Does The Ayushman Card Cover Cataract Surgery For Diabetic Patients?

Dear Murugan Ji,

Yes, cataract surgery is covered under Ayushman Bharat (PM-JAY) it is performed at a PM-JAY empanelled hospital after the necessary approval process is completed.

Since your father is 55+ years old, has cataracts in both eyes, and has been living with diabetes for the past 9 years, he should first undergo a detailed evaluation by an Ophthalmologist (Eye Specialist). Diabetes can affect the retina, so the doctor advise tests such as a retina examination, blood sugar evaluation, and other pre-operative investigations before planning cataract surgery.

If MGM Hospital where your father is taking treatment is PM-JAY empanelled, the hospital's Ayushman Help Desk will verify his eligibility, review the required documents, and process the approval for cashless cataract surgery under the applicable PM-JAY package.

We help patients connect with experienced doctors and suitable partner hospitals for consultation and treatment.

Kindly let us know

• Which MGM Hospital is your father currently visiting? (Please mention the City and State.)

• Does he have a valid Ayushman Bharat (PM-JAY) card?

• Has the eye specialist already recommended cataract surgery for both eyes?

• Is his diabetes currently under control, and do you have any recent blood sugar reports?

Based on these details, we will guide you on the next steps and help you connect with the most suitable experienced eye specialist and partner hospital, if needed.

Considerations for Diabetic Patients

• Since your father has diabetes, it's crucial to ensure his blood sugar levels are well-controlled before the surgery.
  
  
• Well-managed diabetes helps in reducing potential complications during and after surgery and promotes faster healing.
  
  
• The doctors at MGM Hospital will conduct necessary pre-operative tests and advise on managing his diabetes effectively around the time of the surgery.

How HexaHealth Can Assist You?

• Ayushman Bharat Guidance :  We can help you understand the full scope of benefits under the Ayushman Bharat scheme for cataract surgery and guide you on the documentation required.
  
  
• Hospital Network : We can connect you with empaneled hospitals that offer quality cataract surgery under the Ayushman Bharat scheme.
  
  
• Expert Consultation : Our team can help you book consultations with experienced ophthalmologists who specialize in managing cataract surgery for patients with co-existing conditions like diabetes.
  
  
• Seamless Experience : From finding the right doctor to managing hospital admissions and understanding the financial process, HexaHealth is here to support you every step of the way.

We wish your father a successful surgery and a swift recovery. Please feel free to reach out to HexaHealth for any further assistance.

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