Does Ayushman Bharat Cover Anti-VEGF Eye Injections?

Dear Aaditya Singh ji,

Yes, Anti-VEGF injections such as Ranibizumab (Razumab) is covered under Ayushman Bharat PM-JAY for certain retinal conditions, such as diabetic retinopathy, diabetic macular edema, age-related macular degeneration, or retinal vein occlusion.

Steps to Check Ayushman Coverage

1. Open the official PM-JAY hospital search portal.

2. Select your State.

3. Select your District.

4. Choose Government or Private Hospital.

5. Select Ophthalmology as the speciality.

6. Search the hospital name.

7. Complete the captcha, if shown.

8. Click Search.

9. Check that the hospital has active PM-JAY empanelment.

10. You can also check overall empanelled hospital of your district

11. Before taking the injection, confirm with the hospital's Ayushman Mitra/Ayushman desk that Anti-VEGF injection is covered under the applicable package and that pre-authorisation has been approved.

Documents to Carry

• Ayushman Bharat PM-JAY Card/e-card

• Aadhaar Card or valid ID

• Ophthalmologist/retina specialist prescription

• OCT scan/report

• Fundus examination report

• Eye/retina diagnosis reports

• Previous medical records

• Previous injection records, if any

• Current medicines

• Any referral or discharge summary

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