Health Insurance for Surgery

What is Health Insurance for Surgery?

Hospital and surgical insurance is basically a coverage within your medical insurance. Both outpatient and inpatient surgeries are covered. Depending on the coverage amount, you can access a wide range of surgeries through your health policy. 

In simple terms, medical insurance pays for the medical expenses associated with a surgical procedure. This includes hospital admission, operating theatre charges, surgeon fees, anaesthesia, diagnostic tests, and post-surgery care, all subject to your policy terms and limits.

Why Do You Need Hospital and Surgical Insurance in UAE

Surgeries represent one of the most expensive parts of medical treatments. Even minor procedures can be financially stressful without a valid insurance policy. Here’s why insurance is important —

High Treatment Costs
All surgeries — whether critical, minor, or emergency surgeries — can be highly priced. In fact, major surgeries, such as cardiac or cancer procedures, can exceed AED 150,000. Health insurance covers all of them, subject to policy terms. 

Emergency Protection
Accidents, injuries, or sudden illnesses can require immediate surgery. Hospital and surgical insurance ensures you receive treatment without worrying about finances. 

Cashless Treatment
Treatment at one of your network hospitals is easy. This is because you don’t need to pay upfront in network hospitals. Hospital bills are directly settled by the insurer.

Financial Security
Without insurance, a surgery can drain savings. A policy can protect your finances while ensuring proper medical care.

Inclusion of Hospital and Surgical Insurance in UAE

The general inclusions of health insurance for surgery coverage are as follows —

• Hospital room charges
• ICU charges
• Surgeon and assistant surgeon fees
• Anaesthetist fees
• Operation theatre expenses
• Pre-operative tests (blood tests, imaging, scans)
• Post-operative treatment
• Prescribed medicines during hospitalisation
• Daycare surgeries (laparoscopy, endoscopy, cataract surgery)
• Nursing care
• Ambulance services 
• Pre- and post-hospitalisation consultations (based on your plan)

Health Insurance Surgery — Exclusions 

Note that not all surgeries are covered under your health insurance. We have listed some of the surgical treatments that are generally excluded —

• Cosmetic or plastic surgery (unless medically necessary)
• Weight-loss surgery (unless medically justified)
• Experimental or unapproved treatments
• Surgeries required due to self-inflicted injuries
• Injuries due to alcohol or drug abuse
• Fertility treatments and IVF procedures
• Pre-existing conditions during the waiting period
• Non-medical elective procedures
• Dental surgeries (unless emergency or add-on)
• Vision correction surgery (unless specified in your policy)

How Can You Buy Health Insurance that Covers Surgery via Policybazaar.ae? 

You can easily buy health insurance for surgery via our online portal of Policybazaar.ae. Here’s how you can get a policy in a few steps —

1. Click on the button below to get the lead form 
2. Fill it out with the relevant details.
3. You will be taken to the quotes page 
4. Check out the policy wordings of the plans
5. Shortlist, compare, and select a plan
6. Follow the prompts and make the payment

You will shortly receive your policy document at the registered email ID. 

Things to Keep In Mind When Buying Health Insurance for Surgery 

Before you buy a health insurance policy with surgery coverage, make sure to keep the following points in mind —

Waiting Period

Declare pre-existing diseases (PED) while buying insurance. PEDs may have a waiting period of around 6 months before they are covered. 

Coverage Limit

Always choose a plan with higher limits. Comprehensive coverage is better because surgical treatments can be quite expensive in the UAE.

Network Hospitals

Check the list of network hospitals. A large network means access to several options. Network hospitals make cashless approval easier and help with faster admission.

Pre-Authorisation Requirement

For some planned surgeries, you may need insurer approval. Check the list of procedures for which this is mandatory. 

Daycare Coverage

Many surgeries today don’t require overnight admission. Most policies cover such treatments as well. Just make sure to check if the surgery that you need is covered within the daycare procedure. 

Claim Settlement Reputation

Choose insurers known for faster claim approvals and strong hospital tie-ups. 

In a Nutshell

Surgery can happen unexpectedly or be planned. In the UAE, the quality of medical treatment is excellent, but the cost is high. A comprehensive health insurance plan covering surgery ensures you receive timely treatment without financial burden.

By choosing a policy with adequate coverage limits, a wide hospital network, and minimal waiting periods, you can protect both your health and your savings. Always compare plans carefully, understand inclusions and exclusions, and select coverage that matches your medical needs and lifestyle.

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