According to a 2016 survey by the WHO (World Health Organisation), 27% of the deaths from non-communicable diseases were due to heart disease. CVDs, or cardiovascular diseases, are caused by issues in your blood vessels and heart. Severe cardiovascular disorders need surgical intervention to offer the affected person a healthy life ahead.
However, the cost of heart surgeries may vary due to several factors. If you are undergoing heart surgery, it is essential to understand its cost, factors that affect it, and coverage under your health insurance.
Keep reading for better insight!
In India, the average expenditure of a heart surgery ranges from ₹1.5 lakhs to ₹5 lakhs. The price may vary from one region to another and also depends on the type of surgery. For instance, the price of a CABG (coronary artery bypass graft) is nearly ₹2.75 lakhs, but the price may increase to ₹3 lakhs in cases where devices are implanted in the heart.
Here are some of the factors that affect the price of heart surgery in India:
● Location Type
In metro cities like Delhi, Mumbai, etc., the cost of heart surgery is higher than that in 2 or 3-tier cities like Patna.
● Type of Hospital
One of the major factors affecting the cost of heart surgery in India is the hospital where the surgery is performed. Private hospitals include advanced infrastructure, top surgeons, and other amenities which are not available in government hospitals. Thus, the cost of surgery in private hospitals is higher than that in government hospitals.
● Surgeon’s Expertise and Reputation
If you get heart surgery from a reputed surgeon with years of experience and expertise, you need to pay a higher charge. However, surgeons with less experience and qualifications will charge an affordable price.
● Type and Procedure of Heart Surgery
The price of heart surgery varies depending on the procedure and type of surgery performed by your healthcare provider. For instance, the expenses of heart bypass surgery are more than those of pacemaker surgery. Similarly, open-heart surgery is more costly than less invasive surgery.
● Duration of Hospitalisation
The duration of your hospital stay also affects the cost of heart surgery. If your heart surgery procedure requires you to stay in the hospital for a long time, it will be expensive since you have to pay for nursing care, room rent, etc., for a long time.
As compared to other countries, India offers heart surgery at affordable rates. However, considering the average income of the people in our country, it is still considered expensive.
To make open heart surgery more affordable, you can follow these strategies listed below:
● Price Comparison
Compare prices across different hospitals and locations by researching online platforms and consulting healthcare providers to get accurate cost estimates tailored to your needs.
● Discount Negotiations
Don’t hesitate to negotiate with hospitals, especially if you have financial constraints or referrals. You may be able to secure discounts on surgery, accommodation, or other services through proper discussion with the relevant authorities.
● Go to Government Hospitals
Opting for government or charitable hospitals can significantly reduce expenses. These institutions often provide subsidised or even free treatment for eligible patients, though the quality of care may vary.
● Utilise Government Healthcare Schemes
Take advantage of government healthcare schemes that offer financial aid or insurance coverage for heart surgeries. By meeting eligibility criteria, you can reduce the financial burden.
● Medical Tourism
It is another option worth exploring to reduce the cost of your heart surgery. Countries like India provide excellent cardiac care at much lower costs compared to many Western nations.
However, if you choose this route, consider visa requirements, travel arrangements, and cultural differences to ensure a smooth experience. These approaches can help make open heart surgery more accessible and affordable.
Most health insurance plans in India generally cover the following costs associated with heart surgery, including:
● Hospitalization Expenses
It includes hospitalisation expenses such as room rent, operating theatre fees, and surgeon’s charges. Additionally, outpatient department (OPD) expenses, such as tests and consultations, are often included before admission.
● Pre-hospitalization Expenses
Medical expenses incurred up to 30 days prior to hospital admission are typically reimbursed, although this period may vary by insurer.
● Post-hospitalization Expenses
Medical costs up to 60 days after discharge are also covered by health insurance, with some variation depending on the policy.
Furthermore, modern and advanced treatments related to heart surgery are included within the sum insured, ensuring comprehensive financial protection for patients undergoing cardiac procedures.
Specialised health insurance policies for heart patients and critical illness plans offer extensive coverage for heart surgery expenses. These policies provide a lump sum payout to cover medical costs, ensuring strong financial protection against the high expenses associated with heart surgery. Choosing the right plan is crucial for financial security.
At Star Health, we also offer coverage for heart-related surgeries and treatments under our Star Cardiac Care Insurance Policy, which is specially tailored to your needs. We provide hassle-free claim settlements with reduced turnaround time across over 14,000 network hospitals in India.
For more information, contact Star Health today!
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