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Is Cataract Surgery Covered Under Health Insurance?

Certain lifestyle disorders, such as diabetes and hypertension, can cause various other health disorders. Cataracts is one such common disorder in India, which ultimately leads to blindness if left untreated. Hence, to avoid such risks, having a health insurance plan that covers cataract surgery is crucial for safeguarding your vision.

Our eyes are the main organs through which we perceive the outside world, and it is very important to take care of them in all circumstances.

In this article, you will gain a basic understanding of the types of cataract surgeries that are offered in India, the duration of the waiting time before receiving coverage, and the advantages of getting coverage for cataract surgery under your health insurance plan.

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What is a Cataract?

What is Cataract Surgery?

Types of Cataract Surgeries in India

Over the past 20 years, there has been a complete transformation in the technology utilized in cataract surgery. The following are the six primary types of cataract surgery, having a unique process of replacing the lenses.

Types of Surgery Meaning & Procedure
Phacoemulsification In this type of surgery, an ultrasonic handpiece is used inside the internal lens of the eye that has developed a cataract. The cataract is emulsified and then aspirated.
Extracapsular Cataract Extraction ECCE is an older technique that requires a bigger incision in the cornea or sclera (the white portion of the eye) than phacoemulsification.
Laser-Assisted Cataract Eye Surgery In LACS, the laser splits the cataract and lens capsule and produces precise incisions on the cornea.
Femtosecond Laser-Assisted Cataract Surgery In FLACS, the cataract is broken, the lens capsule is removed, and corneal incisions are made with a femtosecond laser.
Microincision Cataract Surgery MICS is a kind of cataract surgery that requires a very small incision, typically smaller than 1.8 mm. In less than ten minutes, this minimally invasive technique can be finished.
Small Incision Cataract Surgery SICS is an advanced version of ECCE and is regarded as the safest and most effective method for treating cataracts.

Is Cataract Surgery Covered Under Health Insurance?

Why should you get a Health Insurance covering Cataract Surgery?

1
The average cost of cataract surgery for one eye in India ranges between ₹18,000 to ₹1,20,000, depending on several factors.(1)
2
There is no natural cure for cataract. A 2017 review of studies published by the National Institutes of Health confirmed the only available treatment for cataracts remains surgery. (2)
3
The average age of people who experience cataracts in Western Countries is above 60, but in India, it is increasingly observed around the mid-40s. (3)

What is the Waiting Period for Cataract Surgery in Your Health Insurance?

What’s Great about Health Insurance Covering Cataracts?

  • Simple online processes - From the process of buying a health insurance policy to making claims is paperless, easy, quick and hassle-free! No hard copies, even for claims!
  • No Age-based or Zone-Based Co-payment - Many health insurance come with no age-based or zone-based copayment. This means, during health insurance claims, you need not pay anything from your pocket.
  • No Room Rent Restriction - Everyone has a different preference for opting a room. That’s why insurers provide no room rent restrictions. Choose any hospital room you prefer.
  • SI Wallet Benefit - If you exhaust your Sum Insured in health insurance during the policy period, insurers will refill it for you.
  • Get treated at any hospital - Choose from 9000+ of network hospitals in India for a cashless treatment or opt for a reimbursement.
  • Wellness Benefits - Get exclusive wellness benefits in collaboration with top-rated health and wellness partners.

Key Benefits of Cataract Health Insurance by Digit

Your health insurance plan with Digit extends several exclusive benefits that enhance your coverage. Here are the key benefits:

Key Features Digit Benefit
Cashless Hospitals 9000+ Network Hospitals across India
Premium Discount Up to 20% Discount Available
Wellness Benefits Available from 12+ Wellness Partners
Cumulative Bonus Up to 50% for every claim-free year (with a maximum benefit of 100%)
Customisable Add-Ons 3 Add-ons available (Consumable Cover, Infinite Cumulative Bonus and Smart Save)*
Co-payment No Age-based or Zone-Based Co-payment
No Room Rent Restriction Choose any room of your choice without any extra charges

* These add-ons are subject to underwriting approval and your eligibility at the time of purchase or renewal

What is Cataract Surgery Cost in India?

There are different types of cataract surgery and each surgery varies in cost. The cost of surgery differs from one person to another depending on what your doctor has recommended, the city you live in, the hospital you pick, the type of cataract, medication and your age.

For example, the cost of robotic cataract surgery in India will differ from that of laser cataract surgery.

On average, considering all the factors, the cost of robotic surgery ranges between ₹15,000 to ₹2,00,000. (4) Below mentioned is the approximate cost for all the types of cataract surgeries in India.

Type of Cataract Surgery Average Cost of Cataract Surgery per Eye (INR)
Phacoemulsification Surgery 30,000 - 2,15,000
Femtosecond Laser-Assisted Cataract Surgery (FLACS) 50,000 - 1,60,000
Small Incision Cataract Surgery  (SICS) 15,000 - 30,000
Microincision Cataract Surgery (MICS) 60,000 - 70,000

Disclaimer: The above-mentioned cost is the average cost of different types of cataract surgery. The cost can vary depending on your age, city, hospital, type of lens and medications.

Things to Remember Before Getting Health Insurance that Covers Cataract Surgery

Why is Cataract Surgery Important?

FAQs about Health Insurance Covering Cataract Surgery