Ayushman Bharat Covered Diseases List - Download PDF

Ayushman Bharat Covered Diseases List - Download PDF

Ayushman Bharat covered diseases list gives the list of packages included in the Ayushman Bharat scheme for various conditions. The Ayushman Bharat Yojana is the world’s largest health insurance scheme funded by the Indian government. It aims to provide medical insurance coverage of up to 5 lakhs per year to economically disadvantaged families.

To use the benefits of the scheme, you must show your Ayushman Bharat card at the empanelled hospitals. Now, you can download the Ayushman Bharat Disease List PDF to check if your condition is covered under the scheme.

Ayushman Bharat Yojana Medical Facilities

The Ayushman Bharat Yojana helps families access secondary and tertiary healthcare services at nationwide public and private network hospitals. The scheme covers 1393 defined packages, including one unspecified surgical package and 24 specialities. The Ayushman Bharat covered diseases list provides inclusive details of the critical diseases covered under the Ayushman Bharat Scheme.

In addition to the current Reproductive and Child Health (RCH) and infectious disease services, the services would include those for Non-Communicable Diseases (NCDs), Mental Health, ENT, Ophthalmology, Oral Health, Geriatric and Palliative Health Care, and Trauma Care. Free diagnostic and drug services are added to increase the number of medications and tests offered at these Ayushman Bharat Health and Wellness Centres (AB-HWCs).

Ayushman Bharat Covered Disease List

Families and individuals eligible for the programme can take advantage of nearly 25 specialities. The table includes the list of diseases covered under Ayushman Bharat with package details and costs:

S. No.

Speciality Number of packages Cost Range
1

Burns Management

12 7000-80000
2

Cardiology

39 5,000-1,10,000
3

Cardiothoracic and Vascular Surgery

92 1,000-2,70,000
4

Emergency Room Packages

(Care requiring less than 12 hours stay)

4 1,700-10,000
5

General Medicine

72 2700-4500
6

General Surgery

253 1500-51600
7

Interventional Neuroradiology

15 70000-160000
8

Medical Oncology

52 5800-160000
9

Mental Disorders Packages

17 1000-10000
10

Neonatal Care Packages

10 500-15000
11

Neurosurgery

83 15000-75000
12

Obstetrics & Gynaecology

79 9900-38500
13

Ophthalmology

42 3000-23900
14

Oral and Maxillofacial Surgery

9 500-15000
15

Orthopaedics

101 2000-177000
16

Otorhinolaryngology

94 1200-48900
17

Paediatric Medical Management

102 1800-45000
18

Paediatric Surgery

34 5000-30000
19

Plastic & Reconstructive Surgery

9 2000-50000
20

Polytrauma

12 1000-75000
21

Radiation Oncology

14 1100-90000
22

Surgical Oncology

48 20000-98000
23

Urology

161 1000-42000
24

Paediatric Cancer

38 5000-30000
25

Unspecified Surgical Package

1 330-5000

 

You must visit "How to Use Ayushman Card in Hospital?" to know the necessary steps of hospitalisation. 

PMJAY Critical Illness Coverage Inclusion

The Health cover under AB-PMJAY includes all the expenses incurred for the hospitalization of beneficiaries. Ayushman Card download is a must in this case to enjoy the benefits of Ayushman Bharat. The scheme covers the following components:

  1. Medical examination, treatment, and consultation
  2. Pre-hospitalization
  3. Medicine and medical consumables
  4. Non-intensive and intensive care services
  5. Diagnostic and laboratory investigations
  6. Medical implant services (where necessary)
  7. Accommodation benefits
  8. Food services
  9. Complications arising during treatment

Ayushman Bharat Yojana List of Diseases Excluded

It is not possible to receive reimbursement for medical and surgical costs simultaneously. The surgery with the maximum cost will be covered first in case of multiple surgeries. The Ayushman Bharat Yojana does, however, have several exclusions, which include the following:

  1. Drug rehabilitation program
  2. Cosmetic procedures
  3. Out-Patient Department (OPD) expenses
  4. Individual diagnostics
  5. Organ transplant 
  6. Fertility-related procedures

The first kidney transplant in J&K hospitals was performed at SKIMS under the Ayushman Bharat Scheme with a patient from Poonch whose expenditures were paid under the Scheme. The PMJAY scheme did not initially cover the cost of kidney transplantation. Still, patients who require kidney transplantation are supported financially, and SKIMS is the first hospital to do so under the Ayushman Bharat Scheme.

Status of Health Benefits Package

The status of the Health Benefits Package for Ayushman Bharat diseases list can be checked in two ways. These are:

  1. Through HexaHealth
  2. Through the official website

Through HexaHealth

Go to the link Download Disease Covered in Ayushman Bharat Hospitals PDF to access the list of diseases covered under Ayushman Bharat.

Through official website

  1. Click on the link to the official website "https://pmjay.gov.in/"
  2. Go to the menu bar on the home page
  3. Chose "Health Benefits Packages"
  4. The information regarding Ayushman Bharat covered diseases list will be available to you

Conclusion

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana, targeted at underprivileged families, has received a successful response in its initial phases. With several diseases covered under the scheme, the Ayushman Bharat Yojana can help poor people access quality healthcare. Through this project, the Indian government has shown its commitment to strengthening the healthcare ecosystem in the country. 

Visit HexaHealth and contact the experts to learn more about the package and the surgeries covered under the scheme. Our expert doctors will be happy to help you with your queries and concerns.

Frequently Asked Questions

How to get Ayushman Bharat covered diseases list?

Visit Download Disease Covered in Ayushman Bharat Hospitals PDF to check the Ayushman Bharat diseases list.

Which disease covered under Ayushman Bharat?

The Ayushman Bharat Yojana covers 1393 defined packages, including one unspecified surgical package and 24 specialities. The scheme helps families access secondary and tertiary healthcare services at nationwide public and private network hospitals.

How many diseases cover in Ayushman Bharat?

The scheme covers medical and surgical expenses under 25 critical specialities, namely Cardiology, Neurosurgery, Paediatrics, Oncology, Orthopaedics, etc.

Some of the critical illnesses that are covered under the scheme include:

  1. Prostate Cancer
  2. Coronary Artery Bypass Grafting
  3. Double Valve Replacement
  4. Carotid Angioplasty with Stent
  5. Pulmonary Valve Replacement
  6. Skull Base Surgery
  7. Anterior Spine Fixation,
  8. Tissue Expander for Disfigurement following burns.

Does Ayushman Bharat cover hernia surgery?

Yes, Ayushman Bharat covers hernia surgery. It provides appropriate therapy for patients with disorders of the breast, hernia, soft tissues, skin, and skin-related trauma.

Is eye treatment covered in Ayushman card?

Yes, all PMJAY-eligible patients will receive necessary eye care per governmental regulations.

Does Ayushman card cover knee replacement?

Yes, under the Ayushman Bharat programme, beneficiaries can now avail procedures like hip and knee replacements.

Does Ayushman Bharat cover physiotherapy?

Yes, it covers physiology. The Ayushman Hospital and Health Services department of physiotherapy and rehabilitation is well-equipped with the newest technology for various physiotherapy subspecialties.

Is MRI free in Ayushman card?

Yes, the beneficiaries will now have free access to expensive testing like MRIs and PET scans.

Does Ayushman cover pregnancy?

Pregnant women may receive financial coverage of up to Rs. 5 lakhs under the PMJAY or Ayushman Bharat Yojana. 

Is Ayushman card valid for dialysis?

Yes, Ayushman golden card is valid for dialysis. Additionally, the districts covered in the program are guaranteed to have at least one dialysis facility under the plan.

Is chemotherapy covered by Ayushman Bharat?

Yes, Ayushman Bharat will now offer cancer health coverage based on the therapeutic regimen rather than the type of disease.

Does Ayushman cover kidney transplant?

Yes, now patients from economically weaker sections can now avail the facility of organ transplant treatment such as kidney or bone marrow transplants. 

About the Author

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