My friend is diagnosed 4 blocks - one is 100%, two blocks are 80% and fourth one is 70%. Can we go with stunts or go for by-pass surgery?

Hello Lokedh Ji,

Thank you for your question regarding pacemaker installation under the CHGS scheme (Central Government Health Scheme). Pacemaker implantation is a covered procedure under CHGS, but you need to follow the correct process for approval and reimbursement or cashless treatment.

Process for Pacemaker Installation under CGHS

Step-by-Step Procedure

1. Consultation at CGHS Wellness Centre:

   • First, visit your CGHS Wellness Centre for an evaluation by a CGHS-authorised medical officer.

   • They will examine your condition and, if required, issue a referral letter for further treatment at an empanelled hospital.

2. Specialist Evaluation at Empanelled Hospital:

   • Visit a CGHS-empanelled cardiologist at a listed private or government hospital.

   • After tests (like ECG, 2D Echo, Holter monitor), the doctor will confirm the need for a pacemaker.

3. Approval Process:

   • The hospital will submit a treatment estimate and approval request to CGHS authorities.

   • On approval, pacemaker surgery will be done cashless (if the empanelled hospital and procedure are approved).

4. Post-Surgery Follow-Up:

   • Post-operative care and follow-ups can also be availed under CGHS as per rules.

Notes

• Only CGHS empanelled hospitals are eligible for cashless procedures.

• Depending on the doctor’s advice and the CGHS-approved list, you can choose from single-chamber or dual-chamber pacemakers.

• Keep all referral letters, bills, and reports safe for documentation.

Let us know if you need any other help

Hello Iyer Ji,

Thank you for your question regarding the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) for senior citizens aged 70 and above.

✅ Coverage for Senior Citizens (70+)

Yes, under the expanded AB PM-JAY, all senior citizens aged 70 and above are eligible for ₹5 lakh annual health coverage, regardless of income or background.

✔️ What's Covered:

• Hospitalisation expenses for secondary and tertiary care

• Pre and post-hospitalisation (up to 3 days before and 15 days after admission)

• Day-care procedures

• Medicines used during hospital stay

❌ What's Not Covered:

• OPD consultations, routine doctor visits, or medicines taken at home are not covered. The scheme primarily focuses on in-patient treatment.

🏥 Is Varam Hospital in Hosur Covered?

Yes, Varam SPR Speciality Hospital & Fertility Centre, located in Krishnagiri, Tamil Nadu, is empanelled under Ayushman Bharat.

You can verify this on the official PM-JAY website here:
👉 https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

🔍 To check more hospitals in your area:

1. Go to https://hospitals.pmjay.gov.in

2. Select "Tamil Nadu" as the state

3. Select "Krishnagiri" as the district (since Hosur falls under this)

4. Browse the list of empanelled hospitals

Wishing you continued good health and peace of mind!

Hello,

It sounds like your dad may have experienced a sudden spike in blood pressure (BP 175 is considered high), and the difficulty in speaking (haklana) could be a warning sign of a mini-stroke (TIA) or even a mild stroke. High BP can affect the brain’s blood vessels, sometimes leading to speech issues, confusion, or weakness.

Even though he took one tablet to control BP, the stammering in the evening suggests that something more serious might be going on, and it should not be ignored.

👉 What you should do:
Please take him to the nearest hospital immediately for a detailed checkup. A CT scan or MRI of the brain, along with a heart checkup, may be needed to rule out any stroke or brain-related issue.

Also, ensure his blood pressure is regularly monitored and he is on the right long-term medication plan.

If you need help finding a good hospital near you, HexaHealth can assist you with fast appointments and provide support.

Wishing your father a safe and speedy recovery. Please don’t delay a checkup—it’s better to act early.