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Health Insurance for Hernia Surgery

  • Health Blog

  • 20 Nov 2025

  • 100 Viewed

Contents

  • What is a Hernia?
  • When Do I Need Hernia Insurance?
  • Does Health Insurance Cover Hernia Surgery?
  • What Precautions Should You Take After a Hernia Surgery?
  • Bajaj General Health Insurance Plans for Hernia Surgery Coverage
  • Conclusion
  • FAQs

Hernia surgery is a common procedure to treat various types of hernias, which occur when an organ pushes through a weak spot in surrounding tissue. The cost of hernia surgery can be substantial, depending on the type and the medical facility you choose. Without insurance, these costs can quickly escalate. Health insurance for hernia surgery ensures that you are covered for the surgical procedure, hospitalisation and post-operative care. Health Insurance by Bajaj General Insurance can help you manage the financial burden of this surgery.

What is a Hernia?

A hernia is a condition where an organ or fatty tissue pushes through a weak spot or opening in the muscle or tissue that normally holds it in place. This condition commonly occurs in the abdominal area but can also happen in the groin, diaphragm or at the site of a previous surgery. Hernias are classified into several types, including inguinal hernia, umbilical hernia and hiatal hernia.
&Inguinal hernias occur in the groin area and are the most common type. Umbilical hernias typically appear around the belly button and hiatal hernias involve the upper part of the stomach pushing through the diaphragm. While some hernias may not cause immediate symptoms, they can lead to pain, swelling or a noticeable bulge and in some cases, the hernia can become strangulated, cutting off blood flow to the affected area. Surgery is often required to correct the hernia and prevent complications.

When Do I Need Hernia Insurance?

Hernia insurance is crucial when you or a family member has been diagnosed with a hernia or if you are at risk of developing one due to factors like age, obesity or heavy lifting. Since hernia surgery often involves hospitalization, surgical procedures and post-operative care, health insurance can greatly alleviate the financial burden.
&If you have a family history of hernias or engage in physical activities that put pressure on your abdominal area, having hernia surgery coverage as part of your health insurance plan can provide peace of mind. Insurance will also ensure you receive timely medical care without the stress of out-of-pocket expenses. Health insurance for hernia surgery typically covers both the surgery and necessary recovery treatments, including medications, physiotherapy and follow-up consultations.

Does Health Insurance Cover Hernia Surgery?

Health insurance can cover hernia surgery, but the exact coverage depends on the policy and insurer. Here's what you can expect:

Hospitalisation Costs

Most health insurance policies, including those from Bajaj General Insurance, cover the hospitalisation costs involved in hernia surgery. This includes the cost of the procedure, hospital stay, room charges and pre-operative tests required to assess the patient’s condition.

Surgical Costs

Hernia surgeries, whether open or laparoscopic, are typically covered under comprehensive health plans. The type of surgery will determine the cost and laparoscopic surgery is generally more expensive than open surgery.

Pre and Post-Surgery Expenses

Health insurance plans also cover pre-operative expenses such as diagnostic tests, doctor consultations and medications. After the surgery, post-operative care, including follow-up visits, medications and physiotherapy sessions, is also usually included.

Cashless Hospitalisation

With health insurance from Bajaj General Insurance, you get access to a network of over 18,400+ cashless hospitals across the country. This means that if you choose one of these hospitals, you don’t have to pay upfront; the insurer directly settles the bill with the hospital.

Exclusions

Most health insurance plans cover hernia surgery, but it’s essential to understand the waiting period for pre-existing conditions. If you had a hernia before taking the policy, there may be a waiting period of up to four years before the condition is covered. Also, some plans may not cover cosmetic hernia surgeries.

Waiting Period

The waiting period for hernia surgery coverage varies from insurer to insurer. Typically, it ranges from 30 days for accidents or injuries to up to 4 years for pre-existing conditions. Therefore, it’s important to review the terms and conditions of your policy to understand the coverage better.

Also Read: Bariatric (Weight Loss) Surgery: Coverage, Qualifications, Types

What Precautions Should You Take After a Hernia Surgery?

After hernia surgery, proper care and precautions are essential for a smooth recovery.

  • Rest: Rest is crucial in the first few days post-surgery to ensure that your body heals properly. Avoid any strenuous activities or lifting heavy objects.
  • Diet: Consume a balanced, high-fiber diet to avoid constipation, which could put additional strain on your abdominal muscles.
  • Follow-Up Appointments: Regular follow-up visits to your doctor are essential to monitor your recovery and detect any potential complications early.
  • Pain Management: Take any prescribed medications as directed to manage pain and prevent infection. You may also apply ice packs to reduce swelling.
  • Exercise Caution: Avoid sudden movements and heavy exercises until your doctor clears you for normal physical activity. Always follow your healthcare provider’s instructions to prevent any strain or reoccurrence of the hernia.

Bajaj General Health Insurance Plans for Hernia Surgery Coverage

Bajaj General Insurance offers comprehensive health plans for hernia surgeries, including both open and laparoscopic procedures. Their policies cover hospitalisation, surgical fees, post-operative care and pre-surgical tests. With 18,400+ cashless hospitals in their network, policyholders can access immediate treatment without financial stress. The plan also covers follow-up visits and necessary medications, ensuring a hassle-free recovery after surgery.

Conclusion

Hernia surgery is a common and essential procedure for those suffering from this condition and having the right health insurance can help mitigate the financial burden. Health Insurance provides comprehensive coverage for hernia surgery, offering cashless treatments at hospitals. Ensure you're financially protected and focused on recovery by choosing a robust health insurance plan.

FAQs

What are the Types of Hernia Surgeries and Their Costs?

&The two main types of hernia surgeries are open surgery and laparoscopic surgery. Open surgery typically costs between ₹40,000 to ₹70,000, while laparoscopic surgery can range from ₹70,000 to ₹1,50,000.

What is the waiting period for hernia surgery coverage?

The waiting period for hernia surgery coverage generally varies from 30 days to 4 years, depending on the insurance policy and whether the condition was pre-existing.

What documents are required to claim insurance for hernia surgery?

&To claim insurance for hernia surgery, you will need documents such as your hospital discharge summary, surgical reports, medical bills and prescriptions.

What is the average cost of hernia surgery in India?

&The average cost of hernia surgery in India ranges between ₹40,000 and ₹1,50,000, depending on the type of surgery and the hospital chosen.

Is Hernia Surgery Expensive?

Yes, hernia surgery can be expensive, especially for laparoscopic procedures. However, having health insurance significantly reduces the financial burden, covering hospitalisation, surgery and recovery costs.

*Standard T&C Apply *Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms and conditions, please read the sales brochure/policy wording carefully before concluding a sale.

 

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