Hello,

Extra skin growth in the eye due to pterygium can become uncomfortable and concerning, especially when it starts affecting vision, eye comfort, or appearance. Since the condition has already been identified by an eye specialist, it is completely understandable to ask whether treatment under the Ayushman Health Card is available.

What Is Pterygium?

Pterygium is an abnormal skin-like tissue growth that develops on the white part of the eye and may gradually extend toward the cornea.

It may occur due to:

• Excess sunlight exposure
• Dust and pollution
• Dry eyes
• Long-term eye irritation

Common Symptoms

Patients may experience:

• Redness in eye
• Irritation or burning
• Watering
• Foreign body sensation
• Visible skin growth
• Blurred vision in advanced stages

If the growth increases, it may affect vision and eye comfort.

Can Pterygium Treatment Be Done Under Ayushman Card?

Yes, if:

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

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

Coverage may include :

• Hospital admission (if required)
• Surgery charges
• Doctor consultation during admission
• Basic investigations related to treatment

Final approval depends on :

• Patient eligibility
• Hospital empanelment
• PMJAY package verification
• Ophthalmologist assessment

Which Doctors Usually Treat This?

Treatment is usually managed by :

• Ophthalmologist
• Cornea specialist

Doctors may perform :

• Vision testing
• Eye examination
• Corneal assessment

These evaluations help determine whether medicines or surgery are required.

What Treatment May Be Needed?

Non-Surgical Treatment

Doctors may initially suggest:

• Lubricating eye drops
• Anti-inflammatory medicines
• Sunglasses for protection
• Dry eye management

Surgical Treatment

If the growth becomes larger or affects vision, doctors may recommend:

• Pterygium removal surgery

The final treatment depends on growth size and vision involvement.

How to Check PMJAY Empanelled Hospitals

Verification Steps

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

You can also contact the hospital Ayushman help desk directly regarding eye surgery package availability.

Documents Usually Required

Please keep these documents ready:

• Ayushman / PMJAY card
• Aadhaar card
• Eye specialist reports
• Prescriptions
• Previous treatment papers if available

These documents help with eligibility verification and approval process.

How HexaHealth Can Assist You

HexaHealth is here to support you through every step of your healthcare journey:

• Expert Consultations : We can connect you with experienced ophthalmologists and eye specialists who can accurately diagnose and recommend the best treatment for your pterygium.
• Ayushman Bharat Support : Our team can help you understand the eligibility criteria, find Ayushman Bharat empanelled hospitals for pterygium surgery, and assist with the documentation and claim process to ensure a smooth experience.
• Hospital and Doctor Selection : We help you choose the best hospital and surgeon based on your specific needs, location, and budget.
• Seamless Treatment Journey : From booking appointments to post-operative care, we ensure a hassle-free experience, helping you focus on your recovery.

Please feel free to reach out to us, and we will guide you further.

Wishing healthy vision and speedy recovery ahead.
Warm regards,
Team HexaHealth