Before You Decide: What HealZone Will Handle for You (Checklist for Peace of Mind)
Choosing the right hospital and heart team for your TAVR/TAVI in India is a crucial decision and it’s one you don’t have to make alone. At HealZone, we ensure that every patient receives transparent information, verified medical options, and complete logistical support before they travel. Here’s what HealZone helps you verify before you confirm your treatment:
Transparent, Written Cost Estimate
HealZone obtains a detailed, itemized quotation directly from India’s top cardiac hospitals. You’ll receive a written breakdown including:
- Valve implant cost (brand & model)
- Procedure charges and surgeon fees
- ICU & ward stay
- Inclusions and exclusions (medications, complications, follow-ups)
We make sure there are no hidden costs or surprises.
Valve Brand & Device Details
HealZone coordinates with the treating hospital to confirm:
- The exact valve model to be used (e.g., Edwards Sapien 3, Medtronic Evolut, Myval, etc.)
- Whether the valve cost is included in the package
- Size, suitability, and manufacturer warranty
You’ll receive written documentation of the valve specifications for transparency and record-keeping.
Expert Heart Team & Doctor Credentials
We help you review:
- Profiles and experience of the lead interventional cardiologist and cardiac surgeon
- Hospital’s annual TAVR/TAVI case volume
- Team’s training background (many are trained in the US/UK/Europe)
HealZone only partners with accredited, high-volume centres with proven track records in advanced heart valve therapies.
Hospital Accreditation & Success Rates
HealZone verifies that your hospital is:
- NABH (India’s National Accreditation Board for Hospitals) or JCI (Joint Commission International) accredited
- Equipped with modern hybrid cath labs and 24×7 cardiac ICUs
We request performance statistics such as procedure success rate, stroke incidence, and pacemaker requirement rate, so you can compare objectively.
Length of Stay & Recovery Plan
Before your arrival, HealZone will confirm:
- Expected ICU and ward stay duration (usually 3–7 days)
- Post-discharge follow-up appointments and recovery milestones
- Whether cardiac rehabilitation is available within the same facility
We ensure your itinerary is medically and logistically optimized.
Backup Plan for Emergencies
Although complications are rare, HealZone confirms that:
- A standby cardiac surgery team is available in case of surgical conversion
- The hospital has immediate access to advanced ICU support and emergency care
- You are aware of possible extra costs (like pacemaker implantation or prolonged ICU stay) and how they are handled financially.
Your safety always comes first — no shortcuts, no compromises.
Follow-Up & Post-Discharge Support
We coordinate post-procedure follow-up options including:
- Virtual consultations with your treating doctor after you return home
- Periodic echocardiography and medication review schedules
- Communication between your local cardiologist and Indian medical team
HealZone acts as your long-term medical bridge between India and your home country.
Visa, Travel & Accommodation Assistance
HealZone’s International Patient Desk helps you with:
- Medical visa invitation letter and documentation
- Airport pickup & drop arrangements
- Comfortable accommodation options near the hospital
- Language interpreters and 24×7 support
- Assistance for accompanying family members
Our team ensures a smooth, stress-free journey from your home to the hospital and back.
Pre-Arrival Medical Review
Before you travel, HealZone arranges:
- A remote review of your medical records (echo, angiogram, CT scan, etc.) by India’s top cardiologists
- Confirmation that you are a suitable candidate for TAVR/TAVI
- Pre-travel instructions, medication adjustments, and reports checklist
This ensures you travel only after a clear medical plan is established.
Legal Documentation & Consent
We make sure all documentation is handled properly:
- Informed consent forms in clear language
- Hospital admission and billing procedures
- Valve warranty & implant traceability documents
You will always know what you are signing and why HealZone reviews all paperwork on your behalf.
Procedure & hospital stay - what to expect (step-by-step)
This section explains the typical journey for an international TAVR patient.
Pre-travel (remote consultations)
- Send your medical records (echo reports, CT, coronary angiogram, blood tests) for a remote review. Most hospitals will request recent imaging and reports.
- The heart team will triage: confirm diagnosis, measure valve anatomy (cardiac CT), and decide if you are a TAVR candidate and which valve size/type is best.
Arrival & admission (day 0)
- Arrive in India a few days before the procedure if local tests are needed. International patient teams often arrange airport pickup.
- Baseline exams: ECG, bloods, repeat echo or CT if needed, chest X-ray, informed consent discussion.
The procedure (day 1)
- Performed in a state-of-the-art cath lab. Most commonly transfemoral: local anesthesia + conscious sedation or general anesthesia (depends on centre and patient).
- The implanted valve (collapsed on a catheter) is advanced across the diseased valve and expanded, either with a balloon (balloon-expandable) or a self-expanding device. Coronary access and valve positioning are checked with imaging and echo.
- Procedure time is typically 60-120 minutes for an uncomplicated transfemoral TAVR.
Immediate recovery (first 24-48 hours)
- Short stay in a recovery area, then ICU/step-down for monitoring. Heart and neurologic status are monitored; the vascular access site is observed for bleeding.
- Early mobilization is encouraged (walking within 24 hours for many transfemoral cases).
Hospital discharge (typically 3-7 days)
- Most patients are discharged within a few days if stable. Discharge instructions include medications (often antiplatelet therapy), wound care, and follow-up scheduling.
Post-discharge & follow-up
- First clinic visit usually within 1-2 weeks for wound check and medication review; an echocardiogram is typically performed; longer-term echo follow-up at 30 days, 6 months, and annually as recommended. Many hospitals maintain telemedicine follow-up for international patients.
Safety, outcomes, and what the evidence says
Multiple randomized trials and registry data have shown that TAVR provides mortality and stroke outcomes comparable to surgical aortic valve replacement (SAVR) across various surgical risk groups, while offering shorter recovery in many patients. Outcomes depend on patient selection, valve type, and operator/centre experience. Heart teams discuss patient-specific risks and benefits before recommending TAVR vs SAVR. Higher procedure volumes at centres are associated with better outcomes, which is why many patients choose high-volume tertiary hospitals for TAVR.
Risks of TAVR: stroke, vascular complications at the access site (bleeding), paravalvular leak (when some blood leaks around the new valve), conduction abnormalities requiring a permanent pacemaker, infection, and, in rare cases, death. Your heart team will assess your individualized risk before proceeding.
Prognosis: For many appropriate candidates, TAVR improves symptoms, exercise tolerance, and quality of life, and reduces heart-failure admissions. Long-term valve durability is an important consideration and is evolving as longer-term registries and trials provide more data — discuss expected valve lifespan and reintervention options with your team.
Comparing costs: India vs Other Countries
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India
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USD 25,000
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USD 20,000 - USD 35,000
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3-7 days
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Includes valve, procedure, and short stay; lowest global cost with advanced care.
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United States
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USD 70,000
|
USD 50,000 - USD 120,000
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4-7 days
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Device + hospital fees very high; usually insurance-covered.
|
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United Kingdom
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USD 60,000
|
USD 45,000 - USD 90,000
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4-6 days
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NHS covers for residents; private patients pay full price.
|
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Germany
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USD 55,000
|
USD 40,000 - USD 75,000
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5-7 days
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Strong cardiac care infrastructure; high implant costs.
|
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France
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USD 58,000
|
USD 45,000 - USD 80,000
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4-6 days
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Covered for citizens; international patients self-pay.
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Canada
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USD 65,000
|
USD 55,000 - USD 85,000
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5-8 days
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Covered under a public system for residents only.
|
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Singapore
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USD 45,000
|
USD 35,000 – USD 60,000
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4–7 days
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High-quality care, but at a higher cost than India.
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Turkey
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USD 32,000
|
USD 25,000 - USD 45,000
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4-6 days
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Popular for medical tourism; prices rising.
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Thailand
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USD 28,000
|
USD 22,000 - USD 38,000
|
5-7 days
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Competitive costs; fewer centres with high TAVR volumes.
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UAE (Dubai)
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USD 42,000
|
USD 35,000 - USD 55,000
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4-6 days
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High-quality facilities, higher procedural cost.
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Israel
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USD 55,000
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USD 45,000 - USD 70,000
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4-7 days
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Excellent outcomes but high overall expense.
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Patients choosing India can expect to save up to 60-75% compared with North America or Western Europe while receiving internationally accredited care with comparable technology and outcomes.
Important: Direct comparison requires careful matching of what is included (e.g., device brand, length of hospital stay, ICU days). Don’t compare headline prices without verifying the package details.
Travel & logistics for international patients
Visa & documentation
- Most international patients will need a medical visa for India.
- Hospitals with international patient departments usually provide the required invitation letter and necessary documentation for the visa application.
- Check the Indian embassy/consulate requirements in your country.
Travel timing & length of stay
- Plan for 2-3 weeks in total travel time in most cases: pre-procedure evaluations, the operation and immediate recovery, and at least one follow-up before flying home.
- Some straightforward cases may return earlier, while others with slower recovery or complications will require more time.
- Always follow your surgeon’s clearance before travel.
Accommodation & support
- Many hospitals have on-campus guest rooms or partner hotels for family members. International patient services often assist with booking and translation.
- Confirm whether a caregiver is permitted to stay and whether family members can visit during ICU stays.
Language and cultural considerations
- English is widely spoken in most tertiary hospitals in India, and many centres offer interpreter services for other languages.
- Discuss dietary needs and cultural preferences with the hospital early.
Post-return follow-up
- Obtain a complete discharge summary, medication list, and imaging to take home.
- Many centres provide telemedicine follow-ups to coordinate care with your home cardiologist.
Financing, insurance, and reimbursement
- International insurance: Verify with your insurer whether they provide coverage or reimbursement for treatment received abroad. Some international insurers or domestic private health plans may reimburse a portion; others do not.
- Medical loans & third-party financing: Some patients use medical loans available in their home country or financing options offered by hospitals.
- Payment terms: Most hospitals require a deposit before admission and full settlement before discharge. Ask for a clear payment schedule.
- Currency & billing: Hospital invoices are often issued in Indian Rupees (INR). For transparency, request a bill in INR and (if helpful) an estimated USD equivalent. Exchange rates fluctuate, plan accordingly.
Preparing your medical records — what to send for a remote review
To obtain an accurate remote assessment, send digital copies of:
- Recent transthoracic echocardiogram (TTE) and reports
- Cardiac catheterisation/coronary angiography report (if done)
- Cardiac CT (if available) — many centres request a high-resolution gated cardiac CT for valve sizing
- Recent labs (CBC, creatinine, electrolytes, coagulation profile)
- Medication list and allergy history
- Summary of comorbidities (diabetes, COPD, prior MI, prior surgeries)
- Imaging CDs or DICOM files (for detailed review) if requested
Hospitals will schedule a multidisciplinary review and provide a tailored plan and cost estimate.
A realistic checklist before travel (practical)
- Obtain the hospital’s written cost estimate and consent form.
- Get a visa invitation letter and confirm your visa type.
- Arrange travel insurance and check medical evacuation coverage (if desired).
- Organize funds/credit cards accepted by the hospital. Confirm payment currency and method.
- Book accommodation through the hospital or a recommended partner.
- Bring a caregiver or family member, if possible, to help with communication and care planning.
- Prepare medical records in both printed and digital formats.
- Discuss vaccinations or travel advisories for India with your primary care physician (as appropriate).
Questions to ask during your second opinion or remote consult
- Why do you recommend TAVR over SAVR for my specific case?
- Which valve model would you use and why? What are its expected benefits/drawbacks?
- What is your centre’s TAVR volume and complication statistics?
- Do you offer remote follow-up after I return home? How is it handled?
- What is the backup plan if something unexpected happens during the procedure?
Sample travel timeline (example)
- Day -5 to -2: International travel and arrival; final pre-op tests and consultation.
- Day 0: Admission and anaesthesia assessment.
- Day 1: TAVR procedure.
- Day 2-4: ICU/ward monitoring; early mobilization.
- Day 3-7: Discharge planning and discharge (timing individualized).
- Day 10-14: First post-discharge visit or telemedicine check.
- Days 30 / 90: Follow-up echocardiography and clinical review.
Final practical advice & next steps (action plan)
- Collect your records: Get your most recent echo, cath angiogram, cardiac CT (if any), and labs.
- Choose 2-3 hospitals: Prefer leading cardiac centres with international patient services and request remote second opinions/quotes. Ask for a written, itemised cost estimate.
- Compare packages: Confirm which valve model is included, and whether pacemaker or complications are included/excluded.
- Plan travel flexibly: Allow 2-3 weeks; add contingency for unexpected events.
- Coordinate with your local cardiologist: Ensure continuity of care before and after the procedure.
- Confirm billing & payment method: Understand deposit requirements and currency conversion.
- Get a second opinion if undecided: TAVR vs SAVR is a nuanced clinical decision — second opinions are common and sensible.
Frequently Asked Questions (FAQs)
What is TAVR/TAVI?
A minimally invasive procedure to replace a diseased aortic valve through a catheter without open-heart surgery, ideal for high or intermediate surgical-risk patients.
How long does the procedure take?
Typically 60-120 minutes, depending on access route and complexity. Most patients are awake or under mild sedation.
How many days will I stay in the hospital?
Usually 3-7 days, including ICU monitoring and recovery. Complex cases may need longer.
What is the success rate of TAVR in India?
Over 95% in experienced centres, comparable to Western standards, especially at high-volume hospitals.
What is included in the quoted cost?
Valve implant, surgeon fees, anesthesia, cath lab use, ICU, ward stay, and standard medications. Always check for exclusions.
Is the valve permanent?
Yes. It’s a bioprosthetic (tissue) valve designed to last 10–15 years or more depending on patient factors and valve type.
Will I need blood transfusions?
Rarely. Most TAVR procedures cause minimal blood loss compared with open-heart surgery.
Do I need general anesthesia?
Most TAVR procedures in India are performed under conscious sedation; some require general anesthesia based on patient condition.
What are common risks of TAVR?
Stroke, bleeding, vascular injury, or pacemaker requirement, all minimized by skilled teams and careful planning.
How soon can I walk after the procedure?
Many patients are encouraged to walk within 24 hours of a transfemoral TAVR.
When can I fly back home after the procedure?
Usually within 10–14 days after discharge, once cleared by your cardiologist.
Can I get follow-up care after returning home?
Yes. Most Indian hospitals provide telemedicine follow-ups and share discharge reports with your local cardiologist.
Is TAVR covered by international insurance?
Some global health insurers cover overseas care; verify with your provider before travel.
Which valve brands are used in India?
Major centres use internationally approved valves such as Edwards Sapien 3, Medtronic CoreValve Evolut, and Myval (India-made).
Why is India’s cost so much lower?
Lower procedural, hospital, and staffing costs combined with efficient hospital operations without compromising on technology or quality.