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Updated on Apr 16, 2025 7 min read
Medical inflation in India is among the highest globally. Similarly, heart surgery and other CVD treatment costs are rising. In the previous year, heart-related insurance claims accounted for nearly 20%. Moreover, heart surgery costs have risen by 47% to 53% in the past year. This indicates the need for adequate health coverage.
High blood pressure, and diabetes, combined with urban sedentary lifestyles contribute to the increasing cost of heart surgeries in India. This is particularly affecting people under 40 years of age. Read more to explore everything about heart surgery costs in India.
The average cost of heart surgery in India increased from INR 4 to 5 Lakhs in 2019-2020 to INR 12 to 15 Lakhs in 2023-24. This indicates a significant need for adequate health coverage. Similarly, costs for major treatments like coronary artery bypass grafting and heart transplants have also risen.
Heart surgery refers to any surgical procedure performed on the valves, blood vessels, arteries, or a complete heart transplant. The doctors may opt to do minimally invasive or open heart surgery depending on your medical condition.
The cost of a health insurance surgery in India depends entirely on the severity of your overall health and the medical condition of your heart. In some cases, emergency heart surgeries are performed like heart attacks.
The various types of heart surgeries performed are mentioned below
One of the most critical open heart surgery for the treatment of coronary artery diseases. This surgery is also known as CABG. When the arteries that supply blood to the heart become narrowed or blocked, the doctors perform this surgery.
A surgical procedure that cures the problems of the heart valves. Heart valves are the structures that control the blood flow throughout the heart.
When the condition becomes incurable, the doctors suggest for heart transplant. In this case, they replace the damaged heart with the healthy heart from a donor.
A minimally invasive surgical procedure that is used to treat abdominal aortic aneurysm, which is a bulge in the aorta, the main artery that carries the blood from the heart to the other parts of the body.
It is a type of heart surgery that involves making smaller incisions in the chest, rather than a large, open incision. This allows surgeons to access the heart and perform procedures with less trauma to the body.
The Cox-Maze procedure is a surgical technique used to treat atrial fibrillation, a heart rhythm disorder where the upper chambers of the heart (atria) beat irregularly and rapidly.
Heart arrhythmia is a condition where the heart beats irregularly. To cure this, doctors suggest implanting a pacemaker in the chest to help regulate the heart’s rhythm.
It is the heart surgery assisted by the robots and artificial intelligence. In this case, the surgeons use the help of computers and robotic arms to make incisions and get access to the heart to perform minimally invasive surgical procedures.
POV- Other types of heart surgeries can be suggested by the doctors. But the main question comes, is your heart surgery covered by health insurance in India?
There are multiple health conditions wherein your doctor might suggest surgery. One of the most common reasons is a heart attack caused due to blocked arteries. Other common reasons include:
Yes, as per the guidelines by IRDAI, it is mandatory for all health insurance plans to cover the cost of heart surgery. However, some specific plans cover open heart surgery costs and other advanced procedures.
Name Of Plans | Entry Age | Sum Insured | Premiums (approx.) |
Care Heart Plan | Minimum- 18 Years Maximum- No Limit | Upto INR 10 Lakh | INR 1,183 Per month |
Care Freedom Plan | Minimum- 90 Days Maximum- No Limit | Upto INR 5 Lakh | INR 5,653 Per month |
Star Cardiac Care Plan | Minimum- 10 Years Maximum- 65 years | Upto INR 4 Lakh | INR 1,225 Per month |
Star Critical Illness Multipay Insurance Policy | Minimum- 18 Years Maximum- 65 years | Upto INR 25 Lakh | INR 1,534 Per month |
Star Special Care | Minimum- 3 years Maximum- 25 years (who are diagnosed with Autism) | Upto INR 3 Lakh | INR 4800 Per month |
Niva Bupa CritiCare | Minimum- 18 years Maximum- 65 years | Upto INR 3 Crore | INR 1044 Per month |
ManipalCigna ProHealth Prime | Minimum- 91 days Maximum- No Limit | Upto INR 1 Crore | INR 919 Per month |
Aditya Birla Activ Secure Critical Illness | Minimum- 5 years Maximum- 65 Years | Upto INR 1 Crore | INR 668 Per month |
SBI Critical Illness Insurance Plan | Minimum- 18 years Maximum- 65 Years | Upto INR 10 Lakh | INR 588 Per month |
The various benefits of investing in health insurance plans that cover the cost of heart surgeries in India are mentioned below:
The following factors affect the rising cost of heart surgeries in India:
The average cost of open heart surgery in India ranges from Rs 1 Lakh to Rs 10 Lakh. Here is the breakdown of cardiac surgery costs.
Type of Heart Surgery | Heart Surgery Cost (Approx.) |
Coronary Artery Bypass Grafting (CABG) | Rs 1.8 lakh to Rs 3.6 lakh |
Angioplasty and Stent Placement Surgery | Rs 1.5 lakh to Rs 3.2 lakh |
Heart Valve Repair/Replacement Surgery | Rs 2.4 lakh to Rs 5.7 lakh |
Aorta Graft Surgery | Rs 5.6 lakh to Rs 11.5 lakh |
Implantation of Pacemaker or Cardioverter Defibrillator Surgery | Rs 2.4 lakh to Rs 4.5 lakh |
Pericardiectomy | Rs 1 lakh |
Septal Myectomy | Rs 2 lakh to Rs 4 lakh |
Heart Transplant Surgery | Rs 18 lakh to Rs 25 lakh |
Implantation of Ventricular Assist Devices or Total Artificial Heart Surgery | Rs 45 lakh to Rs 80 lakh |
ASD Closure Surgery | Rs 2 lakh to Rs 3 lakh |
It has been noted by the NCRB, that around 32,457 individuals have lost their lives due to heart attacks in 2022. This number increases every year due to so many factors like lifestyle, eating habits, stress, etc. But by following these steps, you can decrease the risk of heart disease.
Despite the rising costs of heart surgery, India’s reputation for providing world-class medical care at affordable rates offers a glimmer of hope for those facing heart ailments. Individuals can make informed decisions about their healthcare needs by understanding the factors affecting the cost and exploring available insurance options. Remember, prevention is key. Adopting a healthy lifestyle, regular check-ups, and timely medical intervention can significantly reduce the risk of heart disease and its associated costs.
At PolicyX.com, we believe in ’Healthy Heart, Healthy You’. Our health plan offerings like Care Heart, Star Comprehensive, Niva Bupa ReAssure 2.0, etc, provide complete coverage for heart-related surgery and treatment costs in India. Including features like:
For any queries related to heart surgery in India, health insurance plans that provide coverage, and what are the best options for you, schedule a quick call with our IRDAI-certified insurance experts today!
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Heart surgery costs in India will vary depending on the type of surgery required by the patient. For example, a heart replacement surgery will cost much higher as compared to a stent insertion. The average cost may vary between INR 2 to 20 Lakhs.
Yes, various government health insurance schemes cover treatment expenses for various heart ailments.
There is no upper limit for the cost of heart surgeries in India. However, the costliest type of heart surgery in India are heart transplant surgeries.
Yes, heart surgeries are affordable if you have invested in health coverage as it will help you cover the treatment expenses. A minor heart surgery like stent insertion in itself will cost anywhere between INR 1.5 to 2 Lakhs.
Yes, health insurance plans cover heart surgeries in India depending on the coverage terms and conditions. You can also buy a critical illness cover to cover heart ailments specifically.
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Simran is an insurance expert with more than 4 years of experience in the industry. An expert with previous experience in BFSI, Ed-tech, and insurance, she proactively helps her readers stay on par with all the latest Insurance industry developments.
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