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Glaucoma surgery is a medical necessity and hence covered by health insurance and medicare policies. To learn all about the terms and conditions of the insurance policy, talk to the experts.
Glaucoma surgery is a medical necessity and hence covered by health insurance and medicare policies. To learn all about the terms and conditions ... of the insurance policy, talk to the experts. Read More
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Benefits of Choosing Pristyn Care Treatment with Insurance
Glaucoma is a serious condition that can cause permanent damage to the optic nerve and lead to blindness. Thus, the treatment of glaucoma is considered a medical necessity, and it is covered by all health insurance policies.
To get the treatment covered by health insurance, the condition should be symptomatic and advanced to a stage where eyedrops and medications cannot manage the progression of the disease. The following symptoms indicate that glaucoma has advanced to a severe stage and most likely requires surgical treatment-
If the patient’s peripheral vision has these symptoms, glaucoma has most likely advanced to a severe stage where it cannot be managed by medications and surgery is required.
• Disease name
Glaucoma
• Surgery name
Trabeculectomy/ Glaucoma Implant Surgery / MIGS
• Duration
1 to 2 hours
• Treated by
Ophthalmologist
4.5/5
10 Years Experience
C-2/390, Pankha Rd, C4 D Block, Janakpuri
4.5/5
19 Years Experience
26, National Park Rd, near Moolchand Metro station, Vikram Vihar, Lajpat Nagar IV, Lajpat Nagar, New Delhi, Delhi 110024
4.7/5
13 Years Experience
Matriyash Kamalkunj, 1206/B3, off Jangali Maharaj Road, Deccan Gymkhana, Pune, Maharashtra 411004
In general, the expenses covered by health insurance and medicare policies are almost the same. Some of the major expenses that are payable by insurance include the following-
The insurance policies can be customized according to the buyer’s requirements. Thus, it is always recommended that the patients compare different policies and create a plan that can fulfill their medical needs under all circumstances. The add-on feature is also very helpful to get ample coverage for various kinds of treatments.
People looking for health insurance can opt for either Medicare or medical insurance (generally referred to as health insurance). Medicare is usually designed for individuals who are 65 or above, whereas health insurance is for people of all age groups.
The key difference between medicare and health insurance is that medicare provides full coverage for both medical and surgical treatments. Unlike this, health insurance policies mostly provide coverage for surgical treatments, which are considered a medical necessity.
Medicare policies offer global coverage, but such policies are not offered by most insurance companies. Only limited insurance providers, such as Tata AIG, offer these policies. The Indian government has also released a medicare scheme- “Ayushman Bharat-National Health Protection Mission,” to provide free coverage of up to Rs. 5 lakh per family per year at all government and empanelled hospitals.
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There are two ways to claim an insurance policy- cashless and reimbursement claim. The steps to get these are explained below.
A cashless claim allows a patient to cover the hospital bill upfront. This type of claim is usually settled between the hospital and the insurers directly with minimal involvement of the patient. However, there is one condition that the patient needs to fulfill, i.e., the patient should get treatment from a network hospital of the insurance company.
The steps to get a cashless claim are-
Meanwhile, the insurer will directly coordinate with the hospital’s TPA team and inform them about the approval through a text message or email. If the amount sanctioned by the insurance company is less than requested, the patient can submit another claim request to get better coverage.
A reimbursement claim is the compensation paid by the insurer to the policyholder for the expenses incurred and paid during the treatment. This type of claim can be requested for both network and non-network hospitals. The claim process involves the following steps-
The patient is notified about the approval through a message or email. One thing that the patient should keep in mind is that a reimbursement claim request can only be filed within 30 days of discharge. If delayed further, most insurance companies won’t approve the claim.
Pristyn Care is a patient-centric healthcare provider. Thus, our main goal is to make the surgical journey of the patients simple and hassle-free. It includes providing them the flexibility to choose a payment mode that is convenient for them.
Thus, we accept all health insurance policies and also offer other services such as the No-Cost EMI service to all patients. To avail the No-Cost EMI service, the patient needs to-
Thus, the patient can undergo glaucoma surgery without worrying about the expenses, irrespective of insurance policy availability.
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Pristyn Care has taken the latest medical technologies to ensure consistent quality of advanced surgical care in 30+ cities of India including Ahmedabad , Bangalore , Bhubaneswar , Chandigarh , Chennai , Coimbatore , Delhi , Faridabad , Ghaziabad , Gurgaon , Hyderabad , Indore , Jaipur , Kochi , Kolkata , Kozhikode , Lucknow , Madurai , Mumbai , Nagpur , Nashik , Noida , Patna , Pune , Raipur , Ranchi , Thiruvananthapuram , Vijayawada and Visakhapatnam .
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Once you share your details, our care coordinator will get in touch with you.
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