Is Heart Artery Blockage Treatment Covered Under the Ayushman Bharat PM-JAY Card?

Dear MAJIBAR RAHMAN ji,

Yes, heart artery blockage treatment is covered under the Ayushman Bharat PM-JAY Card.

Which heart blockage treatments be covered?

The treatment depends on how many arteries are blocked, how severe the blockage is and the patient's overall heart condition.

• Angioplasty: The doctor opens the blocked heart artery using a small balloon and may place a stent (a small tube) to keep it open.
• Heart bypass surgery (CABG): The doctor creates a new route for blood to reach the heart when the arteries are seriously blocked.

Both types of treatment is covered under relevant PM-JAY packages, subject to patient eligibility, hospital empanelment and approval. The cardiologist will decide which treatment is suitable after checking the reports.

How to check Ayushman empanelled hospitals?

Follow these simple steps to find a hospital for heart blockage treatment

1. Visit the official website: Ayushman Empanelled Hospital Search.
2. Select your State.
3. Select your District.
4. Select Government or Private hospital, if this filter is available.
5. Select Cardiology for angioplasty or Cardio Thoracic and Vascular Surgery (CTVS) for bypass surgery, if these options are available.
6. Enter the hospital name or check the hospital list for your district.
7. Complete the captcha and click on Search.
8. Check the hospital's active Ayushman empanelment status.
9. Contact the hospital's Ayushman help desk and confirm whether angioplasty or bypass surgery is covered under an approved package and whether cashless approval is available.

Important: Just because a hospital is listed under Ayushman does not mean every heart treatment is covered there. Always confirm the exact procedure, package and cashless approval with the hospital.

Which documents are required?

• Patient's Ayushman Bharat Card.
• Aadhaar Card or another valid photo ID.
• Doctor's prescription and treatment advice.
• Angiography report and CD, if available.
• ECG and 2D Echo reports.
• Blood test reports and other heart-related reports.
• Previous hospital records and discharge papers, if any.
• Registered mobile number linked to the Ayushman Card, if applicable.

Important things to remember

• PM-JAY provides eligible families with cashless hospital treatment up to ₹5 lakh per family per year, subject to scheme rules.
• The hospital must be empanelled for the required heart speciality and treatment package.
• The hospital will help submit the required approval request before planned treatment.
• Do not stop heart medicines or blood-thinning medicines without the doctor's advice.

If the patient has severe chest pain, sweating, breathlessness, fainting or pain spreading to the arm, back or jaw, go to the nearest emergency department immediately. Do not wait for Ayushman approval before seeking emergency care.

Please share your city and state so we can help connect you with a suitable cardiologist, heart specialist and Ayushman-empanelled hospital for treatment.

Also, please tell us whether the doctor has advised angioplasty with a stent or heart bypass surgery (CABG).

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