Can eye surgery and lens implantation be covered under Ayushman Bharat?

Hello,

Yes, some further eye treatments is covered under Ayushman Bharat PM-JAY,

Ophthalmology is an included specialty under PM-JAY, and the package list contains several eye procedures, including cataract surgery, YAG capsulotomy, secondary IOL/IOL exchange and other ophthalmic procedures.

Since your father has already undergone a corneal operation and lens implantation at L V Prasad Eye Institute, the next step depends on what treatment is currently required. Previous treatment at the hospital does not automatically mean that every subsequent consultation, test or procedure will be covered.

What Should You Do Now?

• Take your father's previous surgery records and discharge summary.

• Carry the current eye examination reports and prescriptions.

• Take the lens/implant details, if mentioned in the records.

• Ask the treating ophthalmologist what further treatment is required.

• Check whether that exact procedure is included in the applicable PM-JAY package.

• If the treatment is covered, confirm whether it can be provided cashlessly at the selected empanelled hospital.

• Confirm the hospital's current PM-JAY empanelment before admission.

Routine OPD care and individual diagnostic services are not automatically covered under PM-JAY; coverage depends on the applicable package and treatment requirements. 

Important About L V Prasad Eye Institute

L V Prasad Eye Institute has previously been empanelled under Ayushman Bharat PM-JAY in Hyderabad and Bhubaneswar, but empanelment can vary by location and current scheme arrangements. Therefore, you should verify the exact LVPEI centre where your father wants the further treatment.

How HexaHealth Can Help

We can help you identify suitable partner hospitals and experienced eye specialists, coordinate a consultation and assist you in understanding the Ayushman treatment process.

Please share

1. Your father's city/state

2. The exact LV Prasad Eye Institute centre

3. What further treatment the doctor has advised

Then we can guide you more specifically about whether the required treatment can be taken under Ayushman Bharat.

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