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Is Throat Infection Covered Under Insurance?

Yes, most major health insurance providers offer throat infection treatment coverage, as it can lead to various serious problems like tonsillitis, kidney inflammation, etc. Hence, it is deemed a medically necessary procedure that is majorly covered under health insurance and mediclaim policies. A mediclaim policy is a type of health insurance that covers hospitalization expenses only. In simple words, if you are hospitalized for any disease or injury, this policy does cover hospitalization charges only and does not cover add-on expenses. On the other hand, health insurance policies offer broader coverage beyond hospitalization charges such as consultation and follow-up charges, cost of diagnostic tests, annual health checkups etc. You can customize your health insurance policy according to your needs, and it is more flexible as compared to mediclaim policies.

Yes, most major health insurance providers offer throat infection treatment coverage, as it can lead to various serious problems like tonsillitis, kidney inflammation, ... Read More

Throat Infection Treatment Insurance Claim

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Benefits of Choosing Pristyn Care Treatment with Insurance

What is the Cost Covered Under Health Insurance and Mediclaim Policy

Listed below are the expenses covered under health insurance and mediclaim policies:

In-patient hospitalization expenses: All the expenses that may be incurred while you were hospitalized. The fee may include consultation charges, nursing charges, surgical instruments charges, etc., and more. These expenses are generally covered under both health insurance and mediclaim policies.
Pre-hospitalization expenses: Most insurance policies cover pre-hospitalization expenses up to a specific period of time. These expenses include medical research, diagnostic tests (such as imaging tests, urinalysis, blood tests, etc.), medications, and other costs. These expenses may be covered under health insurance, but not mediclaim.
Post-hospitalization Expenses: Medications and post-hospitalization care are covered by health insurance policy after you leave the hospital. Insurance companies typically cover expenses associated with pre-hospitalization, such as medications, therapy, diagnostic tests, etc.
Ambulance charges: Health insurance policies offer ambulance charges coverage, but it might not be covered under a mediclaim policy.
Daycare treatment expenses: Health Insurance covers all the treatments that need hospitalization of less than 24 hours.
No Claim Bonus: ‘No Claim Bonus’ is usually provided by mediclaim policy and health insurance if you haven’t claimed your insurance for a specific period of time. In addition to the bonus, your coverage limit may also be increased for the succeeding year.
Domiciliary hospitalization: When you are not in a condition to visit the hospital to get the treatment, you can get the treatment at home for up to 3 days and get the reimbursement. This is covered under various health insurance policies.
Additional coverage: Health insurance can also cover extra costs related to treatment, such as ICU charges and alternative therapies.

• Disease name

Throat Infection

• Surgery name

Tonsillectomy, Thyroidectomy

• Duration

1 - 2 hours

• Treated by

ENT Specialist

Throat Infection Surgery Cost Calculator

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Top Health Insurance Providers for Throat Infection Surgery

When you are going to buy health insurance or a mediclaim policy, the first thing is that you have to find the best health insurance provider that covers throat infection treatment in India. Here we have compiled a list of top health insurance providers. 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.

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 Throat infection

Dr. Saloni Spandan Rajya...

MBBS, DLO, DNB

17 Yrs.Exp.

4.5/5

17 Years Experience

3A/79, Ekta Residency, Tilak Nagar, Chembur, Mumbai, Maharashtra 400089

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6366-421-528

Dr. Manu Bharath

MBBS, MS - ENT

16 Yrs.Exp.

4.7/5

16 Years Experience

Marigold Square, ITI Layout, Bangalore

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9175-793-953

Dr. Divya Badanidiyur

MBBS, DNB

16 Yrs.Exp.

4.5/5

16 Years Experience

No. 76, HVV Plaza 15th Cross, 4th Main Rd, Malleshwaram, Bengaluru, Karnataka 560055

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9175-793-953

Steps to Claim your Health Insurance at Pristyn Care

At Pristyn Care, we understand that claiming health insurance can be a tiring task. So, we have a dedicated insurance team to help patients utilize their health insurance. Here’s how our insurance team can help you in claiming your health insurance:

You can send us your insurance-related paperwork, and we’ll verify it with the relevant insurance company.
No-cost EMIs are available for surgical treatment of throat infection treatment if you opt for a cashless payment system.
It is our insurance team’s responsibility to forward the patient’s preferred method of payment to the insurer, as well as any supporting documentation that may be necessary.
After the claim has been approved, the patient will receive the payment. All other hospital formalities are handled by our care coordinators, which further reduces the burden on our patients.

In addition to complete insurance assistance, Pristyn Care helps patients at every step of their treatment journey. We offer the following additional services to all our patients:

FREE consultation and follow up sessions with expert ENT surgeons available near you.
FREE cab service for the patient on the day of surgery.
FREE complimentary meals during hospitalization
A dedicated care coordinator to assist them at each step of the treatment journey.
Treatment in a well-equipped and best in class hospital

So, if you are experiencing symptoms of throat infection, they may be a sign of severe health complications. To get accurate diagnosis and treatment, book your FREE consultation at Pristyn Care now.

All Major Insurance Accepted

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

Health insurance and a mediclaim policy are two different types of health insurance policies that can help individuals manage their healthcare costs. While both provide financial protection against medical expenses, there are some key differences between the two.

Health insurance is a broader form of coverage that typically includes a wider range of benefits than a mediclaim policy. Health insurance plans may cover not only hospitalization expenses, but also outpatient care, prescription drugs, preventive care, and other healthcare services. Health insurance plans may also offer more flexibility in terms of choosing healthcare providers and accessing care.

On the other hand, a mediclaim policy is a more specific type of health insurance that covers hospitalization expenses only. These policies are often more affordable than comprehensive health insurance plans but may offer less coverage. A mediclaim policy typically covers expenses related to room and board, doctor fees, nursing fees, surgical fees, and other hospitalization expenses.

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FAQs Around Throat Surgery Insurance

What is the cost of throat infection treatment in India without insurance coverage?

Generally, the cost of throat infection treatment may range anywhere from Rs. 40,000 to Rs. 90,000 in India without insurance coverage. But, the final cost of the treatment (or surgery for severe cases) depends on various external factors such as hospital charges, surgeon fees, location etc.

What are the benefits of having health insurance?

There are several benefits of having a health insurance: Financial protection Access to quality healthcare Peace of mind Preventive care Tax benefits Overall, having health insurance provides numerous benefits that can help individuals and their families stay healthy and financially secure.