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Is Parotidectomy Cost Covered Under Insurance?

Parotidectomy is the partial or complete removal of the parotid gland, which becomes necessary if the patient has been diagnosed with severe parotid gland issues such as parotid cancer, cyst, tumor, or infection. Since surgery is considered medically necessary in such cases, the treatment is generally covered under health insurance and mediclaim policies. Read on to obtain clarity on parotidectomy insurance coverage in India.

Parotidectomy is the partial or complete removal of the parotid gland, which becomes necessary if the patient has been diagnosed with severe parotid ... Read More

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Parotidectomy Treatment Insurance Claim
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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 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 Parotidectomy Covered Under Insurance?

Since parotidectomy is performed as a medically necessary procedure, most insurance providers cover its cost under their health insurance and mediclaim policies. Patients who own either of the two policies can file a claim if they’ve been asked to get a parotidectomy. While health insurance policies provide comprehensive coverage for parotidectomy, a mediclaim may only cover the hospitalization expense. But, this is subject to vary, and you should therefore contact your respective insurance provider before filing a claim.

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Leading Insurance Providers For Parotidectomy In India
In addition to getting the right insurance policy, it is also vital for patients to get the policy from a reliable policy provider. Since there are several insurance providers across India, we have compiled the best ones in the list below:  Aditya Birla Health Insurance Co. Ltd. Specialized health insurer for all patients A network of 9000+ hospitals  Offers 50% of premium as ‘HealthReturns’. Future Generali India Insurance Co. Ltd. 96.15% Individual claims settlement ratio for FY 2021-2022 1.5 Million lives touched since inception Crowned as the Life Insurance Company of the Year in 2018 Note: To get clarity about the health insurance and mediclaim plans offered by the insurers above and all other major insurance providers, it is best to contact their team. Make sure you get clarity on the terms and conditions of the policy, and any other important information as these can vary for each insurance provider. 
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.
Top Specialists for Parotidectomy
  • online dot green
    Dr. Richa Mina (1FJxOOyBQw)

    Dr. Richa Mina

    MBBS, DLO
    20 Yrs.Exp.

    4.7/5

    20 Years Experience

    location icon Pristyn Care La Midas, DLF Phase 3, Gurugram
    Call Us
    9513-012-507
  • online dot green
    Dr. Divya Badanidiyur (XiktdZyczR)

    Dr. Divya Badanidiyur

    MBBS, DNB
    16 Yrs.Exp.

    4.5/5

    16 Years Experience

    location icon 76, 17th Cross Rd, Malleshwaram, Bengaluru, Karnataka 560055
    Call Us
    9175-793-953
  • online dot green
    Dr. Vidya H  (YTiKnplaH2)

    Dr. Vidya H

    MBBS, MS-ENT
    14 Yrs.Exp.

    4.8/5

    14 Years Experience

    location icon Insight Tower, MIG:1-167, Insight Towers, Opp: Prime Hospital 4th Floor, Rd Number 1, Kukatpally Housing Board Colony, Hyderabad, Telangana 500072
    Call Us
    6366-447-375
  • Cashless Payment Service For Parotidectomy at Pristyn Care

    Before any surgery, patients have to decide on ways to manage the treatment expense. And so, they always look for affordable treatment options. Pristyn Care has garnered the reputation of one of India’s leading surgical care providers by offering the most advanced surgical solutions in the country. We are pioneers in ensuring a comprehensive treatment experience for patients and providing cost-effective treatments. In addition, we also provide end-to-end insurance assistance to patients to save them the hassle of claiming insurance. 

    • End-to-end insurance assistance: The insurance team at Pristyn Care works diligently to help patients claim their insurance without facing any issues. They help patients with all the insurance and hospital paperwork, connect with the insurance company, and claim the maximum amount quickly. 
    • Assistance and guidance after claim rejection: An insurance claim may get rejected for several reasons. Just in case your claim gets rejected, our team will assist you in understanding the reason for rejection and would even help you explore other options to manage your parotidectomy treatment expense. 
    • Keeping a check on delays in the claim: There might be a delay in claim processing due to several reasons. Our insurance specialists can help you overcome such a delay by reviewing the documentation and reaching out to the insurance provider. 

    Furthermore, Pristyn Care curates a range of other facilities to ensure a smooth treatment journey for the patients. Our facilities include, but are not limited to, follow-ups with the best ENT doctors, multiple payment options, No Cost EMI offers, complete assistance by dedicated care coordinators, and free commute and meals. Book your consultation with our expert ENT specialists today. 

    All Major Insurance Accepted

    What is the Difference Between a Health Insurance and a Mediclaim Policy?

    Here are five key differences between health insurance and mediclaim policies:

    Coverage: Health insurance provides comprehensive coverage for a wide range of medical expenses, including hospitalization, doctor visits, diagnostic tests, medication, and more. On the other hand, mediclaim policies provide coverage specifically for hospitalization expenses, such as room and board, nursing care, and medical procedures related to the hospitalization.

    Premiums: Mediclaim policies tend to have lower premiums than health insurance policies since they offer more limited coverage.

    Benefits: Health insurance policies typically offer extensive coverage limits and benefits, including coverage for pre-existing conditions, maternity benefits, and preventive care services.

    Claim Process: The claim process for mediclaim policies is generally simpler and more straightforward since the coverage is limited to hospitalization expenses. In contrast, health insurance claims may be more complex, and patients may need to submit documentation to support their claims.

    Flexibility: Health insurance policies are more flexible and offer more customization options, allowing patients to choose the level of coverage and benefits that best suit their needs. In contrast, mediclaim policies offer limited coverage and may not be suitable for patients who need more comprehensive coverage.

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    FAQs Around Parotidectomy Insurance

    How to choose a health insurance plan?

    Before choosing a health insurance policy, make sure you consider the following aspects of the policy: The Sum Insured Network Hospitals Exclusions and Other Clauses Additional Benefits

    What documents are required to file an insurance claim for parotidectomy?

    To file for an insurance claim, you’ll most likely need the following documents:  Original claim form duly completed along with your signature. Valid identity proof- aadhar card, driving license, etc.  Doctor's prescription suggesting treatment in hospital. Doctor's prescription advising diagnostic tests, medicines, and consultation. Ambulance receipt. (if applicable) Indoor case papers.

    Is parotidectomy always covered under insurance?

    The insurance coverage of parotidectomy depends on several factors. Most insurance providers offer coverage for parotidectomy under their health insurance or mediclaim policies. But, the coverage provided may differ based on the terms and conditions of the insurance provider.

    What is the cost of parotidectomy without insurance?

    In general, a parotidectomy surgery can cost you anywhere between Rs. 70,000 to Rs. 95,000, which may include the cost of hospitalization, surgeon's fees, medication costs, etc. The total cost, however, can vary on the basis

    What all costs does insurance cover?

    Insurance policies, in general, offer coverage for the following: Hospitalization cost Pre and post-hospitalization cost Cost of diagnostic tests, Cost of alternative medicine, etc.

    Cost Covered Under Health Insurance/Mediclaim Policy for Parotidectomy Surgery

    Parotidectomy is covered by most health insurance policies and mediclaim policies. Individual insurance policies may differ. In general, insurance may cover the following expenses:

    In-patient hospitalization 

    The total cost of your inpatient hospital stay includes all expenses incurred while you were hospitalized. If your insurance policy includes hospitalization coverage, your insurer will cover the entire cost. These fees could cover ICU fees, nursing fees, consultation and follow-up costs, surgical fees, the cost of diagnostic and surgical instruments, and more.

    Pre-hospitalization expenses

    Prior to being hospitalized for sinusitis surgery, the majority of insurance plans typically cover your potential medical costs up to a predetermined period of time. This could include the price of the doctor’s consultation, medical research, diagnostic tests (like imaging tests, urinalysis, blood tests, etc.), medications, and other expenses.

    Post-hospitalization expenses 

    Post-hospitalization expenses are similarly covered by specific medical insurance and mediclaim policies as are pre-hospitalization expenses. After you leave the hospital, the cost of your medications and other care is covered by the policy.

    Ambulance charges

    The insurance company will cover the costs of the ambulance service, including the cost of transporting you to the medical facility. A mediclaim policy may not cover ambulance services.

    Day-care treatment

    Health insurance and mediclaim policies cover any daycare operations including parotid gland surgery that need a hospital stay of less than 24 hours.

    No Claim Bonus

    Both medical insurance and Medicare policies often give ‘No Claim Bonus’ advantages. You earn a bonus if you don’t utilize your health insurance claims for a particular length of time in a year, for example. The insurer may also increase your coverage limit for the next year.

    Domiciliary hospitalization

    When you are unable to go to a hospital for treatment due to your health, your mediclaim coverage may cover domiciliary hospitalization. You will still be eligible for medical care for at least three days.

    Additional Coverage

    With mediclaim insurance, you can also cover additional costs, such as ambulance and ICU fees, second opinions, and alternative therapies.

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