Can Ayushmaan card be used for ligament surgery?

Hi,

Yes, ligament surgeries, including ACL (Anterior Cruciate Ligament) reconstruction, are generally covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) for eligible beneficiaries, subject to medical evaluation and PM-JAY package guidelines.

What is Ligament Surgery?

Ligament surgery is performed to repair or reconstruct a torn or damaged ligament that stabilizes a joint. It is commonly recommended for injuries involving the knee (ACL, PCL, MCL, LCL), shoulder, ankle, or other joints, especially when there is instability, pain, or difficulty performing daily activities.

Common Symptoms of a Ligament Injury

• Sudden pain after an injury.
• Swelling around the joint.
• A popping sensation at the time of injury.
• Joint instability or the feeling that the joint is "giving way."
• Difficulty walking, climbing stairs, or bearing weight.
• Reduced range of motion.

Is Ligament Surgery Covered Under Ayushman Bharat?

Yes. Eligible patients can receive cashless ligament surgery at Ayushman Bharat (PM-JAY) empanelled hospitals, as per the applicable treatment package and scheme guidelines.

Ayushman Bharat Benefits

• Cashless treatment at empanelled hospitals.
• Coverage of eligible surgical procedures, hospital stay, investigations, medicines, and post-operative care as per PM-JAY package guidelines.
• Health coverage of up to ₹5 lakh per eligible family per year.
• Access to experienced orthopedic surgeons at empanelled hospitals.

How to Find an Ayushman Bharat Hospital

Option 1: PM-JAY Website
Visit the PM-JAY website, click "Find Hospital", select your State, District, Hospital Type, and Speciality, complete the captcha, and click Search.

Option 2: HexaHealth Website
Visit the HexaHealth website, go to the Footer section, click "Ayushman Bharat Hospitals", select your State and City, and browse the list of empanelled hospitals.

How HexaHealth Can Help

HexaHealth can assist you by:

• Connecting you with experienced orthopedic surgeons.
• Helping you find Ayushman Bharat empanelled hospitals for ligament surgery.
• Assisting with doctor consultations, investigations, and surgery bookings.
• Guiding you through Ayushman Bharat eligibility, documentation, and cashless treatment.
• Providing end-to-end support throughout your treatment journey.

Please Share These Details

To help you find the right hospital and specialist, please let us know:

• Which ligament is injured? (ACL, PCL, MCL, LCL, shoulder ligament, ankle ligament, etc.)
• Has surgery been advised by a doctor?
• Your city where you want treatment.
• Whether you have an Ayushman Bharat Card or any other health insurance.

Once you share these details, we'll help you connect with the most suitable orthopedic specialist and Ayushman Bharat empanelled hospital for your treatment.