List of Day Care Procedures. 10/07/2011
The following are two lists of day care procedures and either of the two is applicable mostly in individual, family floater, group and senior citizen health plans. However the insured person should check from the insurer about the exact list of day care procedures being followed by the company, as there is no common list adopted by all the companies. List I Micro surgical Operations on the Middle Ear 1. Stapedotomy 2. Stapedectomy 3. Revision of a stapedectomy 4. Other operations on the auditory ossicles 5. Myringoplasty (Type -I Tympanoplasty) 6. Tympanoplasty (closure of an eardrum perforation/reconstruction of the auditory ossicles) 7. Revision of a tympanoplasty 8. Other microsurgical operations on the middle ear Other operations on the middle & internal ear 9. Myringotomy 10. Removal of a tympanic drain 11. Incision of the mastoid process and middle ear 12. Mastoidectomy 13. Reconstruction of the middle ear 14. Other excisions of the middle and inner ear 15. Fenestration of the inner ear 16. Revision of a fenestration of the inner ear 17. Incision (opening) and destruction (elimination) of the inner ear 18. Other operations on the middle and inner ear Operations on the nose & the nasal sinuses 19. Excision and destruction of diseased tissue of the nose 20. Operations on the turbinates (nasal concha) 21. Other operations on the nose 22. Nasal sinus aspiration Operations on the eyes 23. Incision of tear glands 24. Other operations on the tear ducts 25. Incision of diseased eyelids 26. Excision and destruction of diseased tissue of the eyelid 27. Operations on the canthus and epicanthusv 28. Corrective surgery for entropion and ectropion 29. Corrective surgery for blepharoptosis 30. Removal of a foreign body from the conjunctiva 31. Removal of a foreign body from the cornea 32. Incision of the cornea 33. Operations for pterygium 34. Other operations on the cornea 35. Removal of a foreign body from the lens of the eye 36. Removal of a foreign body from the posterior chamber of the eye 37. Removal of a foreign body from the orbit and eyeball 38. Operation of cataract Operations on the skin & subcutaneous tissues 39. Incision of a pilonidal sinus 40. Other incisions of the skin and subcutaneous tissues 41. Surgical wound toilet (wound debridement) and removal of diseased tissue of the skin and subcutaneous tissues 42. Local excision of diseased tissue of the skin and subcutaneous tissues 43. Other excisions of the skin and subcutaneous tissues 44. Simple restoration of surface continuity of the skin and subcutaneous tissues 45. Free skin transplantation, donor site 46. Free skin transplantation, recipient site 47. Revision of skin plasty 48. Other restoration and reconstruction of the skin and subcutaneous tissues. 49. Chemosurgery to the skin. 50. Destruction of diseased tissue in the skin and subcutaneous tissues Operations on the tongue 51. Incision, excision and destruction of diseased tissue of the tongue 52. Partial glossectomy 53. Glossectomy 54. Reconstruction of the tongue 55. Other operations on the tongue Operations on the salivary glands & salivary ducts 56. Incision and lancing of a salivary gland and a salivary duct 57. Excision of diseased tissue of a salivary gland and a salivary duct 58. Resection of a salivary gland 59. Reconstruction of a salivary gland and a salivary duct 60. Other operations on the salivary glands and salivary ducts Other operations on the mouth & face 61. External incision and drainage in the region of the mouth, jaw and face 62. Incision of the hard and soft palate 63. Excision and destruction of diseased hard and soft palate 64. Incision, excision and destruction in the mouth 65. Plastic surgery to the floor of the mouth 66. Palatoplasty 67. Other operations in the mouth Operations on the tonsils & adenoids 68. Transoral incision and drainage of a pharyngeal abscess 69. Tonsillectomy without adenoidectomy 70. Tonsillectomy with adenoidectomy 71. Excision and destruction of a lingual tonsil 72. Other operations on the tonsils and adenoids Trauma surgery and orthopaedics 73. Incision on bone, septic and aseptic 74. Closed reduction on fracture, luxation or epiphyseolysis with osteosynthesis 75. Suture and other operations on tendons and tendon sheath 76. Reduction of dislocation under GA 77. Arthroscopic knee aspiration Operations on the breast 78. Incision of the breast 79. Operations on the nipple Operations on the digestive tract 80. Incision and excision of tissue in the perianal region 81. Surgical treatment of anal fistulas 82. Surgical treatment of haemorrhoids 83. Division of the anal sphincter (sphincterotomy) 84. Other operations on the anus 85. Ultrasound guided aspirations 86. Sclerotherapy etc.13. Operations on the female sexual organs 87. Incision of the ovary 88. Insufflation of the Fallopian tubes 89. Other operations on the Fallopian tube 90. Dilatation of the cervical canal 91. Conisation of the uterine cervix 92. Other operations on the uterine cervix 93. Incision of the uterus (hysterotomy) 94. Therapeutic curettage 95. Culdotomy 96. Incision of the vagina 97. Local excision and destruction of diseased tissue of the vagina and the pouch of Douglas 98. Incision of the vulva 99.Operations on Bartholin’s glands (cyst) Operations on the prostate & seminal vesicles 100. Incision of the prostate 101. Transurethral excision and destruction of prostate tissue 102. Transurethral and percutaneous destruction of prostate tissue 103. Open surgical excision and destruction of prostate tissue 104. Radical prostatovesiculectomy 105. Other excision and destruction of prostate tissue 106. Operations on the seminal vesicles 107. Incision and excision of periprostatic tissue 108. Other operations on the prostate Operations on the scrotum & tunica vaginalis testis 109. Incision of the scrotum and tunica vaginalis testis 110. Operation on a testicular hydrocele 111. Excision and destruction of diseased scrotal tissue 112. Plastic reconstruction of the scrotum and tunica vaginalis testis 113. Other operations on the scrotum and tunica vaginalis testis Operations on the testes 114. Incision of the testes 115. Excision and destruction of diseased tissue of the testes 116. Unilateral orchidectomy 117. Bilateral orchidectomy 118. Orchidopexy 119. Abdominal exploration in cryptorchidism 120. Surgical repositioning of an abdominal testis 121. Reconstruction of the testis 122. Implantation, exchange and removal of a testicular prosthesis 123. Other operations on the testis Operations on the spermatic cord, epididymis und ductus deferens 124. Surgical treatment of a varicocele and a hydrocele of the spermatic Cord 125. Excision in the area of the epididymis 126. Epididymectomy 127. Reconstruction of the spermatic cord 128. Reconstruction of the ductus deferens and epididymis 129. Other operations on the spermatic cord, epididymis and ductus deferens Operations on the penis 130. Operations on the foreskin 131. Local excision and destruction of diseased tissue of the penis 132. Amputation of the penis 133. Plastic reconstruction of the penis 134. Other operations on the penis Operations on the urinary system 135. Cystoscopical removal of stones 20. Other Operations 136. Lithotripsy 137. Coronary angiography 138. Haemodialysis 139. Radiotherapy for Cancer 140. Cancer Chemotherapy List II The 24 hours of minimum period is not applicable to specific treatment: Dialysis, Intravenous Chemotherapy, Radiotherapy, Eye surgery, Lithotripsy (Kidney Stone Removal), D & C, Tonsillectomy, Dental surgery due to accident, Hysterectomy, Coronary Angioplasty, Surgery of Gall Bladder, Pancreas and Bile Duct, Surgery of Hernia, Surgery of Hydrocele, Surgery of Prostate, Gastrointestinal Surgery, Genital Surgery, Surgery of Nose, Surgery of Throat, Surgery of Appendix, Surgery of Urinary System, Arthroscopic Knee Surgery, Laparoscopic Therapeutic Surgeries, any surgery under anesthesia, treatment of Fractures/Dislocation excluding hairline fracture, contracture releases and minor reconstructive procedures of limbs which otherwise require hospitalization taken in the hospital/nursing home under the network of TPA and the insured is discharged on the same day. The treatment will be considered under hospitalisation benefit. Relaxation of 24 hours minimum duration for hospitalization is also applicable:
Overview on Insurance 09/24/2011
In law and economics, insurance is a form of risk management primarily used to hedge against the risk of a contingent, uncertain loss. Insurance is defined as the equitable transfer of the risk of a loss, from one entity to another, in exchange for payment. An insurer is a company selling the insurance; an insured, or policyholder, is the person or entity buying the insurance policy. The insurance rate is a factor used to determine the amount to be charged for a certain amount of insurance coverage, called the premium. Risk management, the practice of appraising and controlling risk, has evolved as a discrete field of study and practice. The transaction involves the insured assuming a guaranteed and known relatively small loss in the form of payment to the insurer in exchange for the insurer's promise to compensate (indemnify) the insured in the case of a financial (personal) loss. The insured receives a contract, called the insurance policy, which details the conditions and circumstances under which the insured will be financially compensated. |
