Is Pneumonia and Heart Treatment Covered Under Ayushman Bharat?

Hello,

Pneumonia is an infection that inflames the air sacs in one or both lungs, which may fill with fluid or pus. Heart conditions refer to a range of diseases that affect your heart, such as coronary artery disease, heart attack, and heart failure.

Yes, both pneumonia treatment and heart treatment are covered under the Ayushman Bharat Yojana (PMJAY). Eligible beneficiaries can avail of cashless treatment at PMJAY-empanelled hospitals

What Does Ayushman Bharat Cover for Pneumonia and Heart Treatment?

Depending on the approved PMJAY package, coverage may include :

• Pneumonia treatment

• Heart disease treatment

• Angioplasty and bypass surgery (when medically required)

• Hospital admission

• ICU care (when medically required)

• Specialist consultation

• Medicines during hospitalization

• Diagnostic investigations

• Post-treatment hospital stay and follow-up care

What Documents Are Required Pneumonia and Heart Treatment?

• Ayushman Card

• Aadhaar Card

• Doctor's prescription

• Relevant diagnostic reports

• Previous medical records

How to Check if a Hospital Offers Ayushman Bharat Coverage?

Online Verification

• Visit PMJAY Hospital Finder

• Select your :

  • State

  • District

  • Specialty : General Medicine (for pneumonia) / Cardiology (for heart treatment)

• Click Search to view PMJAY-empanelled hospitals.

Kindly share :

• The patient's age

• Your city and state

• The exact heart condition or diagnosis, if known

• Whether the patient has an active Ayushman Bharat card

This will help us connect you with the most suitable hospital and experienced specialists near you.

Pneumonia: Symptoms and Treatment

• Pneumonia causes inflammation in the lungs, making breathing difficult.

Typical Symptoms

• Cough, which may produce phlegm
  
  
• Fever and chills
  
  
• Shortness of breath
  
  
• Chest pain when you breathe or cough
  
  
• Fatigue and muscle aches

Treatment Options

• Treatment for pneumonia usually involves rest and supportive care, along with appropriate medication to fight the infection.
  
  
• In some cases, especially for severe infections or individuals with underlying health issues, hospitalization may be required for closer monitoring and intravenous support.

Heart Conditions : Symptoms and Treatment

• Heart conditions encompass various issues affecting the heart's function and structure.

Key Alarming Symptoms

• Chest pain or discomfort (angina)
  
  
• Shortness of breath, especially during activity or while lying down
  
  
• Palpitations (fluttering or pounding heart)
  
  
• Swelling in legs, ankles, or feet

Treatment Options

• Non-Surgical Options : These include lifestyle modifications, dietary changes, and regular health monitoring.
  
  
• Surgical Options : For more severe conditions, procedures like angioplasty, bypass surgery (CABG), or valve repair/replacement may be necessary.

How HexaHealth Can Assist You

• Ayushman Bharat Assistance : We help you understand your eligibility for the Ayushman Bharat scheme and guide you through the process of availing its benefits for your treatment.
  
  
• Expert Consultation : Connect with experienced pulmonologists for pneumonia treatment or cardiologists for heart conditions.
  
  
• Hospital Network :  We can help you find empaneled hospitals that accept the Ayushman Bharat card and are best suited for your specific medical needs.
  
  
• Seamless Treatment Journey : From booking appointments to admission and discharge, HexaHealth supports you at every step, ensuring a hassle-free experience.

We are here to support you in accessing the best healthcare. Please feel free to reach out to HexaHealth for any assistance you may need.

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