Is Ayushman Bharat card accepted at Siddhivinayak Hospital for surgery?

Dear Sanjay Rajoraya ji

Could you please tell us which city Siddhivinayak Hospital is located in? There are hospitals with similar names in different cities. Once you share the city, we can help you check the hospital's Ayushman Bharat PM-JAY empanelment status.

In general, yes, Ayushman Bharat PM-JAY provides cashless treatment for eligible patients for approved treatment packages at empanelled hospitals. However, coverage depends on your eligibility, the hospital's active empanelment, the treatment package, and the required approval. Not every treatment or test is automatically covered.

Which expenses are covered under Ayushman Bharat?

• Surgery charges: Covered when the surgery is part of an approved package.
• Bed and hospital charges: Eligible ward accommodation, nursing and other included hospital services are covered according to the approved package. Room upgrades or services outside the package may not be covered.
• Medicines: Medicines required for covered hospital treatment are generally included in the package. Coverage of medicines after discharge depends on the scheme rules and package conditions.
• Specialist visits: Doctor and specialist services required during an approved hospital admission are generally included. Separate OPD consultations are generally not covered under standard PM-JAY.
• 3D Echo and other tests: These are covered when medically necessary and included in the approved treatment package. A test done separately as an OPD service is generally not covered under standard PM-JAY.

Will you have to pay extra charges?

For an approved treatment package, the hospital should not charge you separately for services and items already included in that package. However, expenses outside the approved package, non-covered services, or optional upgrades may not be covered. Please ask the hospital's Ayushman Mitra/help desk to explain the package and any possible charges before planned treatment.

How can you check the hospital's empanelment status?

1. Visit the official Ayushman Bharat Hospital Search Portal.
2. Select your state and district.
3. View the overall list of Ayushman-empanelled hospitals in your district.
4. Select Government or Private hospital, if the option is available.
5. Choose the relevant specialty
6. Search for Siddhivinayak Hospital.
7. Enter the captcha, if shown, and click on Search.
8. Check the hospital's current empanelment status and available specialty.
9. Contact the hospital's Ayushman Mitra/help desk to ask whether your specific surgery and related expenses are covered under an approved package.

Which Documents Are Required?

1. Ayushman Bharat card or beneficiary details.
2. Aadhaar card or another accepted government photo ID.
3. Ration card or family ID, if required.
4. Doctor's prescription and referral papers, if available. MRI, CT scan, or other relevant investigation reports.
5. Blood test reports and previous medical records.
6. Previous hospital discharge summaries and prescriptions, if applicable.

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