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Does Insurance cover Deep Brain Stimulation in India?

Deep Brain Stimulation Surgery in India

Understanding the Deep Brain Stimulation Surgery 

Deep Brain Stimulation (DBS) Surgery in India is a surgical procedure in which the surgeon will implant a neurostimulator & some electrodes, & they will send electrical impulses to the targeted portion of your brain responsible for movement control. 

The deep brain stimulation system is typically combined from four parts: leads, pulse generator, extensions, and programming device. This procedure is designed specifically for the treatment of neurological diseases like Parkinson’s disease, dystonia, and tremor(essential), and it also works with obsessive-compulsive disorder and epilepsy. 

How Much Does Deep Brain Stimulation Surgery Costs in India

Deep Brain Stimulation Surgery Costs in India range from 25000 USD to 30000 USD, & the devices being used in the surgery will decide how you are going to cost,  for example like for evaluation before surgery, will be around 1000 USD, & the devices being used in the surgery will cost around 17000 USD, and the operation performed by highly qualified surgeon will cost you around 55000 USD, & the doctors will charge you around 2000 USD and during all these procedure you are going to be staying in the hospital which will again cost you around 1500 USD.

It is important to remember that this is an estimate, and actual expenses may vary. Consulting with a neurosurgeon or the top clinical specialist in India, such as Cross Border Care. It is the best way to obtain an accurate estimate and understand the various costs associated with the process. 

Many health insurance companies do not yet cover deep brain stimulation surgery, making it even more unaffordable for many people in need. Furthermore, Deep Brain Stimulation Surgery is not available in many government hospitals in India, which limits its obtainability or ease of access.

Is DBS Surgery Covered by Health Insurance?

Yes, there are some Health Insurance Plans available from very reputed health insurance providers in India that provide coverage for Deep Brain Stimulation Surgery. The insurer will be refunded for the costs associated with their surgery. The insurance company offers critical illness insurance that usually covers treatment for diseases like brain tumors and many more for the insured person.

The health insurance companies will cover the following expenses for DBS Surgery in India

  • Pre Hospitalisation
  • Ambulance 
  • Intensive care unit charges
  • Inpatient care 
  • Post Hospitalization

So, having a health insurance plan majorly decreases the financial burden on the patient who wants to undergo this surgical procedure. 

Claiming Insurance For Deep Brain Stimulation Surgery in India 

  1. Firstly, review your policy coverage, whether DBS Surgery is covered or not, check the terms and conditions, and determine what is included and what is excluded.
  2. Consult with your specialist so that they can provide you with recommendations and supporting documents.
  3. Contact your insurance company and submit your medical records, recommendation letter from your specialist, and other important documents required by your insurance company. Then, they will assess whether your surgery meets the criteria for coverage.
  4. Once your insurance company has completed the pre-authorisation, it will notify you whether it will fully approve the procedure or partially based on its assessment.
  5. Proceed with the surgery. Keep your medical bills, receipts, and invoices related to your surgery handy, as these documents are needed for claim submission.
  6. After the surgery, submit your claim for a refund to the insurance company, along with all your medical bills, receipts, invoices related to your surgery, and a pre-authorisation approval letter.
  7. After your submission, the insurance company will review the documents you have submitted for Claiming the Money, if everything goes with the flow then they will process your claim and will refund you.

Conclusion 

Deep Brain Stimulation Surgery in India is a long, complex, and costly procedure. Having a Health Insurance Policy in India is a relief. While it is not universally covered, some health insurance policies do cover DBS surgery. Understanding terms and consulting with both a neurosurgeon and a financial advisor can provide valuable guidance. Visit us at Cross Border Care to get more details if you are thinking of getting Deep Brain Stimulation surgery in India. 

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