How to get medical treatment using the Ayushman card scheme?

Hello,

The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is a government scheme that provides health coverage to economically vulnerable sections of society, ensuring cashless treatment for various medical conditions.

Process of Getting Treatment with Ayushman Card

Using your Ayushman card for medical treatment is designed to be a seamless and cashless experience. Here's a step-by-step guide

1. Verify Eligibility

• Before seeking treatment, ensure your name is listed in the Ayushman Bharat beneficiary database. You can check this online, through the Ayushman Bharat website , or by visiting an empanelled hospital or Common Service Centre (CSC).
  
  

2. Locate an Empanelled Hospital

• Find a hospital that is empanelled under the Ayushman Bharat scheme. These are often called "PMJAY empanelled hospitals."
• You can usually find a list of these hospitals on the official PMJAY website or through HexaHealth's platform.
  
  

3. Hospital Visit and Verification

• Upon visiting the empanelled hospital, approach the Ayushman Mitra desk (a dedicated help desk for beneficiaries) or the hospital's reception.
• Present your Ayushman card or your PMJAY ID along with a valid government-issued photo ID (like Aadhaar card, PAN card, or voter ID) for identity verification.
• The Ayushman Mitra or hospital staff will verify your eligibility and identity using their system.
  
  

4. Cashless Treatment

• Once your eligibility is confirmed, the hospital will proceed with the necessary medical examinations and treatment.
• You will receive cashless treatment for the covered procedures, meaning you do not have to pay any money out of pocket for the services provided under the scheme.
  
  

5. Discharge and Claim Processing

• After your treatment is completed and you are discharged, the hospital will directly send the treatment details and expenses to the PMJAY authorities for claim processing.
• You do not need to worry about filing any claims yourself.

Important Points to Remember

• No Payment Required : The scheme covers treatment costs up to INR 5 lakh per family per year. You should not be asked to pay any money for services covered under the scheme.
• Documents : Always carry your Ayushman card/ID and a valid photo ID when visiting the hospital.

How HexaHealth Can Assist You with Ayushman Bharat

• Hospital Search : We can help you find top empanelled hospitals for Ayushman Bharat in your city.
• Treatment Guidance : Our experts can guide you on which treatments are covered under the scheme and help you understand the process.
• Appointment Booking : We can assist you in booking consultations and appointments at empanelled hospitals.
• Navigating the Process : Our team can support you in understanding the eligibility criteria and the overall treatment journey using your Ayushman card, ensuring a smooth experience.

We are here to help make your healthcare journey as easy as possible.

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