Proctology surgery is free through aayushman card scheme in Rahmaniya medical center motihari Bihar

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.

Hello Shaik Amar ji,

Agar aapki maa ko neck aur back pain ke liye surgery karani hai, to Hyderabad mein kaafi Ayushman Bharat (PM-JAY) empanelled hospitals available hain jahan spine surgery ya neuro/orthopedic treatment cashless kiya ja sakta hai (agar card active hai).

Steps to Check Ayushman Bharat Hospitals in Hyderabad

Aap khud bhi official website par hospital list dekh sakte hain:

1. Visit: 👉 https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

2. Select:

   • State: Telangana

   • District: Hyderabad

   • Specialty: Neurosurgery or Orthopedics

3. Click Search – you'll see a list of empanelled hospitals in Hyderabad.

Hyderabad ke Kuch Known Ayushman Empanelled Hospitals (Spine/Neck Surgery ke liye)

Although the availability may vary, here are examples of hospitals often empanelled:

• Osmania General Hospital (Govt.)

• Gandhi Hospital (Musheerabad – Govt.)

• KIMS Hospital, Secunderabad

• Yashoda Hospital (Malakpet / Secunderabad branches)

• Nizam's Institute of Medical Sciences (NIMS)

Please confirm their empanelment and availability using the above PMJAY link.

Aapko Kya Karna Hoga:

• Ayushman card aur Aadhaar card leke hospital ke Ayushman helpdesk pe consult kijiye

• Doctor aapki maa ka case dekhenge aur agar zaroori ho to pre-authorization process shuru karenge

Aapki maa ko jald rahat mile – yahi humari shubhkaamna hai.

Yes, piles (haemorrhoids) and fistula surgeries, including laser treatments, are covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) scheme. Beneficiaries can avail of these treatments cashless at any empanelled hospital across India.

Treatments Covered Under Ayushman Bharat

Under the General Surgery category, Ayushman Bharat includes:

• Haemorrhoidectomy (surgical removal of piles)

• Fistulotomy and Fistulectomy (surgical treatments for fistula)

• Laser surgeries for both piles and fistula, where available

These procedures are part of the 1,393 defined packages under the scheme.

Steps to Avail Treatment

1. Check Eligibility:

   • Ensure you are a registered beneficiary under Ayushman Bharat.

   • Verify your eligibility on the PM-JAY Beneficiary Portal.

2. Find an Empanelled Hospital:

   • Use the PM-JAY Hospital Finder to locate empanelled hospitals offering proctology services.

3. Visit the Hospital:

   • Carry your Ayushman card, Aadhaar card, and any relevant medical documents.

   • Consult with the hospital's Ayushman Bharat helpdesk to initiate the treatment process.

4. Undergo Pre-Authorization:

   • The hospital will process a pre-authorization request under the scheme.

   • Upon approval, you can receive the treatment without any out-of-pocket expenses.