Does Ayushman Card cover open heart surgery and what are the costs?

Hello,

Haan ji, Ayushman Card se patients ki open heart surgery ka treatment PM-JAY ke under cover hota hai or ye cashless hota hai.

PM-JAY mein eligible family ko saal mein ₹5 lakh tak ka family health cover milta hai. Yeh amount ek bank balance ki tarah nahi hota, balki approved treatment packages ke according hospital mein claim kiya jata hai.

Open heart surgery mein kaun se expenses cover ho sakte hain?

Applicable PM-JAY package ke according surgery se jude zaroori hospital expenses cover ho sakte hain, jaise :

• Doctor/surgeon aur anaesthesia charges

• Operation Theatre (OT) charges

• Hospitalisation aur nursing charges

• ICU care, jab package ke under required ho

• Required medicines aur investigations

• Surgery se related eligible implants/medical items, package rules ke according

• Pre-surgery investigations, jab applicable package mein included hon

• Discharge ke baad prescribed medicines/follow-up care, package ki allowed period ke according

Exact coverage surgery ke type aur approved PM-JAY package par depend karta hai. Isliye hospital ke Ayushman Mitra se package details aur pre-authorisation zaroor confirm karein.

Private hospital mein open heart surgery ka normal self-pay cost surgery ke type, hospital, surgeon, ICU stay, medicines aur implants ke according kaafi vary kar sakta hai.

Ayushman Card ke case mein patient ko approved package ke covered portion ke liye cashless treatment milta hai. Isliye ek fixed “Ayushman surgery cost” batana sahi nahi hoga. Hospital ke Ayushman desk se exact package aur approval confirm karna zaroori hai.

Jo services ya expenses PM-JAY package mein covered nahi hain, unke liye patient ko payment karni pad sakti hai. Isliye admission se pehle hospital se written/clear confirmation lena better hai.

Ayushman Card se hospital kaise check karein?

1. Official PM-JAY Hospital Search portal open karein.

2. Apna State select karein.

3. Apna District select karein.

4. Government ya Private Hospital select karein.

5. Cardiac/CTVS ya relevant specialty available ho to select karein.

6. Jis hospital mein treatment karwana hai, uska exact naam search karein.

7. Captcha aaye to enter karein.

8. Search par click karein.

9. Check karein ki hospital ka PM-JAY empanelment active hai aur cardiac/open heart surgery ka required package available hai.

10. Hospital ke Ayushman Mitra/PM-JAY desk par doctor ki advice aur reports lekar jaayein. Wahan exact package, eligibility aur pre-authorisation ki requirement confirm karwaayein.

Aap apne district ki PM-JAY empanelled hospital list bhi check kar sakte hain. PM-JAY mein hospital empanelment aur treatment packages alag-alag verify karna important hai.

Kaun se documents lekar jaana chahiye?

Ayushman Card se open heart surgery ke liye generally ye documents saath rakhein :

• Ayushman Card

• Aadhaar Card ya valid government ID

• Cardiologist ki prescription/advice

• Angiography report

• ECG/Echo reports

• Blood test aur doosri relevant investigation reports

• Previous treatment/prescription records

• Previous hospital admission ya discharge papers, agar hain

• Referral letter, agar required ho

• Patient ki current medicines ki list

Hospital Ayushman desk additional documents bhi maang sakta hai, especially pre-authorisation ke time.

Kin kharchon ke liye pehle confirm karna chahiye?

Travel, attendant ka food/stay, package mein included na hone wali medicines/tests, aur non-covered services ka expense PM-JAY se automatically cover nahi maana jana chahiye.

Isliye surgery se pehle Ayushman Mitra se poochhein ki “Is surgery ke package mein kya-kya included hai aur patient ko koi additional payment karni padegi ya nahi?”

Agar aap open heart surgery ke liye hospital dhoondh rahe hain, to apna city aur state batayein. Uske according suitable Ayushman-empanelled hospital check karne mein help ki ja sakti hai.

Wishing you and your family good health always.
Warm regards,
Team HexaHealth