Does PMJAY provide coverage for eye surgery?

Dear K. Srinivas Ji,

Many patients want to know whether eye surgery can be done through the PMJAY / Ayushman Bharat scheme and whether cashless treatment support is available. This is completely understandable, especially when vision problems begin affecting daily life.

Is Eye Surgery Available Under PMJAY?

Yes, if :

• The patient is eligible under Ayushman Bharat – PMJAY
• The hospital is empanelled under PMJAY
• The eye surgery is medically necessary
• Package approval is completed

then selected eye surgeries may be available under cashless treatment at eligible hospitals.

Coverage may include :

• Hospital admission if required
• Surgery charges
• OT expenses
• Doctor consultation during admission
• Basic investigations related to treatment

Final approval depends on :

• Patient eligibility
• Hospital empanelment
• PMJAY package verification
• Eye specialist assessment

What Eye Treatments May Be Covered?

Eligible hospitals may provide selected treatments such as :

• Cataract surgery
• Retina-related procedures
• Eye infection treatment
• Other ophthalmology procedures

Coverage depends on the approved PMJAY package and hospital facilities.

Which Doctors Usually Treat Eye Problems?

Treatment is usually managed by :

• Ophthalmologist
• Eye surgeon
• Retina specialist in selected cases

Doctors may recommend :

• Eye examination
• Vision testing
• Retina evaluation
• Other diagnostic tests if needed

These evaluations help determine the exact treatment plan.

Can You Avail This Facility?

You may be able to avail PMJAY cashless treatment if :

• Your Ayushman eligibility is active
• The hospital is PMJAY empanelled
• The required surgery package is available
• Approval is completed through the Ayushman desk

Before admission, please directly confirm :

• Is PMJAY active in the hospital?
• Is the eye surgery package available?
• Is cashless treatment possible?
• Is pre-authorisation required?

Direct hospital confirmation is important.

How to Check PMJAY Hospitals?

Verification Steps

• Visit Ayushman Bharat Official Portal
• Open the “Find Hospital” section
• Select:
  • State
  • District
  • Specialty – Ophthalmology

Nearby PMJAY empanelled eye hospitals can be checked there.

Documents Usually Required

Please keep these documents ready :

• Ayushman / PMJAY card
• Aadhaar card
• Previous eye reports if available
• Doctor prescriptions

These documents help with eligibility verification and treatment approval.

How HexaHealth Can Assist

• Eligibility Check : We can help you check your eligibility for the Ayushman Bharat scheme.
• Hospital Network : HexaHealth works with numerous hospitals empanelled under PMJAY that offer quality eye care services. We can help you find suitable hospitals for your eye surgery.
• Streamlined Process : Our team can guide you through the process of availing the scheme, from finding the right doctor to managing hospital admissions and paperwork, making your treatment journey smoother.
• Expert Consultation : We can connect you with experienced ophthalmologists for a consultation regarding your eye condition and the best treatment options.

For more detailed information or assistance, please feel free to reach out to HexaHealth.

Wishing you clearer vision, comfort, and speedy recovery ahead.
Warm regards,
Team HexaHealth