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Gallstone Surgery Insurance Coverage - 100% Cashless

Gallstone removal surgery i.e. cholecystectomy is covered under both health insurance and mediclaim. Pristyn Care provides a streamlined, transparent treatment experience and makes sure that the insurance claim process is hassle-free for the patients.

Gallstone removal surgery i.e. cholecystectomy is covered under both health insurance and mediclaim. Pristyn Care provides a streamlined, transparent treatment experience and makes ... Read More

Gallstones Treatment Insurance Claim

Anup Soni - the voice of Pristyn Care pointing to download pristyncare mobile app

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700+

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40+

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No-Cost EMI

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Benefits of Choosing Pristyn Care Treatment with Insurance

Is Gallstone Removal Surgery Covered Under Insurance or Mediclaim?

Gallstone removal surgery or cholecystectomy is covered under both, health insurance or mediclaim. Every patient’s health insurance plan and mediclaim policy may have different terms and conditions. In order to make a wise purchase, you need to check the details of the insurance policy.

Whether gallstone surgery is covered under insurance or mediclaim depends on your specific policy and the terms and conditions of your coverage. Generally, most health insurance plans cover the cost of cholecystectomy as it is considered a necessary medical procedure.

However, the extent of coverage may vary depending on the type of policy you have and the deductible, co-payment, and coinsurance amounts you are responsible for paying. It’s important to review your policy details carefully and understand what is covered and what is not before undergoing any medical treatment.

In some cases, insurance companies may deny coverage for gallstone surgery if they determine that it is not medically necessary. If you are uncertain whether your insurance policy covers gallstone surgery or have any questions about the coverage, it’s important to contact your insurance provider or consult with a healthcare professional who can help you understand the insurance policy better.

• Disease name

Gallstone (Gallbladder Stone)

• Surgery name

Cholecystectomy

• Duration

45 - 90 minutes

• Treated by

General Surgeon

Gallstones Surgery Cost Calculator

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List of Top Health Provider for Gallstones

Insurance Company Actions

Aditya Birla Health Insurance Co. Ltd.

National Insurance Co. Ltd.

Bajaj Allianz General Insurance Co. Ltd.

Bharti AXA General Insurance Co. Ltd.

Future General India Insurance Co. Ltd.

HDFC ERGO General Insurance Co. Ltd.

How to get Gallstone Treatment under Insurance?

The insurance claim process for Gallstone treatment may seem complicated, but is actually quite easy. Additionally, it is advisable that you contact your policy provider to understand the terms and conditions of your policy, and other necessary details.

1 Intimation

Fill up the pre-auth form at the network hospital for cashless approval. Fill up the pre-auth form at the network hospital for cashless approval

2 Approval/Rejection

Fill up the pre-auth form at the network hospital for cashless approval. Fill up the pre-auth form at the network hospital for cashless approval

3 Hospitalisation

Hospitalisation can be done on the basis of pre-auth approvalHospitalisation can be done on the basis of pre-auth approval

4 Claim Settlement

At the time of discharge, we settle the claim directly with hospitalAt the time of discharge, we settle the claim directly with hospital

1 Hospitalization At Non Network Hospital

You need to pay the bills initially and preserve the original invoices

2 Register A Claim

Post hospital discharge send us all your invoices and treatment documents

3 Verification

We verify your claim related invoices and treatment documents

4 Claim Settlement

We send the approved claim amount to your bank account

Best Gallstone Doctors

Dr. Falguni Rakesh Verma

MBBS, MS - General Surgery

27 Yrs.Exp.

4.5/5

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6366-526-847

Dr. Rahul Sharma

MBBS, MS

26 Yrs.Exp.

4.5/5

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Dr. Sanjeev Gupta

MBBS, MS- General Surgeon

25 Yrs.Exp.

4.9/5

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What Happens While Gallstone Treatment?

There are two main types of cholecystectomy:

Laparoscopic Cholecystectomy (keyhole surgery): It is the most common and best treatment for gallbladder stone. During a laparoscopic cholecystectomy, numerous small incisions (cuts) are made in the abdomen. A laparoscope (a thin, flexible tube with a camera) and surgical instruments are inserted through these incisions. Your abdomen is then inflated with carbon dioxide gas to allow room for the surgeon to work with surgical tools. The laparoscope is used to visualize the gallbladder and nearby structures on a monitor. The gallbladder is detached from its attachments and the bile duct and blood vessels.

Once the gallbladder is separated, it is pulled out through one of the small incisions. The remaining incisions are closed, and the surgery is complete. Laparoscopic cholecystectomy is minimally invasive, resulting in minor pain, faster recovery, and smaller scars than open surgery.

Open Cholecystectomy: In some instances, laparoscopic cholecystectomy may not be appropriate, and open surgery may be performed. During an open cholecystectomy, a larger incision is made in the abdomen, and the gallbladder is directly accessed and removed. Open cholecystectomy is used in circumstances where there are complications, extensive scarring from previous surgeries, or certain medical conditions that make gallstone laparoscopic surgery challenging.

Both laparoscopic and open cholecystectomy effectively remove the gallbladder, stopping the risk of recurrent gallstone-related symptoms and complications. After removing the gallbladder, bile flows directly from the liver to the small intestine, bypassing the gallbladder. The absence of the gallbladder does not generally significantly impact digestion or overall health.

All Major Insurance Acceepted

Difference between types of Gallstone Treatment:

Basis	Open Cholecystectomy	Laparoscopic Cholecystectomy
Surgical Approach	Large abdominal incision (typically 6-8 inches long)	Several small incisions (usually 3-4)
Scarring	Larger and more prominent scar	Smaller and less prominent scars
Pain and Recovery	More postoperative pain and longer recovery time	Less postoperative pain and quicker recovery
Hospital Stay	Longer hospital stay (typically 2 to 3 days)	Shorter hospital stay (usually 1 day or outpatient)
Risk of Complications	Slightly higher risk of complications	Lower risk of complications
Operating Time	Longer operating time (usually 1 to 2 hours)	Shorter operating time (typically less than 1 hour)

Pristyn Care’s Free Post-Operative Care

Diet & Lifestyle Consultation

Post-Surgery Free Follow-Up

Free Cab Facility

24*7 Patient Support

Frequently Asked Questions on Gallstone Surgery

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

The waiting period for an insurance claim in gallstone removal surgery will vary depending on the specific coverage you have. Generally, the waiting period for most insurance policies is 30 days from the date of service. It is important to contact your insurer for more specific information about your policy.

What is the cost of gallstone removal surgery in India?

The cost of gallstone removal surgery in India can vary depending on the type of surgery and the facility where it is performed. Generally, the cost can range anywhere from Rs. 10,000 to Rs. 1,50,000. Factors such as the type of gallstones, the complexity of the procedure, and the experience of the doctor can also affect the cost.

What is the cost of gallstone removal surgery without insurance coverage?

The exact cost of gallstone removal surgery without insurance coverage will depend on several factors, such as the type of surgery and the hospital or clinic where the procedure is done. It is important to discuss the exact cost with your doctor or surgeon before undergoing the procedure.

What is the best treatment for gallstones?

The best treatment for gallstones is a cholecystectomy. This is a minimally invasive procedure that involves making a small cut in the abdomen, which allows the removal of the gallbladder. The procedure is generally performed under general anesthesia, and recovery times vary from person to person. In most cases, patients can resume normal activities within a few days.

Gallstone Size Indication for Surgery

When deciding if surgery is necessary, the size of the gallstones can be a crucial factor. Gallstone size is typically measured in millimeters (mm) and can vary from 2 mm to as large as a few centimeters. Small gallstones, measuring less than 2 mm, rarely cause symptoms and are typically observed without treatment. However, the risk of developing complications increases if the gallstone size exceeds 2 mm.

Gallstones that measure between 3 and 5 mm can cause mild to moderate symptoms, such as abdominal pain and indigestion. These symptoms can be treated with medication and dietary changes, but surgery may be required if they become more severe.

Gallstones that measure between 5mm and 10 mm are considered the intermediate size and can cause moderate to severe symptoms. Treatment with medication and dietary modifications is generally ineffective, so surgery is often suggested by healthcare professionals. In addition, a greater risk of developing complications such as cholecystitis is more likely with this gallstone size.

Gallstones larger than 10 mm pose a significant risk for developing complications, and surgery is most often recommended. These gallstones can cause obstructions in the gallbladder or digestive tract, leading to complications such as pancreatitis. Therefore, if the gallstone size is greater than 10 mm, it is essential to seek medical care immediately to evaluate the risk for these serious complications.