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Health insurance cover for brain tumour

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Health Insurance Cover For Brain Tumour

The brain is one of the most complex parts of the body, which makes it difficult to diagnose any problems. A brain tumour is a life-threatening condition and can usually take a lot of time and can be painful. However, with better access to healthcare, it is now possible to treat brain tumours. The presence of a health insurance plan will make sure the higher costs do not cause a hindrance.

What is a brain tumour?

A brain tumour is a medical condition where abnormal growth of mass takes place either in the brain or around the brain. Brain tumours and spinal tumours are together known as CNS tumours or central nervous system tumours.

A brain tumour can either be benign, which is non-cancerous or can be malignant, which is cancerous. Irrespective of the type of tumour, it must be treated immediately. Even a benign tumour can turn out to be fatal if it grows. It can press on surrounding nerves, tissues and even blood vessels, it can impact the normal functioning of the brain. Tumours that develop in your brain are known as primary tumours. And tumours that develop in other parts of the body and spread to the brain, are known as secondary tumours.

Is brain tumour covered by health insurance plans in India?

It will come as a relief to many, that there are few health insurance plans in India that cover the expenses related to a brain tumour. If the insured undergoes surgery for the removal of the tumour, the insurance company will compensate for the same. The following are some of the other expenses that are usually covered as a part of brain tumour surgery.

1. Cost of hospitalisation
2. Pre-hospitalisation expenses
3. post-hospitalisation expenses
4. ICU charges
5. Ambulance charges
6. Other medical expenses related to the surgery

The actual coverage of a brain tumour would largely depend on the policy that you have chosen. For benign brain tumours, most critical illness insurance plans offer a lump sum payment. The lump sum amount can be used for surgery and other expenses related to the treatment. However, it is important that you read out the policy documents carefully to see if a brain tumour is covered or not.

Waiting period for brain tumour under health insurance

Waiting period in a health insurance plan usually refers to the duration, where you cannot file any claim for your policy. You must see this period through, post which you can file a claim. Since the coverage for brain tumours is mostly provided as a part of critical illness coverage, there is a high possibility that your policy will have a waiting period.

Depending on the insurance provider, the waiting period for a critical illness policy can range between 30 days to 90 days as a standard. In some cases, the period can be a bit higher as well. On completion of this period from the issuance of the policy, the insurance can file a claim for a brain tumour. Filing a claim for a critical illness plan will ensure that the insured has the necessary funds for undergoing treatment for brain tumours.

Difference between benign and malignant brain tumours

Brain tumours can either be cancerous or noncancerous. When they are noncancerous, they are known as benign brain tumours. And when the tumours become cancerous, they are known as malignant.

Benign tumours are known to grow slowly and have specific borders. They do not tend to spread yet they should not be taken lightly. Since they grow slowly, they have a lot of time before they can create severe problems. Once they grow, they can put a lot of pressure on the brain and cause compression and damage to the brain. If they are located in some of the vital areas of the brain, they can be life-threatening as well. Some examples of benign tumours include pituitary adenoma, meningioma, and vestibular schwannoma.

A malignant tumour, on the other hand, is cancerous and has an entirely different approach. They grow fast and can easily get into other surrounding structures of the brain. And more often than not, they are dangerous. Some common examples of malignant tumours include olfactory neuroblastoma, medulloblastoma, and chondrosarcoma.

Symptoms of brain tumour

The brain is a very complex part of the body and each part of the brain is responsible for different body functions. Thus, the location of the tumour heavily affects the symptoms of brain tumour. A tumour in the optic pathway can result in changes in vision and sight. On the other hand, a tumour in the cerebellum can result in imbalance while walking.

Similarly, the speed at which a tumour grows can also play a crucial role in developing symptoms. The following are some common symptoms of brain tumour.

1. Changes in personality
2. Headache
3. Dizziness, loss of balance or unsteadiness while walking
4. Loss of memory
5. Loss of hearing capability
6. Changes in vision
7. Finding it difficult to think or speak
8. Disorientation and confusion
9. Paralysis in a part of the body or numbness

Treating brain tumour

As far as treatment is concerned, surgery is one of the most common ways of treating a brain tumour. For certain types of tumours, the course of treatment can involve surgical removal and constant monitoring. Some common surgeries employed for the removal of a brain tumour include laser ablation, craniotomy, neuroendoscopy, and laser interstitial thermal therapy.

Brain tumour types

Over the years, researchers have identified more than 150 types of brain tumours. They are primarily categorised as glial, non-glial, benign, and malignant. The following are some common types of benign tumours.

1. Gangliocytomas
2. Meningiomas
3. Chordomas
4. Pineocytomas
5. Craniopharyngiomas
6. Glomus jugular
7. Schwannomas
8. Pituitary adenomas

About 78% of all cancerous brain tumours are gliomas since they develop in the glial cells of the brain. The following are some types of gliomas.

1. Oligodendroglioma
2. Glioblastoma
3. Astrocytoma
4. Ependymomas
5. medulloblastoma

Brain tumour causes

Though we have made a lot of advancements in the treatment and diagnosis of brain tumours, the cause still remains a mystery. Doctors haven’t been able to ascertain what causes some of the brain cells to become tumour cells. The genes that a person is carrying can be a reason or the environment or at times even both. The following can be some risks that can increase the chances of brain tumours.

1. Exposure to radiation
2. Cancer that is spread from another part of the body
3. Genetic conditions that result in the overproduction of cells

It must be noted that less than 5% of all brain tumours have been linked to the genetics of an individual. Yet, the following are a few such conditions that put individuals at a greater risk of brain tumours.

1. Lynch syndrome
2. Cowden syndrome
3. Tuberous sclerosis
4. Von Hippel-Lindau disease
5. Li-Fraumeni syndrome

Brain tumour symptoms

Diagnosis of brain tumours
The diagnosis of brain tumours can take place with the help of any of the following methods.

1. The doctors can carry out neurological exams that include tests related to reflexes, vision, balance, and hearing.
2. If it can be done safely, a biopsy is another way of diagnosing brain tumours. It gives the doctors a better understanding of the grade of tumour and even understand the tissue for a more personalised treatment.
3. Doctors can also diagnose tumours via a lot of scans such as MRI, CT scan, X-rays or even angiogram. These can be used to identify and even pinpoint the exact location of the tumour.

Apart from the above methods, doctors can also use the following for additional screening and ruling out other conditions.

1. Collect samples of cerebrospinal fluid using lumbar puncture to find tracer of tumour cells in it.
2. Evaluate hormonal functioning.
3. Conduct neuro-ophthalmological exams to identify any tumours that can affect the eyesight.
4. Assessments to identify changes in the cognitive ability of individuals.

When is brain surgery needed?

The exact course of treatment of a brain tumour would largely depend on the type of tumour. The presence of slow-growing and fast-growing tumours poses different challenges. However, doctors can proceed with surgery for the removal of a brain tumour, if it is a low-grade tumour. And even more so, if it is in younger patients. If there are still some traces of tumour, it can be treated with chemotherapy and radiation therapy.

For tumours that are of higher grade, often surgery is just the first step. It is followed by radiation therapy and chemotherapy, usually after a recovery period. It must be noted, that the exact treatment would be decided by the doctor and their team upon assessment and considering various other aspects.

Benefit of health insurance for brain tumour

For protection against brain tumours, one of the best approaches is to opt for a critical illness plan by a favoured insurance company. Opting for a critical illness plan for a brain tumour offers the following benefits.

1. Payment of 100% of the sum is assured on the diagnosis of a critical illness such as a brain tumour.
2. The lump sum amount can then be used for the treatment of the brain tumour.
3. Most insurance companies offer quick settlement once you provide the necessary documents.
4. The premiums that you pay for a critical illness plan offer tax benefits under Section 80D of the Income Tax Act.

Brain tumour treatment

Doctors can suggest the following treatment in combination for effective treatment of brain tumours.

1. Surgery
It allows the doctors to remove the tumour and is one of the most preferred treatments.

2. Targeted therapy
This kind of therapy aims at treating the tumour cells only without causing any damage to the healthy cells.

3. Radiation
High-power X-rays are targeted to the tumour to shrink it or destroy it.

4. Chemotherapy
It is usually recommended when the tumour is malignant. The treatment can either be intravenous or via tablets and it is done to completely eradicate any remaining cancer cells.

5. Shunts
If a tumour is causing a lot of pressure in the brain, the doctors can put a shut to release the pressure.

6. Immunotherapy
Strengthening the immunity system of the body is another way to treat brain tumours.

Prevention of brain tumours

According to experts in the medical field, there is no way to prevent a brain tumour. However, you can lower the risk of developing a brain tumour by following a few simple measures. These include reducing environmental hazards such as exposure to smoking or radiation.
It is extremely important that you take enough rest and sleep for better brain health. Consuming a diet that is rich in antioxidants is also recommended. While there isn’t any conclusive evidence that stress can lead to the beginning of a tumour, excessive stress can lower the functioning of the immune system, dropping defence against tumours and diseases.

What is the cost of brain surgery?

A Brain tumour is a life-threatening disease, and the cost of treatment can be quite high at times. The surgery for the removal of a brain tumour can usually range anywhere between Rs. 2,50,000 and Rs. 25,00,000. The cost of the surgery heavily depends on the type of tumour and the complexity of its location, the existing medical condition of the patient, the hospital, and the city where the patient is undergoing the surgery as well.

Given the higher cost of treatment, the lack of a health insurance policy can prove to be quite difficult for the patient as well as their loved ones.

Why is it important to opt for a brain tumour critical illness insurance policy, even if you hold an indemnity health insurance plan?

A brain tumour critical illness insurance policy is highly recommended, even if you have an indemnity health insurance plan. For starters, a critical illness plan works in a different way. On the diagnosis of a life-threatening condition such as a brain tumour, the insurance company will pay the sum insured as a lump sum amount.

The amount can then be used for the type of treatment that your doctor recommends. Since the insured has access to the entire fund, it can be used for treatment, recovery from the surgery or treatment and taking care of the patient.

part from this, the leftover amount can be used to pay off any existing debts and can act as a substitute for loss of income, which can be quite common in such times. Treatment of a critical illness such as a brain tumour can eat into your savings at a faster rate than one can imagine. Opting for a critical illness plan will have you better protected against such life-threatening medical conditions.

Inclusions and exclusions of critical illness insurance for brain tumour

Like any other insurance plan, critical illness insurance for brain tumours also has certain inclusions and exclusions. It is pertinent to go through the list as it will help you understand when the policy has your back and when it doesn’t. inclusions are all the conditions, where the policy can benefit you and exclusions are all the scenarios, where you cannot file for a claim.

Here are the standard inclusions of critical illness insurance for brain tumours.

1. Depending on the insurance provider that you choose, the list of life-threatening diseases that are covered can vary. While some insurers cover as low as 8 to 10 critical illnesses, others provide cover for up to 50 illnesses. Some common illnesses include brain tumours, kidney failure, transplantation of major organs, coronary bypass surgery, etc.
2. You can avail of the benefits of the plan once you complete 30 days of the policy.
3. Some insurance providers offer free annual preventive health checkups.
4. A lump sum payment to the insured on the diagnosis of the list of critical illnesses.

Here are the standard exclusions of critical illness insurance for brain tumours.

1. Insurance companies usually do not pay if the insured loses his or her life within 30 days of surgery or diagnosis of a life-threatening medical condition.
2. Diseases due to internal or external congenital disorders are not covered.
3. Complications due to pregnancy or childbirth are not covered.
4. Self-inflicted injuries, war-related injuries and injuries due to sports are also not covered.
5. Critical illnesses due to consumption of alcohol, tobacco, and other intoxicating substances are not covered.

Eligibility for critical illness insurance for brain tumour

The following are some of the eligibility criteria that potential policyholders must meet to buy critical illness insurance for brain tumours.

1. The applicant should be at least 18 years old and the maximum age allowed is 60-65 years.
2. The sum insured by the policy can range between Rs. 3 lakhs to Rs. 2 crores.
3. Some insurance providers offer the plan up to a term of 40 years.

While these are standard eligibility criteria, the actual criteria might differ based on the insurance provider.

Features of critical illness insurance for brain tumour

On buying critical illness insurance for brain tumours you get access to the following features.

1. A wide coverage for most critical illnesses including brain tumours.
2. Tax benefits under Section 80D for all the premiums paid for a critical illness plan.
3. A lump sum payment on the diagnosis of a critical illness can be used for treatment and other expenses.
4. The plan will offer complete peace of mind for the insured and their loved ones and offer financial security as well.

Who should buy brain tumour health insurance plans?

critical illness insurance for brain tumours can be beneficial for the following groups.

1. Sole earner
If you are the primary earner of the family, it is highly recommended that you opt for adequate protection against critical illnesses.

2. Above 40 years
People who are above the age of 40 years, are more susceptible to critical illnesses and thus, should opt for the necessary coverage.

3. Family history
Though it accounts for only 5% or fewer cases, if anyone in the family has a history of brain tumour, it is recommended to opt for a critical illness plan with brain tumour coverage.

Tax benefits of brain tumour insurance

Any premium that you pay towards a health insurance policy will allow you to take a tax deduction under Section 80D of the Income Tax Act of 1961. The lowest deduction is Rs. 25,000 and the highest deduction is Rs. 1 lakh for a financial year. Here is how you can avail the tax benefits.

Below the age of 60 yearsAbove the age of 60 years
Individual, spouse, dependent childrenRs. 25,000Rs. 50,000
Dependent parentsRs. 25,000Rs. 50,000

Key factors to consider while purchasing critical illness insurance for brain tumour

Before you zero down on an insurance provider and plan, the following are some parameters that you need to keep in mind.

1. Critical illness list
Each insurance provider has a slightly different list of critical illnesses that they cover. Make sure that you go through the entire list and that it covers brain tumours.

2. Age limits
It is important to be aware of the age limit of the policy and the maximum age till which coverage is available.

3. Premiums
It is one of the most important factors but should not be the sole factor. A policy that offers adequate coverage and premium that fits your budget is ideal.

4. Network hospital
Before you buy a critical illness plan for a brain tumour, it is important to assess the list of network hospitals.

5. Renewal
Look for renewal benefits along with your critical illness plan for a brain tumour.

Tips to take care of brain tumour patient

If you want to take care of your loved one who is recovering from the treatment of a brain tumour, here are a few things that you can do.

1. Assist them in remembering tasks, and appointments.
2. Make it a point to spend some quality time with them that can help them in quick recovery.
3. Help them to keep things organised, so that they are not under any kind of stress.
4. Provide them with emotional support through the recovery process.
5. Assist them during the rehab process, as they might need some help with mobility and speech.

The cost associated with brain tumour treatment

As one would expect, there are various expenses associated with the treatment of brain tumours. The following are some standard expenses that a patient might have to incur on the diagnosis and treatment of a brain tumour.

1. Pre-procedure cost
Approximately Rs. 20,000 for various scans and tests such as MRI, PET, CT Scan, USG, etc.

2. Surgery cost
The cost of surgery can range between Rs. 2,50,000 and Rs. 25,00,000, depending on the city and hospital and any other medical complexities.

3. Medical costs
This would again depend heavily on the hospital that a patient is admitted to but it can be up to Rs. 3,000.

4. Consultation fee
Patients are required to consult the doctor within a few days post the completion of the surgery and the amount can be up to Rs. 1,000 for the same.

5. Hospital stay
Patients are usually required to stay in the hospital under observation for a couple of days before they can be discharged. And the cost of the room would depend on the type of room that you choose. But the cost can be up to Rs. 10,000 or more for two days.

How to buy brain tumour insurance plans online?

Should you decide to buy a critical illness plan for a brain tumour, the steps are quite simple to follow. Here is a simple guide for you to buy a critical illness plan online.

1. Visit the website or app of your preferred insurance company or insurance aggregator.
2. Look for health insurance plan options.
3. Look for a critical illness plan.
4. Go through the inclusions and exclusions of the plan to better understand if it fits your needs.
5. Once you have decided, proceed to buy the plan.
6. To buy, you will need to fill out an online form with all the mandatory details.
7. Submit all the necessary documents as required by the insurance company.
8. Pay the premium for the policy and wait to receive a digital copy of the policy in your registered email ID.

This is the standard process of buying a critical illness plan from an insurance provider or insurance aggregator. The actual steps might vary minutely.

Conclusion

Brain tumours, irrespective of which type, can be quite dangerous and need appropriate medical attention. above is all that you need to know about them and the different treatments available. One of the best ways to protect yourself is to opt for a critical illness plan that covers brain tumours. It will offer financial support and ensure that you get the best treatment possible.

Frequently Asked Questions

Not necessarily. While all cancers can be tumours, all tumours are not cancerous. Benign tumours are non-cancerous.

Yes, seizure or convulsion is one of the symptoms of a brain tumour.

One of the most common brain tumour types, meningioma, grows slowly and can go undetected for a long period of time. Thus, it is possible to have brain tumours without any symptoms, until they grow considerably.

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