amount that the patient is charged for any post-hospitalization activities like follow-up visits, routine tests, etc. Therefore, you can be sure that the health insurance policy that you buy or the health insurance plan that you sign up for your anal fissure treatment would include these necessary expenses.
    • Ambulance charges: Your health insurance plan also includes expenses involved in commuting you to a hospital by ambulance.
    • Daycare treatment:  Sometimes, the disease that a patient incurs requires hospitalization for less than 24 hours. Certain medical procedures allow patients to go home on the same day of surgery. These minor surgical operations can be counted as an out-patient feature in healthcare insurance that allows the patients to procure maximized advantages at a reasonable cost. These procedures can include radiology therapy like an MRI scan or an X-Ray and laser surgery for the treatment of anal fissures. 

    Are you going through any of these symptoms?

    All Major Insurances Accepted

    What Is The Difference Between Health Insurance And Mediclaim Insurance?

    One of the major differences between Mediclaim and health insurance is that the health insurance plan provides comprehensive medical coverage against hospitalization expenses, pre-hospitalization charges, post-hospitalization charges, ambulance costs, etc. Whereas, a Mediclaim plan provides coverage only against hospitalization that occurs due to the medical condition, surgery, and pre-existing illnesses up to a pre-specified limit. 

    A health insurance plan provides flexibility to enhance or reduce coverage, whereas under Mediclaim there is no flexibility when it comes to coverage. Also, to claim a Mediclaim policy, the insured person should be hospitalized otherwise they won’t be able to get the claim. But, there is no such requirement if you are using a health insurance policy to get treatment for anal fissures. Furthermore, health insurance provides coverage for several diseases, such as anal fissures, piles, fistula, etc. depending on the policy. But Mediclaim insurance does not provide coverage for all medical conditions.

    Pristyn Care’s Free Post-Operative Care

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    Post-Surgery Free Follow-Up

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    FAQs Related to Anal Fissure Insurance Coverage

    What is the waiting period for an insurance claim in anal fissure treatment?

    The initial waiting period for health insurance in anal fissure treatment is different for different insurers. In general, the minimum initial waiting period is at least thirty days.

    What is the minimum waiting period for pre-existing disease?

    Generally, the waiting period for pre-existing disease in health insurance plans is 1-4 years. However, the pre-existing disease waiting period varies with the health condition of the insured and the health insurance plan they pick.

    What is the cost of anal fissure surgery in India?

    On average, the cost of anal fissure surgery in India may range between Rs. 35,000 to Rs. 50,000. But the price range is not specific and depends on several factors like the type and location of the hospital where the fissure treatment takes place, the doctor’s fee or consultation fee, the cost of diagnostic tests or laboratory tests, the severity of medical condition, etc.

    What documents are required for claiming health insurance for anal fissure treatment?

    Here is the list of documents that you need to claim health insurance for your fissure treatment-
    • Original claim form with the signature
    • Valid identity proof
    • Doctor’s prescription suggesting treatment for anal fissure in the hospital
    • Doctor’s prescription recommending diagnostic tests, medicines, and consultation
    • Ambulance receipt
    • Pharmacy bills
    • Policy details like the insurance policy number, address, name of the insured, etc. 
    • Other documents that may be needed to assess the claim

    What is the best treatment for anal fissure?

    Surgery is one of the best treatments for anal fissures. Out of all the surgical options available, laser surgery is believed to be the most effective as it imparts improved precision, is minimally invasive, and the patient can recover faster.

    How long is the recovery after surgery for an anal fissure?

    Complete healing after the surgery can take up to 6-10 weeks. However, acute pain after surgery often disappears after a few days. In most cases, patients return to their work and daily activities a few days after the surgery. 

    Cashless Payment Service for Treatment Of Fissures at Pristyn Care

    To provide cutting-edge medical facilities to its patients, Pristyn Care offers a cashless payment service for fissures treatment. Our main objective is to ensure that our patients are comfortable and they don’t face any kind of hassle during their treatment for anal fissures.

    Pristyn Care has a very easy process to use the health insurance or Mediclaim policy to cover the cost of treatment. Our cashless payment service works in the following manner:

    • We collect insurance-related documents from the patients and verify the documents with the respective insurance providers. 
    • Once the verification is done, we go through the patient’s insurance policy to determine what is and isn’t covered under it, and inform them of any applicable deductibles.
    • The patients get two options, i.e., cashless payment and no-cost EMI to pay for the treatment.
    • Our care coordinators are responsible for handling the cashless payment and submitting the claim documents to the insurance provider. 
    • As soon as 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. 
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