Best Health Insurance Company in India

Is Catarct Surgery Covered Under Health Insurance

8 April, 2021

0 Shares

4241 Reads

Is cataract surgery covered by insurance

Share

Eyes allow us to see the world in its various hues and shades. They paint a picture before us of what's there. The need to take proper care of eyes cannot be overstated. There are various eye-conditions that develop either as a result of old age or medical conditions, which require medical treatment. This is where comprehensive and affordable health insurance gets into the picture.

 

Cataract is an eye condition in which the eye lens gets hazy, and vision is impaired. Cataract is an old-age disease that commonly occurs after the age of 60, and it requires surgery. As per estimates by the WHO, more than 65% Indians over the age of 60 have had cataract. Since the cost of surgery can be costly, a cataract insurance coverage can help save on the bill and ensure quality treatment as well. While opting for a cataract health insurance, it’s important to check for what’s covered and the options provided.

Cataract Insurance Coverage

These are the following factors that need to be evaluated before buying a cataract insurance coverage:

 

Waiting Period

Normally, the minimum waiting period in case of cataract insurance coverage is 2 years, so it's advised to buy the insurance plan well in advance. The waiting window exists because cataract is a pre-planned surgery that normally doesn’t require immediate hospitalization. Before the prespecified time lapses, you cannot make an insurance claim for reimbursement.

 

Claim Limit

There's a certain cap on the claim that can be made in the case of cataract surgery. Maximum amount that can be claimed under cataract insurance coverage is mostly a percentage of the insured sum. However, there are also health insurance policies without any claim limit where the patient is entitled to complete claim of the cataract surgery expense. While selecting the health insurance plan, look for this carefully, and choose the plan that provides the maximum claim amount.

 

Pre-and-Post Surgery Expense

After cataract surgery, eye drops, medications, special glasses are needed. These are usually not covered by the insurance company and the expense will have to be borne by the patient. It needs to be kept in mind that while the cataract surgery expense is covered under the health insurance plan, but post-surgery expenses or the bill of accessories like glasses, eye medicines etc. is not included at all.

 

Coverage Range

Cataract usually occurs in one eye, but in certain cases it can affect both the eyes. Most cataract insurance coverage policies only provide cover treatment only for one eye, so while buying the policy, carefully check for the options and coverage available for treatment of both the eyes, if need be. It's always better to pick up the insurance plan that covers everything related to a particular disease and provides lots of benefits.

 

What are Cataract Symptoms?

Some of the common cataract symptoms include:

 

  • Blurred eyesight
  • Impaired night vision
  • Heightened brightness sensitivity
  • Double vision
  • Colours appear to be faded
  • Spectacle number changes frequently

 

When is the Need for Surgery?

Cataract is diagnosed via tests like slit-lamp test, visual acuity test and dilated eye test. Since cataract cannot be treated without surgical intervention, doctors recommend surgery if cataract is detected. Though there may be cases where cataract is not impairing the vision and there are no symptoms as well. In these rare cases, surgery may not be required as cataract is not causing any trouble. In severe cases, and if not operated timely, cataract can lead to inflammation and conditions like glaucoma.

 

How is Cataract Treated?

The only way to treat cataract is through surgery. There are two most common surgeries: Phacoemulsification (Phaco) and Extracapsular cataract extraction (ECCE). These days laser treatment surgery is also increasingly being used. The whole surgery takes about 40 minutes and at a time, only one eye is operated. If there's cataract in both the eyes, then the second eye is operated only after the recovery of the first eye.

 

Ways to Prevent Cataract

While cataract is an age-related disorder, there are certain ways using which it can be prevented:

  • Reduce UV exposure and wear sunglasses while venturing outside
  • Undergo regular eye check-up
  • Eat diet that's rich in antioxidants
  • Go for regular healthcare check-ups to diagnose any disease that increases the risk of cataract
  • Quit smoking

 

Cataract Surgery Cost

Cost of a cataract surgery depends on factors like health facility, lens type and surgical procedure used. The cost can vary depending on the city too, though usually it falls in the range of Rs. 10,000 - Rs, 1 Lakhs. Advanced treatment further adds to the cost. Due to modern medical facilities, cataract is a surgery with a high success rate. Most patients are discharged from the hospital within the same day of surgery. It’s important to select a health insurance plan that's affordable, offers a good cover limit and covers related expenses as well.

 

Conclusion

Cataract is a widespread eye disorder that’s generally associated with old age. There’s no way to treat it other than surgery. This is where the importance of health insurance springs up, as surgeries are usually costly and need to be planned in advance.

 

Clouded vision, reduced night vision, blurred eyesight are some of the common cataract symptoms. If you observe any of these symptoms, consult a doctor and go for an eye check-up. Cataract can be prevented by cutting down on smoking, eating antioxidant rich diet and wearing sunglasses while venturing out. It’s best to buy cataract insurance coverage in advance so that when the need arises you can avail the benefit of it. While choosing the health insurance plan that best suits you, patiently go through all the terms & conditions. Buy affordable health insurance coverage for elders in your family and help protect their eyes.

Start Your Insurance Today!

Secure your Health with comprehensive insurance plans from Niva Bupa

+91
Disclaimer infoBy clicking Start Now, you authorize Niva Bupa to Call/SMS/Whatsapp on your registered mobile overriding DNCR.

You may also like

Popular SearchesHealth InsuranceMedical Insurance Best Health Insurance PlansHealth Insurance PlansHealth Insurance PolicyBest Health Insurance PlansBest Family Health InsuranceBest Mediclaim PolicyBest Health Insurance In IndiaBest Medical Insurance In IndiaBest Health Insurance Plans In IndiaBest Health Insurance Policy In IndiaMediclaimBest Health Insurance For Senior Citizens In IndiaBest Health InsuranceHealth Insurance With Opd CoverMediclaim InsuranceMedical Insurance PlansBest Health Insurance Company in IndiaCritical Illness InsurancePersonal Accident InsuranceMediclaim PolicyIndividual Health InsurancePregnancy InsuranceMaternity Insurance | | Best Family Health Insurance plans in IndiaBest Health Insurance companyFamily Health InsuranceBest Health Insurance plans for Senior CitizensMediclaim Policy for Family

 

Health Insurance SchemesChief Ministers Comprehensive Health Insurance SchemeEmployee State Insurance SchemeSwasthya Sathi SchemePradhan Mantri Matru Vandana YojnaGovernment Health Insurance SchemeDr. YSR Aarogyasri SchemePradhan Mantri Suraksha Bima YojnaHealth Insurance DeductibleWest Bengal Health SchemeThird Party AdministratorRashtriya Swasthya Bima YojanaIn Patient Vs Out Patient HospitalizationMukhyamantri Chiranjeevi YojnaArogya Sanjeevani Health InsuranceCopay Health InsuranceCashless Health Insurance SchemeMukhyamantri Amrutum Yojna

 

Travel Insurance PlansTravel InsuranceInternational Travel InsuranceStudent Travel InsuranceTravel Insurance USATravel Insurance CanadaTravel Insurance ThailandTravel Insurance UKTravel Insurance GermanyTravel Insurance BaliTravel Insurance VietnamTravel Insurance DubaiTravel Insurance SingaporeSchengen Travel Insurance

 

Top Hospitals -  Best Hospitals in ChennaiTop Hospitals in DelhiBest Hospitals in GurgaonBest Hospitals in IndiaTop 10 Hospitals in IndiaBest Hospitals in HyderabadBest Hospitals in KolkataBest cancer hospitals in BangaloreBest cancer hospitals in HyderabadBest cancer hospitals in MumbaiBest cancer hospitals in IndiaTop 10 cancer hospitals in IndiaTop 10 cancer hospital in DelhiMulti Speciality Hospitals in MumbaiMulti Speciality Hospitals in ChennaiMulti Speciality Hospitals in HyderabadSuper Speciality Hospitals in DelhiBest Liver Hospitals in DelhiBest Liver Hospitals in IndiaBest Kidney Hospitals in IndiaBest Heart hospitals in BangaloreBest Heart hospitals in IndiaBest Heart hospitals in KolkataBest Heart hospitals in Delhi


OthersTop Up Health Insurance PolicyCorporate Health InsuranceHealth CardSection 80d of Income Tax ActAyushman BharatHealth Insurance PortabilityGoActive Family Floater PlanHealth Companion Family Floater PlanHealth Premia Family Floater PlanHealth Pulse Family Floater PlanHealth Recharge Family Floater PlanHeartbeat Family Floater PlanMoney Saver Family Floater PlanSaral Suraksha Bima Family Floater PlanSenior Citizen Family Floater PlanSuper Saver Family Floater PlanCorona Kavach Family Floater PlanHospital Cash InsuranceCashless Health InsuranceHealth Companion Price revision | Heartbeat Price revision | ReAssure Price revision 

 

COVID - OmicronCoronavirus Health InsuranceCovid XE VariantNorovirus

footer logo
Some image

www.nivabupa.com

Some image

+91 11 41743397

Some image

1860-500-8888

Some image

14th Floor, Capital Cyberscape, Sector 59, Gurgaon

  • Insurance is a subject matter of solicitation. Niva Bupa Health Insurance Company Limited (formerly known as Max Bupa Health Insurance Company Limited) (IRDAI Registration Number 145, Category:Health), 'Bupa' and 'HEARTBEAT' logo are registered trademarks of their respective owners and are being used by Niva Bupa Health Insurance Company Limited (formerly known as Max Bupa Health Insurance Company Limited) under license. CIN: U66000DL2008PLC182918
  • 1 Niva Bupa processes pre-authorisation requests within 30 minutes for all active policies, subject to receiving all documents and information(s) up to Niva Bupa’s satisfaction. The above commitment does not include pre-authorisation settlement at the time of discharge or system outage.
  • 2 Since Inception refers to claim data from 2010 till December 2023.
  • 3 ReAssure 2.0 Premium: The premium is including taxes and for Bronze Variant, for a 25-year-old individual living in Delhi.
  • 4 Aspire Premium: The premium is including taxes and for Gold+ Variant, for a 25-year-old individual living in Delhi.
  • 5 Senior First Premium: The premium is including taxes and for Gold Variant, for a 65-year-old individual living in Delhi.
  • 6 Health Premia Premium: The premium is including taxes and for Silver Variant, for a 25-year-old individual living in Delhi.
  • 7 SmartHealth + Disease Management Premium: The premium is including taxes and for Disease Management Gold Variant rider when bought with ReAssure 2.0 Bronze variant with Base Sum Insured of 5 lacs, for a 25-year-old individual living in Delhi.
  • Beware of spurious / fraud phone calls! Do not share your confidential information like Debit / credit card number, Internet Banking User ID/Password, Pin, CVV, OTP, etc. with anyone. Avoid clicking on attachments / payment link received in mails / message from unknown sources. IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment or premium. Public receiving such phone calls are requested to lodge a police complaint. Do not respond to unsolicited and attractive offers received through unidentified calls, emails, SMSs, and other social media platforms. Beware of misleading telephone calls from people posing as Niva Bupa officials, agents, IRDAI Officials, Officials from ECI (Office of the Executive Council of Insurers) etc. and offering alluring benefits or sharing false information on your policy or on Niva Bupa. Niva Bupa shall not be responsible for any loss or damages whatsoever for any acts or omissions arising out of such spurious calls, and all customers are advised to contact our customer care at 1860-500-8888 and verify any representations or promises made by any such spurious callers before acting upon the same.
Social IconSocial IconSocial IconSocial IconSocial Icon