Can I use the Ayushman card for my mother's disk surgery?

Dear Hrithi Sankar Ji,

The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) is a government scheme designed to provide health coverage to eligible families for various medical treatments and surgeries.

Ayushman Bharat Coverage for Disc Surgery

• General Coverage: Disc surgery, also known as spinal surgery, is generally covered under the Ayushman Bharat scheme, as it is a major medical procedure that often requires hospitalization.
• Eligibility Check: Your mother must be an eligible beneficiary of the Ayushman Bharat scheme, and her card must be active to avail of the benefits.
• Empanelled Hospitals: It is crucial that the hospital where your mother plans to have the disc surgery is empanelled (affiliated) with the Ayushman Bharat scheme. You should confirm this directly with the hospital's Ayushman Bharat desk or their patient services.
• Pre-authorization Process: Once the treating doctor recommends the surgery, the hospital will initiate a pre-authorization request with the Ayushman Bharat authorities. This process verifies the medical necessity and ensures coverage for the specific procedure.
• Specific Package Rates: The coverage will depend on the specific package rates defined by the scheme for the particular type of disc surgery and the empanelled hospital.

How HexaHealth Can Assist You:

• Eligibility Verification: We can help you understand and verify your mother's eligibility for the Ayushman Bharat scheme.
• Hospital Search: HexaHealth can assist you in finding top hospitals in your area that are empanelled with Ayushman Bharat and offer advanced disc surgery facilities.
• Expert Consultation: We can connect you with experienced spinal surgeons who are proficient in performing disc surgeries.
• Process Guidance: Our team can guide you through the entire process, including understanding the necessary documentation and navigating the pre-authorization procedures for your mother's surgery.

How to Check Ayushman-Empanelled Hospitals (Step-by-Step)

1. Visit: https://hospitals.pmjay.gov.in

2. Select State

3. Select District

4. Choose Hospital Type → Hospital

5. Click Search
   You will get the list of hospitals where disc surgery can be done under Ayushman.

Please feel free to reach out to HexaHealth for personalized support and to ensure a smooth treatment journey for your mother.