Why Was Cataract Surgery Denied Under the Ayushman Card at Deshmukh Hospital, Amravati?

Hello,

We understand your concern about the denial of cataract surgery under the Ayushman Card at Deshmukh Hospital, Amravati. You can ask the hospital to explain the exact reason for refusing cashless treatment and request help from the Ayushman Bharat authorities.

Cataract surgery is covered under Ayushman Bharat PM-JAY for eligible beneficiaries when the procedure is included in the applicable package and the hospital is authorised to provide it. An empanelled hospital should not deny eligible beneficiaries covered treatment without a valid reason. However, the hospital must check your eligibility and the availability of the relevant treatment package.

What should you do next?

1. Ask for the reason for denial: Speak to the hospital's Ayushman Mitra or scheme desk and ask why cataract surgery was refused. Request the reason in writing, if possible.
   
   
2. Check hospital empanelment: Visit the official Ayushman Bharat hospital search portal. Select Maharashtra, Amravati district and the relevant eye-care specialty to check the hospital's current empanelment.
   
   
3. Explore another empanelled hospital: You can check other hospitals in Amravati that provide cataract surgery under the scheme. Before visiting, ask whether the hospital currently offers the procedure under Ayushman Bharat.

Which documents should you keep ready?

• Ayushman Bharat card.
• Aadhaar card or another accepted identity document.
• Eye specialist's prescription and cataract diagnosis.
• Eye examination reports and other relevant medical records.
• Any written refusal, message or document explaining why the hospital denied treatment.
• Hospital registration details and the date of the denial.

What if the hospital still refuses treatment?

Explain the situation to the Ayushman helpline and request that the complaint be forwarded to the appropriate grievance officer in Maharashtra. Keep a record of the complaint number and any response you receive. You can also approach another eligible, empanelled hospital rather than delaying necessary eye treatment.

Please do not delay an eye examination if your vision is worsening. Sudden loss of vision, severe eye pain or significant redness requires urgent medical assessment.

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