What is PMJAY eligibility and process for cataract surgery?

Hello,

Yes, cataract surgery is covered under Ayushman Bharat Yojana (PMJAY). You can avail cashless cataract surgery at a PMJAY-empanelled hospital after beneficiary verification and treatment package approval. 

What Is Covered Under Ayushman Bharat for Cataract Surgery?

As per the approved PMJAY package, coverage may include :

• Ophthalmologist (Eye Specialist) consultation

• Pre-operative eye examination and diagnostic investigations

• Cataract surgery (as medically advised)

• Standard intraocular lens (IOL) covered under the approved PMJAY package

• Operation theatre charges

• Surgeon and anaesthetist charges

• Medicines and consumables during hospitalization

• Hospital stay (when medically required)

• Post-operative follow-up care as per the approved package 

Treatment Process 

• Visit a PMJAY-empanelled hospital.

• Complete beneficiary verification using your Ayushman Card and Aadhaar Card.

• The Eye Specialist will examine your eye and confirm the need for cataract surgery.

• The hospital will obtain treatment package approval under PMJAY.

• After approval, the surgery will be performed on a cashless basis. 

Documents Required

• Ayushman Bharat (PMJAY) Card

• Aadhaar Card

• Doctor's prescription (if available)

• Eye examination reports (if available)

• Previous medical records (if available)

How to Check Whether Cataract Surgery Is Available Under PMJAY?

Online Verification

• Visit the PMJAY Hospital Finder.

• Select your

  • State

  • District

  • Specialty: Ophthalmology

• Click Search to view PMJAY-empanelled hospitals.

How HexaHealth Can Assist You

• Ayushman Bharat Guidance: We help you understand the PMJAY eligibility and treatment process.

• Hospital Network: We connect you with PMJAY-empanelled hospitals offering cataract surgery.

• Expert Consultation: We assist in arranging consultations with experienced ophthalmologists.

• Seamless Experience: From documentation to hospital coordination, we provide end-to-end support throughout your treatment journey.

Kindly let us know

• Your City and State.

Based on these details, we will help you connect with the most suitable experienced Ophthalmologist and PM-JAY partner hospital for your treatment.

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