Is eye surgery provided free of cost under the ayushman bharat scheme.?

Dear Antony Vasantha Kumar Ji,

Vision problems can affect daily life, independence, and confidence. When an eye operation is recommended, patients and families often want to know whether the treatment can be done free of cost under the Ayushman Bharat – PMJAY scheme.

Is Eye Surgery Provided Free of Cost Under Ayushman Bharat?

Yes, certain medically necessary eye surgeries may be covered under Ayushman Bharat – PMJAY if :

• The patient is eligible under PMJAY
• The hospital is PMJAY empanelled
• The procedure is included in the approved package list
• Required medical approvals are completed

Eligible treatments may be available on a cashless basis at empanelled hospitals. Coverage generally includes hospitalization, surgery charges, doctor's fees, and related medical expenses as per the approved package.

Which Eye Surgeries May Be Covered?

Coverage depends on the specific condition and package availability. Certain medically necessary eye procedures may be covered under PMJAY at empanelled hospitals.

Important Note

Coverage can vary depending on :

• The exact eye condition
• The procedure advised by the ophthalmologist
• Hospital empanelment status
• PMJAY package availability and approval

Elective vision-correction procedures such as LASIK are generally not covered under PMJAY because they are considered non-essential procedures.

Which Doctor Should You Consult?

Treatment is usually managed by :

• Ophthalmologist
• Eye surgeon
• Cataract specialist (if applicable)

Doctors may recommend :

• Eye examination
• Vision testing
• Retinal evaluation
• Other investigations if required

Documents Usually Required

Please keep these documents ready :

• Ayushman / PMJAY card
• Aadhaar card
• Eye examination reports
• Doctor prescriptions
• Previous treatment records (if available)

How to Check PMJAY Hospitals?

Verification Steps

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

How HexaHealth Can Assist You

• Eligibility Check : We can help you understand your eligibility for the Ayushman Bharat scheme.
• Hospital Search : HexaHealth can assist you in finding empaneled hospitals near you that offer the required eye surgery.
• Seamless Process : We support you in navigating the paperwork and procedures to avail of the cashless benefits of the scheme.
• Expert Consultation : Connect with top ophthalmologists for consultations and treatment planning.

Wishing you better vision and good health ahead.
Warm regards,
Team HexaHealth