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Is heart related Surgery covered under Ayushman Bharat insurance scheme? Does your Hospital accepts this as cashless treatment ?

D
Dipankar De
Posted Under Cardiology / Heart, on 30 June 2025

D
Dipankar De
Posted Under Cardiology / Heart, on 30 June 2025
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HexaHealth TeamExpert

Yes, heart-related surgeries are covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY). This scheme provides eligible beneficiaries with cashless treatment up to ₹5 lakh per family per year at empanelled hospitals across India.

Heart Surgeries Covered Under Ayushman Bharat

The scheme encompasses a range of cardiac procedures, including:

  • Coronary Artery Bypass Grafting (CABG)

  • Percutaneous Transluminal Coronary Angioplasty (PTCA)

  • Heart Valve Replacement

  • Pacemaker Implantation

  • Double Valve Replacement

These procedures are part of the extensive list of over 1,500 medical treatments covered under PM-JAY.

Empanelled Hospitals in Bangalore

In Bangalore, several hospitals are empanelled under the Ayushman Bharat scheme, offering cardiac care services. Some of these include:

  • Narayana Hrudayalaya

  • Manipal Hospital

  • Apollo Hospitals

  • Fortis Hospitals

  • M S Ramaiah Narayana Heart Centre

To confirm the empanelment status of a specific hospital, please visit the official Ayushman Bharat hospital search portal:

🔗 Ayushman Bharat Hospital Search

Steps to Avail Cashless Treatment

  1. Verify Eligibility: Ensure your Ayushman Bharat card is active and valid.

  2. Select an Empanelled Hospital: Choose a hospital from the official list that offers cardiac care.

  3. Pre-Authorisation: The hospital will initiate a pre-authorisation request for the required procedure.

  4. Receive Treatment: Upon approval, undergo the necessary surgery without any out-of-pocket expenses.

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