Pterygium Surgery Information Under PMJAY with ABHA Card

Dear Gulnawaj Gulab Pathan ji,

You asked for brief information about pterygium surgery under PM-JAY (Ayushman Bharat) using your ABHA card.

About PM-JAY Coverage for Pterygium Surgery

• PM-JAY provides cashless coverage of up to ₹5 lakh per family annually for secondary and tertiary medical treatments, including both surgical and medical procedures.

• The scheme includes a broad list of health benefit packages across specialties like ophthalmology.

• While pterygium surgery is typically included under ophthalmology packages, the exact procedure coding may vary. It is usually covered as part of "day care" or minor eye surgeries. Please confirm with your hospital.

Steps to Avail Cashless Pterygium Surgery under PM-JAY

• Visit the PM-JAY “Find Hospital” portal at the official site.

• Choose your State: Maharashtra and District: Ahmednagar

• Optionally select Specialty: Ophthalmology or leave it broad, then click Search

• You will see a list of empanelled hospitals offering PM-JAY services in Ahmednagar.