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Home >  Gynecomastia > Insurance

Is Gynecomastia Surgery Covered by Insurance in India?

Gynecomastia surgery, also called male breast reduction surgery, is covered by health insurance in India when performed for medical reasons. The surgery is performed to remove enlarged or overdeveloped breast tissues in men. However, if the surgery is performed for cosmetic reasons, the treatment won’t get covered by health insurance or mediclaim.

Gynecomastia surgery, also called male breast reduction surgery, is covered by health insurance in India when performed for medical reasons. The surgery is ...performed to remove enlarged or overdeveloped breast tissues in men. However, if the surgery is performed for cosmetic reasons, the treatment won’t get covered by health insurance or mediclaim. Read More

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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 Recovery 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 Gynecomastia Surgery Covered by Health Insurance?

For a man, it can be very disturbing to have enlarged breasts. However, the development of breast tissues usually doesn’t cause health issues in males. 

As emotional aspects are not considered by insurance companies when offering coverage for a specific disease or treatment, patients usually don’t get a claim approval for male breast reduction surgery. 

A patient needs to match specific criteria to get the surgery covered by health insurance or mediclaim. The criteria include- 

  • The patient should have both glandular tissues and fat tissues or only glandular tissue growth. If the patient has pseudogynecomastia (only fat tissues), the surgery is considered cosmetic in nature. 
  • The patient must be an adult and have had the condition for 2 years or longer. 
  • The condition has reached grades II, III, or IV. 
  • The increased size of the breasts is causing pain, discomfort, posture issues, etc. 
  • The patient has discontinued the drugs or medicines that induced hormonal imbalance in the first place and led to gynecomastia. 
  • The condition persisted despite addressing the underlying cause. 
  • The enlargement is caused due to Klinefelter Syndrome. 
  • The tissue growth is cancerous.

In all these above-mentioned scenarios, patients can get approval from health insurance providers easily and get the best quality treatment without worrying about the cost.

• Disease name

Enlarged Male Breasts (Man boobs)

• Surgery name

Gynecomastia (Male Breast Reduction Surgery)

• Duration

1 - 2 Hours

• Treated by

Plastic surgeon

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How to get Gynecomastia Surgery under Insurance?
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1Intimation
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.
2Approval/Rejection
Your pre-authentication form is approved or denied based on the terms and conditions of your health insurance policy.
3Hospitalisation
Hospitalisation can be done based on pre-authentication approval. Hence, it is advisable to finish the pre-authentication procedure beforehand.
4Claim Settlement
At the time of discharge, we will coordinate and settle your bills directly with the hospital and insurance provider.
1Hospitalization 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.
2Register 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.
3Verification
We will share all your claim-related medical documents in original with your insurance provider to check if everything is in order.
4Claim 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 Gynecomastia
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    Dr. Jonnalagadda Prashanta Varnika - Gynecomastia Treatment Specialist in Pristyn Care Zoi Hospital, ShivBagh, Ameerpet, Hyd, over 15 Years Experience

    Dr. Jonnalagadda Prashan...

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    Dr. Pulkit Arora - Gynecomastia Treatment Specialist in Pristyn Care Diyos Hospital, Safdarjung Enclave, Delhi, over 15 Years Experience

    Dr. Pulkit Arora

    MBBS, MS-General Surgery, M.Ch-Plastic Surgery
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  • Expenses of Gynecomastia Surgery That Are Covered by Health Insurance

    Depending on the plan purchased, the expenses covered by health insurance for gynecomastia surgery may vary. Overall, the following expenses can be covered- 

    • The doctor’s consultation and operating fee 
    • The anesthesia and anesthetist’s fee
    • Diagnostic tests and evaluations done before and after the surgery
    • Hospital admission and discharge fee 
    • OT and ICU charges 
    • Room rent (single, double, or sharing) on a daily basis 
    • Medicines given to the patient during the hospital stay
    • Medical consumables, such as syringes, sutures, staples, catheters, gloves, masks, adhesives, dressing, etc. 
    • Post-surgery follow-up consultations

    In most cases, the coverage of health insurance policies can be customized to get add-on covers to ensure that all aspects of the treatment can be covered by insurance.

    Are you going through any of these symptoms?

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    All Major Insurances Accepted

    Waiting Period to Get Gynecomastia Surgery Covered by Insurance

    A waiting period, also known as the cooling period, is a pre-decided time span, post which, a specific list of diseases or ailments can be covered by the health insurance policy. The waiting period clause is given in all policies for base coverage to ensure that people don’t purchase the policy solely to get coverage for a particular treatment. 

    In most insurance plans, the minimum waiting period to get an insurance claim for gynecomastia treatment is 2 years.

    Pristyn Care’s Free Post-Operative Care

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    FAQs Related to Gynecomastia Insurance Coverage

    When is gynecomastia surgery not covered by health insurance?

    Gynecomastia surgery is not covered by insurance in the following cases-  The surgery is being performed solely to improve the appearance of the chest region.  The patient is more inclined toward surgery to address psychological and psychosocial concerns.

    What expenses are not covered by health insurance?

    The health insurance policy won’t cover the following aspects of gynecomastia surgery-  Follow-up consultations with the doctor  Diagnostic tests performed during follow-ups (if any) Compression garments  Prescribed medications and refills 

    How much does gynecomastia surgery cost in India?

    On average, gynecomastia surgery cost in India ranges from Rs. 38,000 to Rs. 70,000. This is an estimated cost range and the actual cost of the treatment varies for each patient due to various factors.

    What factors affect male breast reduction surgery cost?

    The key factors that affect the cost of male breast reduction surgery include-  The grade of gynecomastia Technique used Surgeon’s fee  Anesthesia fee Hospital-related expenses  Post-surgery care

    How can I avail No-Cost EMI service at Pristyn Care?

    To get approval for No-Cost EMI service, the patients need to take the following steps-  Apply for the No-Cost EMI service by making a request to the care coordinators.  Provide the necessary documents to check whether you are eligible for the service.  When approved, choose a tenure to pay the monthly installments.  Undergo surgery without worrying about the expenses. Our care coordinators assist the patients with the approval process thoroughly. 

    Undergo Gynecomastia Surgery With or Without Insurance at Pristyn Care

    At Pristyn Care, we provide advanced treatment for gynecomastia for medical and cosmetic purposes. So, whether the patient has insurance or not, he/she won’t have to worry about the expenses. 

    We accept all major health insurance policies and provide assistance to patients with paperwork and the claim process. Our care coordinators explain all terms and conditions and clauses (co-pay, sub-limits, waiting period, etc.) of the insurance policy for a better understanding of the patients. We provide cashless service for gynecomastia surgery and ensure that the claim settlement is done as early as possible.

    Avail No-Cost EMI for Gynecomastia Surgery

    If a patient doesn’t have health insurance, we also provide them multiple payment options, including credit card, debit card, cheque, and No-Cost EMI service. 

    The No-Cost EMI service is offered to all patients. It is a very beneficial service for patients who wish to get immediate treatment but doesn’t have sufficient funds. The service allows the patients to divide the treatment expense into easily payable monthly installments. 

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    Labiaplasty
    ","
    Vaginal Discharge
    ","
    Laser Vaginal Tightening
    ","
    Vaginal Dryness
    ","
    Ovarian Cyst
    ","
    Hysterectomy
    ","
    Hymenoplasty
    ","
    Clitoral Hoodoplasty
    ","
    Abortion
    ","
    Hysteroscopy
    ","
    Pap Smear
    ","
    Vaginal Rejuvenation
    ","
    Ectopic Pregnancy
    ","
    Laser Vaginal Rejuvenation
    ","
    Vaginal Recurrent Infection
    ","
    Pelvic Pain
    ","
    Female Urinary Problems
    ","
    Lichen Sclerosus
    ","
    Menstrual Disorders
    ","
    Preconception Care
    ","
    Uterine Fibroid
    ","
    Pcos Pcod
    ","
    Pregnancy Care
    ","
    Medical Termination Of Pregnancy
    ","
    Laser Vaginal Bleaching
    ","
    Anal Bleaching
    ","
    Vaginal Wart
    ","
    Molar Pregnancy
    ","
    Bartholin Cyst
    ","
    Miscarriage
    ","
    Endometriosis
    ","
    Adenomyosis
    ","
    Myomectomy
    ","
    Dilation And Evacuation (D&E)
    ","
    Polypectomy
    ","
    ENT
    ","
    Turbinate Reduction
    ","
    Uvulopalatopharyngoplasty
    ","
    Adenoidectomy
    ","
    Myringotomy
    ","
    Microlaryngeal
    ","
    Mastoidectomy
    ","
    Tongue Base Reduction
    ","
    Tonsils Removal
    ","
    Deviated Nasal Septum
    ","
    Eardrum Surgery
    ","
    Sinus Surgery
    ","
    Thyroidectomy
    ","
    Tonsillectomy
    ","
    Ear Surgery
    ","
    Sinusitis
    ","
    Tympanoplasty
    ","
    Fess Surgery
    ","
    Stapedectomy
    ","
    Septoplasty
    ","
    Tonsillitis
    ","
    Adenoids
    ","
    Hearing Problem
    ","
    Thyroid Infection
    ","
    Chronic Sinusitis
    ","
    Recurrent Sinusitis
    ","
    Subacute Sinusitis
    ","
    Mastoiditis
    ","
    Parotidectomy
    ","
    Nose Surgery
    ","
    Vocal Cord Polyps
    ","
    Adenotonsillectomy
    ","
    Otitis Media
    ","
    Nasal Polyps
    ","
    Turbinoplasty
    ","
    Ear Infection
    ","
    Ear Hole
    ","
    Throat Infection
    ","
    Middle Ear Perforation
    ","
    Urology
    ","
    Urinary Tract Infection
    ","
    Urinary Incontinence
    ","
    Erectile Dysfunction
    ","
    Urethral Stricture
    ","
    Stress Urinary Incontinence
    ","
    Circumcision
    ","
    Kidney Stones
    ","
    Male Urinary Tract Infection
    ","
    Prostate Enlargement
    ","
    Phimosis
    ","
    Paraphimosis
    ","
    Foreskin Infection
    ","
    Balanoposthitis
    ","
    Balanitis
    ","
    Frenuloplasty
    ","
    Cystoscopy
    ","
    Cystolithotripsy
    ","
    DJ Stent
    ","
    cystolithotomy
    ","
    Urethral Stricture
    ","
    pyeloplasty
    ","
    nephrostomy
    ","
    Corn Removal
    ","
    Vasectomy
    ","
    Toenail treatment
    ","
    Testicular Torsion
    ","
    Epididymal Cyst
    ","
    Vascular
    ","
    Varicose Veins
    ","
    Varicocele
    ","
    Diabetic Foot Ulcer
    ","
    AV Fistula For Dialysis
    ","
    Deep Vein Thrombosis
    ","
    Spider Veins
    ","
    Aesthetics
    ","
    Gynecomastia
    ","
    Liposuction
    ","
    Lipoma
    ","
    Sebaceous Cyst
    ","
    Breast Lift
    ","
    Rhinoplasty
    ","
    Breast Reduction
    ","
    Breast Augmentation
    ","
    Breast Lump
    ","
    Hair Loss
    ","
    Breast Surgery
    ","
    Axillary Breast
    ","
    Abdominoplasty
    ","
    Double Chin
    ","
    Buccal Fat
    ","
    Earlobe Repair
    ","
    Blepharoplasty
    ","
    Hair Fall PRP
    ","
    Orthopedics
    ","
    Carpal Tunnel Syndrome
    ","
    Knee Replacement
    ","
    Spine Surgery
    ","
    Hip Replacement
    ","
    Arthroscopy
    ","
    ACL Tear
    ","
    Rotator Cuff Repair
    ","
    Bankart Surgery
    ","
    Bankart Repair
    ","
    Meniscus Repair Surgery
    ","
    Shoulder Replacement Surgery
    ","
    Discectomy
    ","
    Laminectomy
    ","
    Acdf Surgery
    ","
    Spinal Fusion
    ","
    Ligament Injury
    ","
    Knee Arthroscopy
    ","
    Shoulder Arthroscopy
    ","
    Femur Fracture
    ","
    Ophthalmology
    ","
    Lasik
    ","
    Cataract
    ","
    Squint Surgery
    ","
    Glaucoma Surgery
    ","
    Retinal Detachment Surgery
    ","
    Diabetic Retinopathy Treatment
    ","
    Intravitreal Injections
    ","
    Vitrectomy
    ","
    Monofocal Lens
    ","
    Multifocal Lens
    ","
    Toric Lens
    ","
    PRK Lasik
    ","
    Smile Lasik Surgery
    ","
    Femto Lasik Surgery
    ","
    ICL Surgery
    ","
    Macular Edema
    ","
    Retinal Surgery
    ","
    Contoura Vision
    ","
    Phaco Surgery
    ","
    Pterygium
    ","
    Dentistry
    ","
    Teeth Alignment (Fix)
    ","
    Dental Others
    ","
    Crossbite Teeth
    ","
    Overbite Teeth
    ","
    Openbite Teeth
    ","
    Weight Loss
    ","
    Bariatric Surgery
    ","
    SPATZ Intragastric Balloon
    ","
    Intragastric Balloon
    ","
    Weight Loss Surgery
    ","
    Weight Loss
    ","
    Dermatology
    ","
    Scar Removal
    ","
    Beard Transplant
    ","
    Face Threadlift
    ","
    Botox
    ","
    Derma Fillers
    ","
    Vampire Facial with Dermaroller
    ","
    Hair Transplant
    ","
    Hair Reduction
    ","
    Fat Loss
    ","
    Allergan for Double Chin
    ","
    Allergan for Arms
    ","
    Allergan for Underarm Fat
    ","
    Allergan for Tummy
    ","
    Allergan for Inner Thigh
    ","
    Allergan for Outer Thigh
    ","
    Anti Aging
    ","
    Uneven Skin Tone
    ","
    Acne & Scar
    ","
    Pigmentation
    ","
    Tattoo removal
    ","
    Hair Treatment
    ","
    Vitiligo for Face
    ","
    Roascea (Gold Toning laser)
    ","
    Dark Circle & Puffy Eyes
    ","
    Foundation full Face
    ","
    Acne Scar
    ","
    Fertility
    ","
    Male Infertility
    ","
    Female Infertility
    ","
    Ivf
    ","
    Iui
    ","
    Embryo Transfer
    ","
    ICSI Treatment
    ","
    Neurology
    ","
    Headache or migraine
    ","
    Neurology-Others
    ","
    Nephrology
    ","
    Chronic kidney disease (CKD) follow-up
    ","
    Pulmonology
    ","
    Chest pain or tightness
    ","
    Oncology
    ","
    Oncology
    ","
    General Physician
    ","
    General Physician-Others
    ","
    Diabetes
    "]" data-all-dropdown-items-arr="[]">
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