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Is Rectal Prolapse Treatment Covered Under Health Insurance?

Rectal prolapse is an anorectal condition that is usually covered by most health insurance plans in India. If you are suffering from painful rectal prolapse symptoms, get in touch with us at Pristyn Care and undergo safe and effective rectal prolapse treatment.

Rectal prolapse is an anorectal condition that is usually covered by most health insurance plans in India. If you are suffering from painful ... rectal prolapse symptoms, get in touch with us at Pristyn Care and undergo safe and effective rectal prolapse treatment. Read More

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Does Insurance cover Rectal Prolapse Surgery?

A rectal prolapse treatment is typically covered by most health insurance plans in India, as well as mediclaim. In rectal prolapse, the rectum slips outside the muscular opening at the end of the digestive tract, known as the anus. If left untreated, rectal prolapse can lead to serious complications, such as the formation of rectal ulcers and gangrene. Due to these factors, treatment for this condition is considered to be medically necessary and hence covered by health insurance and mediclaim.

There are primarily 4 types of surgical procedures when it comes to treating a rectal prolapse. Depending on the one you choose or the one that is recommended to you, the extent of your coverage may vary. The procedures that are covered by health insurance for treating rectal prolapse include:

Open Abdominal Rectopexy
Laparoscopic Abdominal Rectopexy
Altmeier Procedure
Delorme Procedure

• Disease name

Rectal Prolapse

• Surgery name

Rectopexy

• Duration

15 to 20 Minutes

• Treated by

General Surgeon

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How to Get Rectal Prolapse Under Insurance?

Both, health and Mediclaim insurance policies cover the cost of rectal prolapse treatment. However, it is advised to choose an insurance policy that provides extensive benefits at an affordable price. At Pristyn Care, you get not only the best treatment for rectal prolapse but also a hassle-free experience during filing the health insurance and Mediclaim. We take care of the complete procedure, including insurance-related paperwork, of getting approval on an insurance claim. This is to ensure that the patient nor their family members have to face any additional hassles.

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.

Best Doctors for Rectal Prolapse Treatment

Dr. Vipin Nagpal

MBBS, MS-General Surgery

31 Yrs.Exp.

4.5/5

31 Years Experience

Pristyn Care Elantis Hospital, Lajpat Nagar, Delhi

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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

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080-6542-3720

Costs Covered Under Health Insurance for Rectal Prolapse

Depending on your specific insurance plan, the extent of the coverage of your rectal prolapse surgery will likely vary. Some services that are usually covered by most health insurance plans for rectal prolapse treatment in India are given below:

In-patient Hospitalization: In case you require hospitalization due to your condition, the hospitalization expenses are borne by the insurer as long as it is included in your specific plan. Hospitalization expenses typically include:
- Hospital room rent or boarding expenses
- Nursing expenses
- ICU charges
- Doctor consultation
- Surgical tools and diagnostic equipment
- Surgery
- Additional amenities and facilities

Pre-hospitalization Costs: All medical expenses that are incurred prior to your hospitalization are typically included in your health insurance plan. However, this is only up to a pre-specified period. Pre-hospitalization costs typically include doctor consultations, preliminary procedures, preventive surgeries, diagnostic tests, medications, etc.
Post-hospitalization Costs: After your rectal prolapse surgery and discharge, all costs involved in your recovery period and aftercare are covered in insurance plans. However, similar to pre-hospitalization costs, these too are only up to a pre-specified period. These costs usually include postoperative follow-ups, medications, etc.
Ambulance Charges: If you require an ambulance to commute to the hospital for treatment, its expenses are typically covered by an insurance plan. However, the extent may vary depending on your specific insurance plan.
Daycare Treatment: Your health insurance plan will likely cover the costs of additional amenities and treatments performed as an in-patient in less than 24 hours after surgery.

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What Is The Difference Between Health Insurance And Mediclaim?

When it comes to health insurance and mediclaim, there is often confusion among patients about which one is best suited for them. And while both can appear similar at a glance, they are different from each other. A primary difference between health insurance and mediclaim is that a health insurance plan provides comprehensive medical coverage for hospitalization expenses, pre-hospitalization expenses, post-hospitalization charges, ambulance costs, and daycare treatment costs, a mediclaim procedure only covers hospitalization expenses.

Additionally, an insured person must be hospitalized before claiming coverage through mediclaim. Otherwise, they will not be able to raise a claim. However, no such criteria are required for raising a claim for a health insurance plan for rectal prolapse surgery. To help you understand the difference even better, given below is a detailed overview of the major differences between health insurance and mediclaim.

Mediclaim	Fixed Benefit Health Insurance
Mediclaim: Mediclaim insurance extends to expenses incurred before, after, and during hospitalization.	Health Insurance: Fixed benefit health insurance pays a pre-defined amount of funds, irrespective of treatment costs.
Insurance claim for Mediclaim is usually processed based on diagnostic reports, written consultations, treatment bills, medicine bills, and additional documents.	Claims under fixed-benefit health insurance plans are based on diagnostic reports. There is no hassle of submitting bills, written consultations, or any other documents to raise a claim.
Mediclaim insurance policies reimburse you or your doctor for expenses incurred up to the sum assured limit.	A health insurance plan pays a fixed lump sum amount, regardless of your actual expenses.
Mediclaim insurance plans provide cashless facilities. This means you can have direct reimbursement to healthcare providers only at a network hospital.	A fixed-benefit health insurance plan typically pays the money to the policyholder directly.
Mediclaim insurance plans usually do not pay any assured monthly payout if the policyholder is diagnosed with a major illness or condition.	On the diagnosis of a predetermined condition or illness, some health insurance plans pay the policyholder a portion of the base Sum Assured every month for a fixed period of time.
Some Mediclaim insurance plans require you to pay a part of your total expenses while the rest is paid by the insurer.	Fixed-benefit health insurance plans do not require you to pay any part of the pre-defined amount.

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FAQs Related to Rectal Prolapse Insurance Coverage

What is the waiting period for an insurance claim for rectal prolapse treatment?

The initial waiting period for health insurance for rectal prolapse treatment varies between different plans. However, in most cases, the minimum waiting period for a surgical procedure is at least 30 days.

What are the factors that affect the cost of rectal prolapse treatment in India?

Some of the most common factors that are most likely to affect the exact cost of your rectal prolapse treatment are given below:

Consultation charges
Expertise of your preferred surgeon
Hospital charges
The extent of your insurance coverage
Method of Surgery
The city you are in

What documents are required for claiming health insurance for rectal prolapse treatment?

To raise a claim for insurance coverage for rectal prolapse surgery, you may need to provide some reports and documents, which are given below:

Original claim form with signature
Valid identity proof
Doctor’s prescription that suggests treatment for rectal prolapse 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 doctor should I consult to treat rectal prolapse?

A proctologist is typically considered to be the best doctor for treating rectal prolapse. A proctologist is a medical professional who specializes in the diagnosis and treatment of conditions related to your large intestines (which include your colon, rectum, and anus).

How long is rectal prolapse surgery?

Generally, rectal prolapse surgery can take anywhere from 60 to 150 minutes to complete. It is to be noted, however, that depending on the method of your surgery and which approach is best for you (abdominal or perineal), your surgery duration may vary.

How Much Does Rectal Prolapse Surgery Cost?

The average cost of rectal prolapse surgery in India can range anywhere from Rs. 100000 to Rs. 200000. It is to be noted, however, that depending on the method of surgery you choose or the one that is recommended to you, the exact surgery cost will likely vary.

Top Health Insurance Plans for Rectal Prolapse Surgery

To help you decide, given below a list of some of the top health insurance providers in India that cover rectal prolapse surgery in their insurance plans:

Bajaj Allianz Health Insurance Plan
Care Health Insurance Plan
GoDigit Health Insurance Plan
ACKO Health Insurance Plan
Star Health Insurance Plan
HDFC ERGO Insurance Plan
Tata AIG Health Insurance Plan

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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Proctology

","

Pilonidal Sinus

","

Piles

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Rectal Prolapse

","

Fissure

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Fistula

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Fecal Incontinence

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Constipation

","

Hemorrhoids

","

Laparoscopy

","

Umbilical Hernia

","

Hydrocele

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Inguinal Hernia

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Incisional Hernia

","

Appendicitis

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Gallstone

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Hernia

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Achalasia Cardia

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Acid Reflux Surgery

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Large Intestine

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Small Intestine

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Colonoscopy

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Gastric Bypass Surgery

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Gynaecology

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Pain During Intercourse

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Vaginoplasty

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Abortion

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Hysteroscopy

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Pap Smear

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Vaginal Recurrent Infection

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Pelvic Pain

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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 Rectal Prolapse Treatment Covered Under Health Insurance?

Does Insurance cover Rectal Prolapse Surgery?

Costs Covered Under Health Insurance for Rectal Prolapse

What Is The Difference Between Health Insurance And Mediclaim?

Pristyn Care’s Free Post-Operative Care

FAQs Related to Rectal Prolapse Insurance Coverage

What is the waiting period for an insurance claim for rectal prolapse treatment?

What are the factors that affect the cost of rectal prolapse treatment in India?

What documents are required for claiming health insurance for rectal prolapse treatment?

Which doctor should I consult to treat rectal prolapse?

How long is rectal prolapse surgery?

How Much Does Rectal Prolapse Surgery Cost?

Top Health Insurance Plans for Rectal Prolapse Surgery

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