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Hello P. Siva ji,

Thank you for your query regarding the Ayushman Bharat Health Account (ABHA) and its coverage for general surgery. It's essential to understand the distinction between the ABHA card and the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) card to determine eligibility for surgical procedures.

Understanding ABHA and PM-JAY:

• ABHA (Ayushman Bharat Health Account):

  • Purpose: Serves as a digital health ID, allowing individuals to store and access their medical records electronically.

  • Coverage: Does not provide any financial coverage for medical treatments or surgeries.

  • Availability: Open to all Indian citizens, regardless of income or socioeconomic status.

• PM-JAY (Pradhan Mantri Jan Arogya Yojana):

  • Purpose: A health insurance scheme aimed at providing financial protection for secondary and tertiary care hospitalization.

  • Coverage: Offers free treatment up to ₹5 lakh per family per year, including various surgical procedures.

  • Eligibility: Targeted at economically disadvantaged families, identified based on specific criteria.

General Surgery Coverage under PM-JAY:

If you are an eligible beneficiary under the PM-JAY scheme:

• Coverage Amount: Up to ₹5 lakh per family per year.

• Included Procedures: A wide range of general surgeries, such as hernia repair, appendectomy, gallbladder removal, and more.

• Hospital Network: Access to a vast network of empaneled public and private hospitals across India.

How to Check Eligibility and Hospital Empanelment:

1. Check Eligibility:

   • Visit the official PM-JAY portal: https://pmjay.gov.in

   • Use the "Am I Eligible" feature by entering your mobile number and other required details.

2. Find Empaneled Hospitals:

   • Access the hospital search portal: https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

   • Select your state and district to view a list of empaneled hospitals.

Hi Karthikeyan,

Thank you for reaching out.

If you're looking for tie-up hospitals for pregnancy treatment in Chennai, the availability of facilities will depend on which scheme or insurance coverage you're referring to—such as Ayushman Bharat, CGHS, ECHS, private insurance (like Star, MediAssist, etc.), or employer-linked hospitals.

How to Check Tie-Up Hospitals in Chennai for Pregnancy Treatment?

1. If you're covered under Ayushman Bharat (PM-JAY):

   • Visit: https://hospitals.pmjay.gov.in

   • Choose Tamil Nadu > Chennai and enter your scheme.

2. For CGHS (Central Government Health Scheme):

   • Refer to the latest CGHS list available for Chennai: CGHS Empanelled Hospitals – Chennai

3. For ESI / ECHS or state schemes:

   • You may need to get referred from the nearest wellness center or ESI clinic.

4. For private insurance holders:

   • Log in to your insurer's website (e.g. Star Health, HDFC Ergo) and search for network hospitals by location.

What to Look for in a Good Maternity Hospital?

• Experienced obstetricians and gynaecologists

• NICU (Neonatal Intensive Care Unit) availability

• Emergency and surgical facilities (C-section readiness)

• Comfortable and hygienic wards

• Insurance/cashless tie-up facility

Please let us know the name of your card/scheme or insurance provider so we can assist you better. Wishing your wife a safe and smooth pregnancy journey!

Hello B. V. Natesan Ji,

Thank you for your question. As a 64-year-old pensioner of the Employees' Provident Fund Organisation (EPFO), you are eligible to apply for a CGHS card to avail of cashless treatment in CGHS-empanelled hospitals.

Where and how can I apply for a CGHS Card (for pensioners)?

Online Process:

1. Visit the official CGHS portal: https://cghs.nic.in

2. Click on the “Apply for CGHS Card” link under the Beneficiaries → Pensioners section

3. Fill out the application and upload:

   • Pension Payment Order (PPO)

   • Aadhaar Card

   • Passport-size photograph and signature

   • Residential proof

4. Take a printout and visit the nearest Additional Director, CGHS Office for verification and biometric data submission.

Offline Option:

You can collect and submit the form directly at your nearest CGHS Wellness Centre or the Additional Director’s Office with all necessary documents.

How Much Do You Need to Pay?

You have two options based on your last drawn basic pay:

1. Annual Contribution:

   • ₹6,500–₹8,499 → ₹600/month or ₹7,200/year

   • ₹8,500–₹11,499 → ₹850/month or ₹10,200/year

2. One-Time Lifetime Contribution:

   • ₹72,000 for ₹6,500–₹8,499 slab

   • ₹1,02,000 for ₹8,500–₹11,499 slab
     (Please confirm the exact amount based on your pay scale at retirement.)

What does the CGHS Card cover?

• Cashless treatment at CGHS empanelled hospitals

• OPD consultations at CGHS Wellness Centres

• Diagnostics, investigations, and day-care procedures

• Medicines from CGHS dispensaries

Wishing you good health, Natesan Ji!

Hello B. Natesan Ji,

As a CGHS beneficiary in Chennai, you are eligible for cashless treatment at several empanelled hospitals across the city. The Central Government Health Scheme (CGHS) provides a network of approved hospitals and diagnostic centres for Central Government employees, pensioners, and their dependents.

How to View the CGHS Empanelled Hospitals in Chennai?

You can check the latest official list of CGHS-empanelled hospitals in Chennai using the direct government reference link below:

👉 Download the CGHS Chennai Hospital List (PDF)

Steps to Use CGHS Services

1. Choose a hospital from the list that covers your required speciality

2. Ensure that the hospital is currently empanelled and valid for CGHS services

3. Carry your CGHS card and a valid ID at the time of treatment

4. If needed, get a referral letter from your CGHS Wellness Centre

Important Tips

• Always call the hospital in advance to confirm cashless treatment availability.

• Check if your treatment requires a referral or prior approval

• Keep your documents and prescriptions ready for verification

Wishing you good health, Natesan Ji!

Dear Mr Nagarajan,

Thank you for reaching out to the HexaHealth Doctor Community.

Regarding your query about pacemaker battery replacement —
This is a common and generally safe procedure known as pacemaker generator replacement. It is necessary when the battery, also called the generator, nears the end of its lifespan (usually after 5-10 years, depending on usage and device type).

Recommended Treatment Plan

• Assessment: A detailed check, including device interrogation, is done to confirm battery depletion.

• Procedure: The replacement is a relatively straightforward surgery, typically performed under local anaesthesia. Only the battery (pulse generator) is replaced; the leads (wires connected to the heart) are usually left in place if they are functioning well.

• Recovery: Most patients are discharged the same day or the next day. Physical activity may be restricted for 2-3 weeks to allow proper healing.

Precautions to Take

• Avoid heavy lifting or vigorous arm movements on the side of the pacemaker for at least 2–4 weeks.

• Follow up regularly to monitor the new device's functioning.

• Notify airport security and healthcare providers about the pacemaker.

• Watch for signs of infection like redness, swelling, or fever after the procedure and report immediately.

To assist you better, could you please let us know:

• Are you looking for a second opinion?

• Do you need help finding the best doctor or hospital in Chennai?

• Are you looking to understand the cost and insurance coverage options?

Once you share this information, we will connect you with the right specialist and guide you through the following steps.

Wishing you good health and a smooth recovery!

Dear Sunil Kumar Ji,

Heart surgery is often recommended for conditions like blocked arteries, valve issues, or congenital heart defects. The right approach depends on your specific diagnosis and overall health condition. It’s important to consult with a top cardiac surgeon and get timely medical care to ensure the best treatment outcome.

At HexaHealth, we can assist you in:
✅ Expert Consultation – Connecting you with top cardiac specialists.
✅ Hospital Selection – Guiding you to leading hospitals like Gleneagles Global Health City or Apollo Hospitals, Chennai, for the best heart care.
✅ Treatment Cost Estimation – Helping you understand surgery costs and available financial options.
✅ Insurance Assistance – Checking your insurance coverage and cashless claim options.
✅ Complete Surgery Support – From admission to discharge, we provide end-to-end assistance.

Would you like us to arrange a priority consultation with a top heart specialist? Let us know, and we’ll assist you right away!