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Clarity on Coverage: Is Cataract Surgery Included in Health Insurance?

Cataract surgery is really common and essential, especially for older people in India. That’s why knowing if your insurance covers it is a big part of health insurance planning. This article will dive into cataract surgeries, their costs, and why having the best health insurance in India that covers these surgeries matters.

Cataract Surgery in India

Cataracts make your eye’s lens cloudy, and they usually happen as people get older. Cataract is the principal reason for blindness in India. Cataracts are particularly concerning for the elderly population in India. There are various types of cataract surgeries with their distinctive approaches and associated costs. The types of cataract surgeries available in India are:

  • Phacoemulsification 

It is the most popular and advanced technique of doing cataract surgery. It involves using ultrasound to divide the cataract into small pieces, making its removal easy. The cost for phacoemulsification goes up to ₹50,000, depending on the facility and the type of lens chosen.

  • Extracapsular Cataract Surgery (ECCE)

ECCE is a traditional method to remove cataracts where the whole cloudy lens is removed at once. It is generally more affordable, with costs going up to ₹40,000.

  • Intracapsular Cataract Extraction Surgery

This surgery removes the entire natural lens along with the affected cataract and its surrounding capsule. It’s not as common due to possible problems and newer methods. The cost could go up to ₹60,000.

  • Femtosecond Laser-assisted Cataract Surgery

This method involves precise cuts, lens breakdown, and fixing astigmatism, reducing the need for regular surgical tools and making the process more accurate and safe. It might cost between ₹80,000 to ₹1,50,000.

  • Manual Small Incision Cataract Surgery (MSICS)

MSICS is a variant of ECCE but involves a smaller incision. It’s a cost-effective option, with surgery costs ranging from ₹15,000 to ₹30,000.

Why Health Insurance for Cataract Surgery Matters

The significance of having health insurance that covers cataract surgeries is crucial. Here’s why having the right health insurance is essential for these procedures:

  • Financial Security

Cataract surgeries, although routine, can pose a substantial financial burden, particularly for senior citizens who may be living on fixed incomes. Health insurance provides the financial security required to cover the expenses related to cataract surgeries. Without the best health insurance policy, these expenses can be overwhelming.

  • Preventive Care

The best health insurance plan includes coverage for routine eye check-ups. These check-ups can help in the early detection of cataracts, allowing for timely intervention. Early detection and treatment can prevent the condition from worsening, leading to a more successful outcome.

  • Post-Surgery Care

After cataract surgery, patients need some extra care, like medicines, eye drops, and check-ups. Health insurance can help cover these after-surgery expenses, ensuring patients get complete care without stressing about the payments.

  • Choice of Hospitals and Doctors

Family health insurance plan often allow individuals to choose among their preferred network hospitals and doctors. This means you can select a reputable ophthalmologist and a well-equipped hospital for your cataract surgery, ensuring the best possible outcome.

Waiting Period in Cataract Surgery

Before getting health insurance for cataract surgery, it’s good to know about waiting periods. These are set times when certain existing conditions aren’t covered. Cataracts are usually seen as an existing condition, and different health insurance plans might have different waiting periods for their coverage.

Understanding Waiting Periods

  • Some health insurance plans make you wait 1 to 4 years before covering cataract surgeries.
  • Others might let you get coverage after a shorter wait, like 6 to 12 months.
  • If you stick with the same insurance company, they might reduce or even skip the waiting period.

It’s imperative to carefully check the waiting periods and all the details in the policy when considering health insurance for cataract surgery. Doing this helps you make a smart choice and ensures you’re covered when you really need it.

Conclusion

Having the right health insurance plan that covers these surgeries is a wise health insurance planning move. Niva Bupa stands out as one of the best health insurance providers in India. Their comprehensive coverage ensures you can undergo cataract surgery without worrying about the financial burden. Protect your vision, ensure timely treatment, and secure your future by choosing Niva Bupa for your health insurance needs.

In a country where cataracts are a prevalent health concern, the best health insurance policy protects against the financial implications of cataract surgeries. Invest in your well-being and safeguard your vision with Niva Bupa’s health insurance solutions.

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