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Is Pilonidal Sinus Surgery Covered Under Health Insurance?

The treatment of pilonidal sinus is covered under both Mediclaim and health insurance. Pristyn Care strives to make the treatment almost cashless for patients who have a reliable medical or health insurance policy.

The treatment of pilonidal sinus is covered under both Mediclaim and health insurance. Pristyn Care strives to make the treatment almost cashless for ...patients who have a reliable medical or health insurance policy. Read More

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Is Treatment For Pilonidal Sinus Covered Under Insurance Or Mediclaim?

Are you suffering from pilonidal sinus and thinking if it is included in insurance? The answer is, yes, the treatment of pilonidal sinus is covered under both health insurance and Mediclaim. The only distinction is, while Mediclaim provides coverage against only hospitalization costs related to the treatment, the health insurance policy provides comprehensive insurance coverage that extends further than just hospitalization costs.

The terms and conditions around the insurance coverage and the amount you can claim under them may vary for each patient. Therefore, it is important to check the details of the insurance policy before purchasing it.

• Disease name

Pilonidal Sinus

• Surgery name

Endoscopic

• Duration

15 to 20 Minutes

• Treated by

General Surgeon

💯 No Booking Fees

How to get Pilonidal Sinus Treatment under Insurance?

Both health and Mediclaim insurance cover the cost of pilonidal sinus treatment. However, the limit on the claim amount depends on the insurance policy. Cashless or reimbursement depends on the insurance policy and associations of the hospital with the insurance company. At Pristyn Care, you get the best treatment for pilonidal sinus and a hassle-free experience during filing the health insurance and Mediclaim.

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 Pilonidal Sinus Treatment

Dr. Vipin Nagpal

MBBS, MS-General Surgery

31 Yrs.Exp.

4.5/5

31 Years Experience

Pristyn Care Elantis Hospital, Lajpat Nagar, Delhi

Call Us

080-6542-3711

Dr. Rakesh Shivhare

MBBS, MS(GI & General Surgeon)

30 Yrs.Exp.

5.0/5

30 Years Experience

Opp.Badwani Plaza, Manorama Ganj, Old Palasia, Indore, Madhya Pradesh 452003

Call Us

080-6542-3720

Dr. Apoorv Shrivastava

MBBS, DNB-General Surgery

25 Yrs.Exp.

4.5/5

25 Years Experience

Pristyn Care Eminent Hospital 6/1 Opp. Barwani Plaza, Manorama Ganj, Old Palasia, Indore - 452018

Call Us

080-6542-3720

Cost Covered Under Health Insurance Policy

Some of the costs that are covered under a health insurance policy are:

In-patient hospitalization – In case you are hospitalized because of a medical condition like pilonidal sinus that is covered by the health insurance plan, the hospitalization expenses will be borne by the insurance company. In-patient hospitalization costs include:
- Room rent or boarding expenses
- Nursing expenses
- ICU charges
- Doctor consultation
- Surgery
- Additional expenses, like surgical tools, diagnostic material, etc.
Pre and post-hospitalization expenses – A health insurance policy is more broad-based. It includes costs incurred both before and after hospitalization, like on diagnosis, doctor’s consultation charges, etc.
Ambulance charges – In most health insurance policies, ambulance costs up to a particular limit are allowed in the claim. These costs are reimbursed by the insurance company.
Daycare treatment – Earlier health insurance policies only covered treatment and hospitalizations that went beyond 24 hours. However, with the help of medical advancements and technology, many treatments today can be performed in less time than before. Given the fact, treatments that can be done in under 24 hours, are now introduced in health insurance policies.
Home treatment features – Sometimes people with a conventional mindset want to be treated in the comfort of their homes instead of going to the hospital due to personal preferences. Almost all health insurance plans today include this feature and do not differentiate a professional medical setup from a domiciliary one.

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All Major Insurances Accepted

What Is The Difference Between Health Insurance And Mediclaim?

Mediclaim and health insurance are two terms that people use interchangeably, but these two are different from each other. A health insurance policy is a more comprehensive insurance policy as it includes expenses in the pre and post-hospitalization period along with the treatment costs.

Whereas, Mediclaim insurance covers only hospitalization expenses. Also, a health insurance plan provides the advantage of add-ons like critical illness coverage, loss of income, etc. which increases the coverage available under the policy. But, Mediclaim does not provide any add-on cover.

Furthermore, health insurance operates on the principle of benefit. It means that once you fall ill and your illness is included in your health insurance plan, the insurance company will pay you a lump sum for your treatment. Whereas Mediclaim operates on the principle of indemnity. It means that one can claim refunds only after hospitalization.

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FAQs Related to Pilonidal Sinus Insurance Coverage

What is a cashless health insurance policy?

A cashless health policy provides the advantage to get treatment at network hospitals without making any payment. To avail of this advantage, the insurance policyholder must take approval from the insurance company in advance in case of planned surgeries, and within the specified time in case of emergencies.

What is the cost of pilonidal sinus surgery in India?

On average, the cost of pilonidal sinus surgery in India may range between Rs. 40,000 to Rs. 55,000. But the price range is not specific and depends on several factors like the type and location of the hospital where the surgery takes place, the doctor’s fee or consultation fee, the cost of diagnostic tests or laboratory tests, the severity of the medical condition, etc.

What documents are required for claiming health insurance for your pilonidal sinus treatment?

Here is the list of documents that you need to claim for health insurance for your pilonidal sinus treatment-

Original claim form with the signature
Valid identity proof
Doctor’s prescription suggesting treatment for pilonidal sinus in the hospital
Doctor’s prescription recommending diagnostic tests, medicines, and consultation
Ambulance receipt
Pharmacy bills
Policy details like the insurance policy number, address, name of the insured, etc.
Other documents that may be needed to assess the claim.

Which treatment for pilonidal sinus is best?

Laser surgery is one of the best methods for treating and excising a pilonidal sinus.

When should I go to the doctor for pilonidal sinus?

You must seek immediate medical attention if you experience pain while sitting and see a swollen sinus-like formation at the tailbone or between the buttocks.

Cashless Payment Service for Treatment Of Pilonidal Sinus at Pristyn Care

We, at Pristyn Care, strive to provide the best treatment for pilonidal sinus at an affordable price to all our patients. We aim to make surgery for pilonidal sinus almost cashless for all patients who have a genuine Mediclaim or health insurance policy.

In addition, Pristyn Care has a hassle-free process to use insurance to cover the cost of treatment. Our cashless payment service works in the following manner:

We collect insurance-related documents from the patients and verify the documents with the insurance providers.
Once the verification is done, we go through the patient’s insurance policy to determine what is and isn’t covered under it, and inform them of any applicable deductibles.
The patients get two options, i.e., cashless payment and no-cost EMI to pay for the treatment.
Our care coordinators are responsible for handling the cashless payment and submitting the claim documents to the insurance provider.
As soon as the claim gets sanctioned, the patient is admitted to the hospital and our care coordinator takes care of all the required formalities during the treatment.

Get in Touch

Tell us about your problems and we'll figure out the best treatment option for you.

Pristyn Care services are accessible Pan India

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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Name

Patient Name

Select Country

Phone

+91

Mobile Number

City

Select City

Select Disease

Proctology

","

Pilonidal Sinus

","

Piles

","

Rectal Prolapse

","

Fissure

","

Fistula

","

Fecal Incontinence

","

Constipation

","

Hemorrhoids

","

Laparoscopy

","

Umbilical Hernia

","

Hydrocele

","

Inguinal Hernia

","

Incisional Hernia

","

Appendicitis

","

Gallstone

","

Hernia

","

Achalasia Cardia

","

Acid Reflux Surgery

","

Large Intestine

","

Indirect Hernia

","

Small Intestine

","

Colonoscopy

","

Gastric Bypass Surgery

","

Gynaecology

","

Pain During Intercourse

","

Vaginoplasty

","

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

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Urology

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Urinary Tract Infection

","

Urinary Incontinence

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Erectile Dysfunction

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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

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Urethral Stricture

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pyeloplasty

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nephrostomy

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Corn Removal

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Vasectomy

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Toenail treatment

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Testicular Torsion

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Epididymal Cyst

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Vascular

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Varicose Veins

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Varicocele

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Diabetic Foot Ulcer

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AV Fistula For Dialysis

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Deep Vein Thrombosis

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Spider Veins

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Aesthetics

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Hair Fall PRP

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Carpal Tunnel Syndrome

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Spine Surgery

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Allergan for Double Chin

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Allergan for Outer Thigh

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Anti Aging

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Acne & Scar

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Diabetes

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Patient Detail

Patient Name

Mobile Number

Select City

Select Disease

Proctology

","

Pilonidal Sinus

","

Piles

","

Rectal Prolapse

","

Fissure

","

Fistula

","

Fecal Incontinence

","

Constipation

","

Hemorrhoids

","

Laparoscopy

","

Umbilical Hernia

","

Hydrocele

","

Inguinal Hernia

","

Incisional Hernia

","

Appendicitis

","

Gallstone

","

Hernia

","

Achalasia Cardia

","

Acid Reflux Surgery

","

Large Intestine

","

Indirect Hernia

","

Small Intestine

","

Colonoscopy

","

Gastric Bypass Surgery

","

Gynaecology

","

Pain During Intercourse

","

Vaginoplasty

","

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="[]">

Is Pilonidal Sinus Surgery Covered Under Health Insurance?

Is Treatment For Pilonidal Sinus Covered Under Insurance Or Mediclaim?

Cost Covered Under Health Insurance Policy

What Is The Difference Between Health Insurance And Mediclaim?

Pristyn Care’s Free Post-Operative Care

FAQs Related to Pilonidal Sinus Insurance Coverage

What is a cashless health insurance policy?

What is the cost of pilonidal sinus surgery in India?

What documents are required for claiming health insurance for your pilonidal sinus treatment?

Which treatment for pilonidal sinus is best?

When should I go to the doctor for pilonidal sinus?

Cashless Payment Service for Treatment Of Pilonidal Sinus at Pristyn Care

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