I have 20mm 2 stone in gallbladder , mujh operation krwana h kah hojyga abha card per west delhi me

Yes, Vishal ji, neurosurgery is covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY). Eligible beneficiaries can avail of cashless neurosurgical treatments, including procedures for brain tumors, spinal disorders, and trauma, at empanelled hospitals.

Neurosurgery Hospitals in Vadodara under Ayushman Bharat

In Vadodara, several hospitals are empanelled under the Ayushman Bharat scheme for neurosurgical treatments. Some notable ones include:

• Sunshine Global Hospital, Manjalpur

• Bhailal Amin General Hospital, Gorwa

• Jupiter Hospital, Atladara

• BAPS Shastriji Maharaj Hospital, Atladara

• Aadicura Superspeciality Hospital, Haripura

• Brain and Spine Clinic, Nizampura

• Samanvay Hospital, Saiyed Vasna

• Shukan MultiSpeciality Hospital and Trauma Centre, Karelibaug

• Sterling Hospital, Hari Nagar

• VINS Hospital, Akota

How to Find Empanelled Hospitals

To check the list of Ayushman Bharat empanelled hospitals in Vadodara:

1. Visit the official PM-JAY hospital search portal:
   https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew

2. Select:

   • State: Gujarat

   • District: Vadodara

   • Speciality: Neurosurgery

3. Click on "Search" to view the list of empanelled hospitals offering neurosurgical treatments.

If you need assistance with the admission process or have further questions about the Ayushman Bharat scheme, feel free to ask.

Yes, Yogesh ji, appendix surgery (appendectomy) is covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) scheme. Eligible beneficiaries can avail of this treatment cashless at any empanelled hospital across India.

Steps to Avail Appendix Surgery Under Ayushman Bharat

1. Verify Eligibility:

   • Ensure you're a registered beneficiary under the Ayushman Bharat scheme.

   • Check eligibility on the PM-JAY Beneficiary Portal.

2. Locate an Empanelled Hospital:

   • Use the PM-JAY Hospital Finder to find empanelled hospitals in Valsad or nearby areas.

3. Prepare Necessary Documents:

   • Ayushman Bharat card or PM-JAY family ID

   • Aadhaar card

   • Medical reports and doctor's referral

4. Visit the Hospital:

   • Approach the Ayushman Bharat helpdesk at the hospital.

   • Present the necessary documents and discuss your condition.

5. Undergo Pre-Authorization Process:

   • The hospital will initiate the pre-authorization request under the Ayushman Bharat scheme.

   • Upon approval, the treatment will proceed without any out-of-pocket expenses.

Hello Swapnil ji,

Thank you for your question. I understand your concern regarding the hospital bill after your father's surgery. Here's what you need to know:

Can You Claim the Hospital Bill After Surgery?

Before proceeding, it's important to clarify:

Are you referring to the Ayushman Bharat (PM-JAY) scheme or a private health insurance policy?

If It’s Ayushman Bharat Scheme (PM-JAY)

Ayushman Bharat works on a pre-authorization, cashless treatment model. That means:

• The hospital must be empanelled under the scheme

• Approval is required before treatment

• Reimbursement is NOT allowed if you've already paid the bill and Ayushman benefits weren’t used at the time of treatment

What You Can Do:

1. Check if the hospital is empanelled
   Use the official portal:
   👉 https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

2. Speak to the hospital’s Ayushman Coordinator
   Some hospitals may help if eligibility was missed by mistake.

3. File a grievance (if applicable)
   If you believe Ayushman card was valid and the hospital denied it wrongly:

   • 📞 Call: 14555

   • 📝 Submit at: https://cgrms.pmjay.gov.in

If It’s a Private Health Insurance Policy

If your father has a private insurance policy, then reimbursement may be possible, depending on the insurer’s rules.

Steps to Claim:

1. Collect Original Documents:

   • Discharge summary

   • Hospital bill

   • Payment receipts

   • Investigation reports

   • Doctor’s prescription and treatment summary

   • Insurance policy copy

2. File Reimbursement Claim:

   • Submit all documents to your insurer within the allowed timeframe (usually 7–30 days post-discharge)

   • Some insurers allow online submission via their website or mobile app

   • Track claim status using the claim reference number

3. TAT for Reimbursement:

   • Most insurers process claims within 15–30 working days

Wishing your father a full and speedy recovery.