Can Ayushman Bharat cover bilateral knee replacement surgery?

Hello,

Yes, knee replacement treatment is covered under Ayushman Bharat PM-JAY, this includes bilateral (both knees) replacement when medically required, within the scheme's ₹5 lakh/family/year limit.

Surgeons can either do both knees in the same sitting or plan them as two separate surgeries. Same-sitting bilateral surgery carries a slightly higher (though still low) risk of complications and needing a blood transfusion compared to doing one knee at a time but it also means one hospital stay and generally easier overall rehabilitation. Because of this, doctors usually only recommend same-sitting surgery for patients who are otherwise in good general health, without significant heart, lung, or other systemic disease. This decision should be based on the patient's overall fitness for surgery, and the surgeon will assess this directly.

How to Check an Ayushman Hospital for Knee Replacement?

1. Open the official PM-JAY Hospital Search portal.
2. Select your State.
3. Select your District.
4. Select Government or Private Hospital.
5. Select the required speciality, such as Orthopaedics.
6. Enter the exact hospital name if you have any in mind.
7. Complete the Captcha.
8. Click Search.
9. Check whether the hospital is listed as a PM-JAY empanelled hospital.
10. You should also check the overall list of empanelled hospital of your district

Documents Required for Knee Replacement

Keep these documents ready:

• Ayushman Card
• Aadhaar Card or valid ID
• Doctor's prescription
• X-ray of the knees
• MRI or other scan reports, if advised
• Blood test reports
• Previous medical records
• Previous treatment or hospital records
• Discharge summary, if applicable
• Referral letter, if required

Wishing you and your family good health always.
Warm regards,
Team HexaHealth