Can clavicle fracture surgery be done 2 months later using ABHA card?

Dear koteshwar Rao ji,

Yes, clavicle (collarbone) fracture surgery is covered under the Ayushman Bharat PM-JAY scheme.

Please note that an ABHA card is different from an Ayushman Bharat PM-JAY card. An ABHA card is used to create a digital health ID; it does not, by itself, provide cashless treatment coverage.

Since your clavicle fracture happened around two months ago and the bone has not healed in its original position, please consult an orthopaedic surgeon as soon as possible. The bone may have healed with a change in position, or it may not have healed completely. An examination and fresh X-rays are needed to understand the problem.

What Treatment Be Needed?

• Orthopaedic consultation: The doctor will examine your shoulder, pain, movement, and arm function.
• X-ray or CT scan: The doctor may recommend imaging to check the bone's position and healing.
• Surgery: If the bone is significantly displaced, has not healed properly, or is causing ongoing pain or movement problems, the surgeon may consider an operation to realign and stabilise it with a plate and screws. However, surgery is not necessary in every case.
• Non-surgical treatment: Depending on the fracture and healing, the doctor may recommend continued monitoring, activity restrictions, and rehabilitation.

Do not try to straighten the bone yourself or lift heavy objects with the affected arm. Seek urgent medical care if you develop increasing pain, numbness, weakness, or a cold or pale hand.

How to Check Ayushman empanelled hospital?

1. Open the official Ayushman Bharat Hospital Search Portal.
2. Select your state.
3. Select your district.
4. View the overall list of Ayushman-empanelled hospitals in your district.
5. Select Government or Private hospital, if the option is available.
6. Choose the relevant specialty, such as Orthopaedics, if listed.
7. Enter the hospital name if you want to check a particular hospital.
8. Enter the captcha, if shown, and click on Search.
9. Check the hospital's current empanelment status.
10. Contact the hospital's Ayushman Mitra/help desk and ask whether clavicle fracture surgery is covered under an applicable PM-JAY package and whether prior approval is required.

Which Documents Should You Carry?

• Ayushman Bharat PM-JAY card, if available.
• Aadhaar card or another accepted government photo ID.
• Ration card or family ID, if required.
• Previous X-rays and the latest X-ray or CT scan, if available.
• Doctor's prescription and orthopaedic consultation records.
• Previous hospital admission and discharge papers, if applicable.
• Any other documents requested by the hospital's Ayushman help desk.

Please tell us your city and state so we can guide you on how to find an appropriate hospital for your clavicle fracture treatment.

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