Is Valve Replacement Surgery Covered Under Ayushman Bharat (PM-JAY)?

Hello,

Yes, heart valve replacement surgery is covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY). You can receive cashless treatment at PM-JAY empanelled hospitals.

Kindly share :

• Your city and state

• The patient's age

• Which valve needs to be replaced (aortic, mitral, tricuspid, or pulmonary)?

Based on these details, we will help you connect with the most suitable PM-JAY empanelled hospital and an experienced cardiac surgeon.

What Is the Cost Coverage Under Ayushman Bharat?

Under PM-JAY, the approved treatment package generally covers  :

• Heart valve replacement surgery

• Cardiologist and Cardio-Thoracic Surgeon consultation

• Hospital admission

• Operation theatre charges

• ICU charges (as per package)

• Medicines during hospitalization

• Diagnostic tests and investigations

• Implant/prosthetic valve (as included in the approved package)

• Post-operative care and hospital stay

Treatment is provided cashlessly at PM-JAY empanelled hospitals after package approval. 

What Documents Are Required?

• Ayushman Card

• Aadhaar Card

• Cardiologist's prescription

• ECG, Echo, angiography or other relevant reports

• Previous medical records

How to Check if a Hospital Offers Valve Replacement Surgery Under Ayushman Bharat?

Online Verification

1. Visit the PM-JAY Hospital Finder.

2. Select your :

   • State

   • District

   • Specialty : Cardio-Thoracic & Vascular Surgery (CTVS) or Cardiology

3. Click Search to view PM-JAY empanelled hospitals.

How HexaHealth Can Help with Valve Replacement Surgery?

• Expert Consultation : We can connect you with top cardiologists and cardiac surgeons specializing in valve replacement surgery.
  
  
• Hospital Selection Cost Estimates : Our team can help you compare hospitals, understand detailed cost breakdowns, and find options that fit your budget and insurance coverage.
  
  
• Insurance Ayushman Bharat Support : We assist with navigating insurance claims, understanding your policy benefits, and facilitating cashless treatment or reimbursement. We also guide you through the process of availing benefits under government schemes like Ayushman Bharat.
  
  
• Seamless Experience : From booking appointments to hospital admission and post-operative care, HexaHealth supports you at every step of your treatment journey.

Navigating the costs and coverage for such a significant procedure can be complex, but with HexaHealth, you have a partner to guide you through it seamlessly. Please feel free to reach out for personalized assistance.

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