Managing surgical treatment should not add financial stress to patients and their families. At SimpleeKare Hospital, we provide cashless general surgery facilities through leading health insurance companies and TPAs, strictly following IRDA (Insurance Regulatory and Development Authority of India) rules and regulations.
Our aim is to ensure smooth, transparent, and hassle-free treatment while maintaining ethical billing and patient safety.
What Is Cashless General Surgery?
Cashless general surgery allows insured patients to undergo eligible surgical procedures without paying hospital expenses upfront. The hospital directly coordinates with the insurance provider or TPA for claim settlement, as per IRDA guidelines.
Patients are required to complete documentation and receive approval before surgery, ensuring clarity and compliance.
General Surgeries Covered Under Cashless Facility
At SimpleeKare Hospital, cashless treatment may be available for the following general surgery procedures (subject to policy terms):
- Hernia surgery
- Appendix removal (Appendectomy)
- Gallbladder / Gallstone surgery
- Piles, fissure & fistula surgery
- Lipoma removal
- Circumcision Surgery
- Other minor and major general surgical procedures
Final coverage depends on insurance policy conditions, waiting periods, exclusions, and insurer approval, in line with IRDA norms.
IRDA-Compliant Cashless Process at SimpleeKare
SimpleeKare Hospital follows all IRDA-mandated protocols, including:
- Pre-authorization approval before planned surgery
- Transparent disclosure of covered and non-covered expenses
- Standardized claim documentation
- Ethical and itemized billing
- Coordination with insurers and TPAs
Patients are informed in advance about co-payments, deductions, or non-payable items, ensuring no last-minute surprises.
Cashless Surgery Admission Process
- Share your health insurance details during admission
- Pre-authorization request is sent to insurer/TPA
- Approval received as per IRDA timelines
- Surgery and hospital care provided
- Claim settled directly with the insurer
Emergency surgeries are handled as per IRDA emergency cashless guidelines.
Why Choose SimpleeKare Hospital?
- Experienced general surgeons
- Advanced operation theatres
- Dedicated insurance helpdesk
- IRDA-compliant cashless process
- Patient-focused, transparent care
Frequently Asked Questions (FAQs)
Is cashless surgery guaranteed?
No. Cashless treatment depends on insurance approval and policy eligibility.
Are all expenses covered under cashless?
Only expenses approved by the insurer are covered. Non-medical items may be excluded as per IRDA norms.
Can I use any insurance policy?
Cashless facility is available for network insurance providers and TPAs.
Planning a surgery and having health insurance?
Contact SimpleeKare Hospital today to check your cashless surgery eligibility, network coverage, and approval process.
