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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, thyroid surgeries, including procedures like total thyroidectomy and parathyroidectomy, are covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) scheme. This scheme provides eligible beneficiaries with cashless treatment coverage up to ₹5 lakh per family per year for a wide range of medical procedures, including general surgeries.

Regarding KMCH (Kovai Medical Center and Hospital) in Coimbatore, it is empanelled under the Ayushman Bharat scheme. Therefore, eligible patients can avail themselves of cashless treatment for covered procedures, including thyroid surgeries, at this facility.

Steps to Avail Treatment:

1. Verify Eligibility: Ensure that you or your family member is eligible under the Ayushman Bharat scheme. Eligibility can be checked on the official PM-JAY website or at a nearby Common Service Center (CSC).

2. Hospital Visit: Visit KMCH with the Ayushman Bharat card and necessary identification documents.

3. Consultation: Consult with the relevant specialist at KMCH to discuss the medical condition and the need for surgery.

4. Pre-Authorization: The hospital will initiate the pre-authorization process for the surgery under the Ayushman Bharat scheme.

5. Surgery and Post-Operative Care: Upon approval, the surgery will be scheduled, and post-operative care will be provided as per the scheme's guidelines.

For a comprehensive list of empanelled hospitals under the Ayushman Bharat scheme in Coimbatore or other regions, you can visit the official hospital search portal:

🔗 Ayushman Bharat Hospital Search

If you need assistance with checking eligibility or understanding the process further, feel free to ask.