What is Surgery Insurance & Why Do You Need it?

What is Surgery Insurance & Why Do You Need it?

Health insurance has become vital for everyone in India due to the growing expense of health care and the increased health risks connected with a desk-bound lifestyle. Do you have a good understanding of what your health insurance covers? What happens if you need surgery? We’re here to answer your concerns and clear up any confusion you may have concerned surgical health insurance. So, without further ado, let us understand the basics and why you should buy surgery insurance.

What Is Surgery Insurance and What Does It Mean?

The Surgery Insurance plan offers comprehensive coverage for expenses related to defined surgical procedures. This health cover provides the much-required financial cushion for one’s precious savings. Surgery is often a mandate to begin the road to recovery from an illness. The prospect of undergoing a medical procedure may make anyone uneasy. However, you may relax knowing that you can access the most complex medical treatment possible through your health insurance. It is a critical medical technique that is essential in treating a variety of ailments. Surgical operations are becoming more sophisticated as a result of medical developments. Many operations no longer need huge incisions, complicated procedures, or lengthy hospital stays. 

Surgical insurance provided by Care Health Insurance is a Mediclaim policy that offers extensive coverage against expenses incurred due to defined surgical procedures. Having surgical insurance offers you a much sought-after financial cushion for your precious saving in case of an unexpected, unfortunate happening.

In addition, other types of products provide a lump sum pay-out after undergoing a specific surgery (Surgical Cash Benefit) and cater to the needs of a particular target demographic, such as senior citizens.

What Does it Cover?

The good news is that most surgery insurance policies cover procedures, but only under certain circumstances. The expenses must be ‘medically essential,’ that is, they must be for an operation that is either lifesaving, health-improving, or aimed to prevent disease. Surgical procedures undertaken only to improve one’s appearance, on the other hand, are rarely covered. A rhinoplasty or nose operation, for example, will be covered if it helps a person breathe better or reconstruct their face after an accident, but not if it is done only to improve the way your nose looks.

How Much Surgery Coverage Does Health Insurance Provide?

This is quite variable and depends on a variety of factors. Check the terms and conditions of your policy and ask your surgery insurance company for explanations to decide how much of your procedure the insurance provider will cover. You can also speak with your doctor and surgeon to estimate the surgery’s cost and plan appropriately. Remember that no one can forecast the exact amount because additional fees may arise due to what the doctors discover through the treatment.

What Are the Additional Surgical Costs included?

There are some parts of surgery that are included in the overall expenditures, such as:

  • Pre-Operative and Post-Operative Tests: Surgery insurance includes bloodwork, x-rays, and other tests needed to assess the patient’s condition before and after surgery.
  • OT Cost: The Operation Theatre, the chamber where the surgery takes place, will have different prices based on the procedure or per-hour basis.
  • Surgeon and Attendant Fee: The fee for those who care for the patient during surgery will be included in the bill separately. Surgeons, co-surgeons, and any other doctors or nurses needed are among them.
  • Medicine: Intravenous medication, anesthetic, etc., as required and prescribed by the doctor.
  • Medical Equipment: After surgery, the patient may need a brace or crutches.
  • Recovery Room and Inpatient Care: Depending on the patient’s situation, there is a set amount of time for the patient to recuperate following surgery and the required care. These will be added to the surgery’s cost.

Since each plan has varying coverage levels, the coverage for these components will vary depending on your surgery insurance policy.

In a nutshell, surgery insurance policies usually cover procedures, although there are certain restrictions. When you file a claim with your insurance company, they must be medically required in most circumstances. However, the specifics of coverage vary significantly amongst policies. Reading the policy copy and clarifying with your insurance provider are the best ways to understand. Health insurance can now be purchased online.

Moreover, the procedure is straightforward. You can compare health insurance providers, the plans, their network of cashless Mediclaim hospitals, and the premium calculator with just a few clicks. Therefore, it is always advisable to opt for surgery insurance, and Care Health Insurance can be your go-to place when looking for the best policies.