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Myomectomy refers to the surgical removal of uterine leiomyomas, also known as uterine fibroids. Uterine fibroids is a severe medical condition that can impact a woman's health. Hence, surgical treatment of uterine fibroids is covered under the insurance policy.
Myomectomy refers to the surgical removal of uterine leiomyomas, also known as uterine fibroids. Uterine fibroids is a severe medical condition that can ... impact a woman's health. Hence, surgical treatment of uterine fibroids is covered under the insurance policy. Read More
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Myomectomy Surgery with Insurance at Pristyn Care
One of the most frequent questions patients ask after being diagnosed with uterine fibroids is: does insurance cover myomectomy surgery? Fortunately, the answer is yes! If you are experiencing the symptoms of uterine fibroids, like heavy menstrual bleeding, constipation, pelvic pressure, pain, etc.,the last thing you need to worry about is paying for surgery.
Myomectomy surgery removes uterine fibroids that develop in and around a woman’s uterus. Most health insurance and mediclaim plans cover myomectomy. However, there are certain exceptions to this rule. The insurance policy won’t include the cost of surgery if the size and number of fibroids are small and can be treated through medications.
Also, each insurance plan will have its own policies about which medical procedures are included, how much insurance coverage is provided, and the qualifying measures for coverage. Hence, it is essential to check the details of the insurance policy before purchasing it.
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| Basis | Mediclaim | Health insurance |
|---|---|---|
| Sum assured | Typically, the maximum sum insured is Rs. 5 lakhs. | The amount insured may be increased to crores. |
| Number of claims | Mediclaim insurance allows additional claims until the amount insured is gone. | Typically a single claim, like one for a lump sum payment in the event of a critical medical condition. |
| Add-on benefits | Extensions and add-ons to insurance coverage are not permitted with medical insurance. | For a variety of healthcare requirements, including maternity, serious illnesses, etc., health insurance offers add-ons. |
| Insurance Coverage | Hospitalization coverage related to the medical condition, specific medical illnesses, and a set amount are all included under medical insurance. | Comprehensive coverage is provided by a health insurance plan, including coverage for hospitalization, acute sickness, routine checkups, and more. |
| Payments | When using a cashless payment method, payments are either repaid to the policyholder or made directly to the hospital. | When using a cashless payment method, the policyholder is either refunded, the hospital receives payment, or a lump sum payment is made in circumstances like critical illness, specific illness policies, etc. |
If you opt for enough coverage, your health insurance policy will cover most of the treatment costs for your medical condition. Some of the costs that are included in a health insurance policy include:
When you fall sick, you visit a physician and get a consultation for your medical condition. If the physician recommends you to get hospitalized and undergo a medical procedure that is covered by a health insurance plan, the expenses you incur before getting admitted are borne by the insurer. These medical expenses include preliminary procedures, diagnostic tests, preventive surgeries, etc.
Since myomectomy is a surgical procedure covered under a health insurance policy, the insurance company will bear all the hospitalization costs incurred before getting admitted to the hospital.
The medical expenses incurred after discharge generally include medications and medical tests to monitor overall health and recovery. However, it is essential to know that while most health insurance plans include post-hospitalization expenses, they are restricted to a specified number of days. In most cases, insurers cover post-hospitalization costs for up to 90 days (the duration varies from insurer to insurer).
In addition, the post-hospitalization expenses are covered only if the disease or the ailment for which you get hospitalized is included in your health insurance plan.
A daily cash allowance under health insurance is a fixed amount that can be availed to pay for the added inadmissible expenses when you are hospitalized for your treatment. The amount is normally fixed at the time of availing the insurance policy and is fixed until the end of the policy tenure.
A health insurance plan also covers the costs of all treatments and medical procedures undertaken as an in-patient for less than 24 hours.
Home treatment, also known as a domiciliary treatment, refers to a scenario where a policyholder requires hospitalization but is treated at home. It may happen when the patient’s medical condition is such that they can’t leave home or when there is a shortage of beds or other resources. Almost all health insurance plans today include this feature and do not differentiate a professional medical setup from a domiciliary one.
Pristyn Care aims to make myomectomy surgery almost cashless for all patients who have a genuine mediclaim or health insurance policy. Our cashless payment service works in the following manner:
Diet & Lifestyle Consultation
Post-Surgery Recovery Follow up
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Both health and mediclaim insurance policies cover the cost of myomectomy surgery. With advancements in medical science and surgery, you can get rid of your uterine fibroids without affecting your fertility. Avail one of the best uterine fibroid treatments with Pristyn Care, and get a hassle-free experience while filing the health insurance and mediclaim.
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