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Dr Shyam

Dr Shyam Jamalabad  |112 Answers  |Ask -

Dentist - Answered on Jun 08, 2023

Dr Shyam Jamalabad holds a bachelor’s degree in dental surgery from Government Dental College and Hospital, St George Hospital, Mumbai. He has been practising independently at his clinic in Mumbai since 1983.His patients range from celebrities to slum dwellers.... more
Yatin_I Question by Yatin_I on Jun 06, 2023Hindi
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Hi, i have dental issues , my upper left side of the jaw has teeth no 4&5 on which RCT is in progress since march 2023. it was very painful for tooth4 and mild for 5, so i changed dentist on 1 may and new dentist took full month of may to do RCT for 4 & 5 again. now pain has disappeared in 5 but remains in 4. the new dentist says that there is a pocket between 4 &3 and i have copy of xray that shows that. i m not sure this dentist is telling the right reasons, as some other dentist says that condition of 4 is so bad that filling inside it is visible from outside and extraction is last resort.. my question is what should i do? protecting a tooth at all costs is more important or shall i go for extraction.

Ans: Hi
Sorry to hear that even after two months your RCTs have not been completed to your satisfaction. There could be a variety of reasons why this is happening. Despite the impressive advances in Dental treatment procedures we still see some cases that are untreatable. And while we spare no effort to save natural teeth, in some cases extraction becomes unavoidable. What is important is that you get complete relief from pain/discomfort. Whether to extract it or continue with the treatment is a call you have to take in consultation with your dentist.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Ramalingam

Ramalingam Kalirajan  |11064 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Mar 16, 2026

Asked by Anonymous - Mar 15, 2026Hindi
Money
I have 12 lack Diamonds plain from orintal insurance company medicliam policy I want to know how much amount issue for lens for cataracts surgery
Ans: Your effort to maintain a high-value health insurance cover of Rs.12 lakh is very good. Many people realise the importance of medical insurance only during a hospitalisation. Because you already have a strong cover with The Oriental Insurance Company Limited, you have created an important financial protection layer for your family.

However, when it comes to cataract surgery and lens cost, health insurance policies usually have specific limits. It is important to understand these limits clearly.

» Understanding Cataract Surgery Coverage

– Cataract surgery is normally covered under mediclaim policies.
– The policy usually pays for hospitalisation, surgeon fee, OT charges, medicines, and intra-ocular lens (IOL).
– But most policies keep a limit on cataract treatment, even if the total sum insured is higher.

This means even if your policy cover is Rs.12 lakh, the cataract claim may be restricted to a smaller amount.

» Typical Cataract Limits in Health Insurance

In many mediclaim policies in India:

– Cataract surgery may be limited to around Rs.25,000 to Rs.40,000 per eye, depending on policy terms.
– Some upgraded plans allow up to Rs.50,000 or slightly higher per eye.
– Premium imported lenses, laser techniques, or advanced multifocal lenses may cost more and the extra amount has to be paid by the patient.

So the lens cost alone may range from Rs.8,000 to Rs.60,000 or more depending on the type selected. Insurance will usually reimburse only within the cataract limit mentioned in the policy

» How Lens Charges Are Treated

– Standard mono-focal lenses are generally covered within the cataract limit.
– Advanced lenses such as multifocal or toric lenses are treated as upgraded choices.
– The difference between the hospital bill and the policy limit becomes out-of-pocket payment.

Because hospitals sometimes suggest premium lenses, it is important to check the insurance approval amount before surgery.

» Practical Steps Before Surgery

– Ask the hospital to send a pre-authorisation request to the insurer.
– Confirm the maximum cataract limit per eye under your policy.
– Ask the hospital for a detailed estimate showing lens cost separately.
– Check whether the surgery will be cashless or reimbursement.

This small step avoids confusion during discharge.

» Financial Planning Perspective

From a Certified Financial Planner’s view, you have already taken a wise step by maintaining a large medical insurance cover. Cataract surgery is a common age-related treatment, and insurance helps reduce the financial burden.

Still, remember:

– Health insurance works with sub-limits for certain treatments.
– The sum insured does not always mean the entire bill will be paid.
– Understanding these limits in advance helps you plan your medical expenses calmly.

» Finally

Your Rs.12 lakh mediclaim cover is a strong safety net. For cataract surgery, the insurance company will normally pay only up to the cataract treatment limit mentioned in your policy, and any premium lens upgrade may need personal payment.

So the best action is to check the exact cataract limit in your policy schedule or call the insurer’s customer care before the surgery.

Best Regards,

K. Ramalingam, MBA, CFP,
Chief Financial Planner,
www.holisticinvestment.in

https://www.linkedin.com/in/ramalingamcfp/

...Read more

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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