Is Dermatology Covered by Health Insurance Plans?
  • Best health plans for dermatology
  • What is dermatology?
  • Inclusions and exclusions
Is Dermatology Covered by Health Insurance Plans?
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Simran saxena
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Health and Term Insurance

Simran has over 3 years of experience in content marketing, insurance, and healthcare sectors. Her motto to make health and term insurance simple for our readers has proven to make insurance lingos simple and easy to understand by our readers.

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Anchita Bhattacharyya

Anchita Bhattacharyya

Health, Term & Life Insurance

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Written By: Himanshu Kumar

Updated on Jan 15, 2025

Himanshu Kumar

Anchita Bhattacharyya

Term Insurance, Content Manager

Content Manager with heart, mind, and soul dedicated to creating impactful content that exceeds the market standard, delivers and reaches the readers conveniently. Besides producing high-ranking content, my focus lies in creating content that solves user queries and adds value.

Reviewed By: Anchita Bhattacharyya

15 min read

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Santosh AgrawalChief Business Officer
Santosh Agarwal is the Chief Business Officer of life Insurance at Policybazaar.com and has over a decade of experience in the insurance domain. She has helped shape Policybazaar's life insurance vertical and ensures the effective execution of the company's overall strategy. Santosh is also responsible for the Term Insurance for Women domain at Policybazaar.com and educates the masses about its importance and benefits.

Are Dermatology Treatments Covered by Health Insurance?

Yes, dermatology treatments are covered under health insurance plans in 2025. You can raise a health insurance claim for your skin-related problems. However, there are some limitations and exclusions that you should be aware of. For example, what procedures of dermatology are covered under health insurance plans, what is not covered, how much it is covered, and so on.

But in the case of skin cancer, the treatments are covered under the critical illness health insurance plans. However, the scope of coverage can be different from one insurance company to another. Most medical insurance plans only cover the cost of hospitalisation arising out of a dermatology treatment and exclude daycare procedures and OPD consultations. However, some health insurance companies provide coverage for all the expenses including, hospitalisation, surgery, daycare and OPD.

So it is necessary to read all the terms and conditions of the health insurance policy before buying.

What Is Dermatology?

Dermatology is a branch of medicine and medical treatment that deals with the diagnosis and treatment of skin, hair and nails. Doctors who specialize in the skin, hair and nail treatments are known as dermatologists. Mostly they are experts in diagnosing and treating a wide range of skin conditions, from acne and eczema to skin cancer and psoriasis.

Cosmetic procedures like botox, fillers, and laser treatments are also performed by dermatologists. They can also provide advice on how you can keep your skin healthy and how you can protect your skin from sun damage. So, if you have any problem like acne, hair fall, ringworm, rash, brittle nails, sunburn, etc. you should see a dermatologist.

List of Dermatology Treatments Covered Under Health Insurance

Dermatology treatments can be classified into two categories, medical and cosmetic. Most of the health insurance plans cover medical cosmetic treatments like:

  • Acne treatment
  • Eczema treatment
  • Psoriasis treatment
  • Skin cancer treatment
  • Skin infection treatment
  • Hair loss treatment
  • Mole removal
  • Wart removal
  • Biopsy
  • Cryotherapy
  • Electrocautery
  • Laser therapy
  • Phototherapy
  • Surgery

In addition to the specific treatments listed above, health insurance plans may also cover the costs of consultations with a dermatologist, diagnostic tests, and prescription medications.

List of Dermatology Treatments Not Covered Under Health Insurance

  • Botox injections
  • Fillers
  • Laser hair removal
  • Tattoo removal
  • Chemical peels
  • Microdermabrasion
  • Facials

It is important to note that this is not an exhaustive list and that the specific treatments that are covered by your health insurance plan may vary. It is always best to check with your insurance provider to confirm what is covered and not covered.

If you are considering a dermatology treatment, it is important to talk to your doctor about your options and to get a referral to a dermatologist who is in-network with your insurance plan. You should also contact your insurance provider to confirm what is and is not covered by your plan.

Health Insurance Plans That Cover Dermatology

We have curated some health insurance plans that can cover your dermatologist’s and related treatment costs.

Plan NameCSRSum InsuredWaiting Period
Aditya Birla Activ Health Essential Plan99.01%Up to 10 L36 months
Bajaj Allianz Health Guard Individual93.54%Up to 1 Cr36 months
Care Freedom100%Up to 10 L2 years
HDFC ERGO Health Suraksha Gold98.59%Up to 75 L24 months
ICICI Lombard iHealth98.53%Up to 50 L24 months
Niva Bupa ReAssure100%Up to 1 Cr2 years
Future Generali Heart and Critical Illness94.98%Up to 50 L90 days

To more about health insurance plans, visit us.

traordinary Facts

Did you know, that the one-time cost of a dermatologist might vary from Rs 500 to Rs 3000? Yes! Mostly, for skin conditions, dermatologist visits are recurring as these issues might not get better in one sitting. Now you think why you need a health insurance plan for skin diseases.

Benefits of Buying Dermatology Health Insurance Plans

Dermatology health insurance plans can be a valuable asset for anyone concerned about their skin health. Here are some key benefits:

  1. Financial Protection:

    • Reduces out-of-pocket expenses: Dermatology treatments, especially for chronic conditions or surgeries, can be expensive. Insurance helps cover these costs, making treatment more affordable.
    • Manages unforeseen costs: Skin issues can arise unexpectedly. Having insurance ensures you’re prepared for unexpected medical expenses.
  2. Access to Quality Care:

    • Access to specialists: Insurance plans often provide access to a network of qualified dermatologists, ensuring you receive expert care.
    • Wider treatment options: With insurance, you may have more options for treatments and procedures, and cost becomes less of a barrier.
  3. Coverage for Various Conditions:

    • Chronic conditions: Many plans cover treatment for chronic skin conditions like psoriasis, eczema, and acne, which require ongoing management.
    • Serious conditions: Some plans may offer coverage for more serious conditions like skin cancer, ensuring you can access necessary treatments.
  4. Preventive Care:

    • Early detection: Some plans may cover screenings and diagnostic tests for early detection of skin diseases, allowing for timely intervention.
  5. Peace of Mind:

    • Reduced stress: Knowing you have coverage for potential skin issues can provide peace of mind and reduce stress about healthcare costs.

Xpert’s POV- By carefully considering these factors and choosing the right plan, you can gain valuable protection for your skin health and overall well-being.

Terms & Conditions Related to Health Insurance for Skin Treatment

Dermatology health insurance plans come with certain terms and conditions. These are the few things you need to keep in mind before opting for a health plan for a skin condition.

  1. How much is covered?

    The amount of coverage will vary depending on your specific health insurance plan. Some plans may have a deductible, copay, or coinsurance for dermatology treatments. It is important to review your plan documents carefully to understand your coverage.

  2. Waiting period

    You need to serve a waiting period before you can be covered for certain dermatology treatments.

  3. Pre-authorisation

    Some plans may require you to get pre-authorization from your insurance company before you can receive certain dermatology treatments.

Conclusion - Get Coverage for Dermatology Treatments with PolicyX Health Insurance

The best way to find out if your plan covers dermatology treatments is to contact your insurance provider directly. You can also review your plan documents online or call your insurance company’s customer service number. Try to choose a dermatologist who is in-network with your insurance plan. File your claims promptly and follow up with your insurance company if you have any questions.

Ask PolicyX.com for any insurance-related advice. We are industry experts who provide correct information without any gimmicks.

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Is Dermatology Covered by Health Insurance Plans?: FAQs

1. How can I find out if my specific dermatology treatment is covered?

The best way is to contact your insurance provider directly. You can also review your policy documents or call their customer service number. Your dermatologist’s office can also sometimes help with this process.

2. Will my insurance cover consultations with a dermatologist?

Yes, consultations with a dermatologist for medically necessary diagnoses and treatments are usually covered.

3. Will I have any out-of-pocket costs for dermatology treatment?

Possibly. You may have a deductible, copay, or coinsurance, depending on your plan. It’s essential to understand these costs before starting treatment.

4. Do I need a referral to see a dermatologist and claim for the treatment?

Some insurance plans require a referral from your primary care physician to see a specialist like a dermatologist. Check with your insurance provider to confirm their requirements.

5. What is pre-authorization, and do I need it for dermatology treatment?

Pre-authorization is when your insurance company needs to approve a specific treatment or procedure before it will be covered. Some dermatology treatments may require pre-authorization. Your dermatologist’s office can usually assist with this process.

6. What if my dermatologist recommends a treatment my insurance doesn’t cover?

Discuss alternative treatment options with your dermatologist. You may also be able to appeal the insurance company’s decision. Sometimes, paying out-of-pocket is the only option for certain cosmetic procedures.

7. Is skin cancer treatment covered by insurance?

Yes, skin cancer treatment is typically covered by health insurance, as it is a medically necessary procedure.

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Simran saxena

Written By: Simran Saxena

Simran has over 3 years of experience in content marketing, insurance, and healthcare sectors. Her motto to make health and term insurance simple for our readers has proven to make insurance lingos simple and easy to understand by our readers.