Can use ABHA card for hand plate removal surgery?
Description
I am Sweta Singh. I had a bone fracture in my hand, and a steel plate was implanted in the bone. I now want to have the plate removed through surgery. I have an ABHA card. Can I get this surgery done using my ABHA card?
Dear Sweta Singh ji
No. An ABHA Card cannot be used to get your hand plate removal treatment.
In Ayushman Card cover hand plate removal treatment.
ABHA stands for Ayushman Bharat Health Account. It is a digital health account that helps you access, store and share your health records. It does not provide ₹5 lakh health insurance coverage and does not pay your hospital treatment bills.
What about an Ayushman Card?
If you are eligible for Ayushman Bharat PM-JAY and have a valid Ayushman Card, then your hand plate removal be covered.
The official PM-JAY package list specifically includes:
-
Implant removal under Regional/General Anaesthesia (RA/GA)
-
Plate removal – Package Code SB071B
So, for a plate implanted after a hand fracture, you can ask an empanelled PM-JAY hospital to check the procedure under the applicable orthopaedic package.
The hospital must confirm that the procedure is approved for you under PM-JAY before admission. Do not assume that having an Ayushman Card automatically covers every hospital expense.
ABHA vs Ayushman Card
| ABHA Card | Ayushman Card |
|---|---|
| Digital health account | Health assurance benefit under PM-JAY |
| Helps manage/share health records | Used for eligible covered treatment |
| Does not pay hospital bills | Can provide cashless treatment for covered packages |
| No ₹5 lakh treatment cover | Eligible beneficiaries generally receive health cover under the scheme |
| Not an insurance/health cover card | Used at eligible empanelled hospitals |
How to check the Ayushman hospital?
-
Open the official Ayushman Bharat PM-JAY hospital search.
-
Select your State.
-
Select your District.
-
Select Government or Private Hospital.
-
Select the relevant speciality, such as Orthopaedics.
-
Enter the hospital name if you already have a hospital in mind.
-
Enter the Captcha, if displayed.
-
Click on Search.
-
Check whether the hospital has active PM-JAY empanelment and the required Orthopaedics speciality.
- You can also check overall empanelled hospital of your district.
Documents to carry
Take these documents to the hospital :
-
Ayushman Card/e-card, if you have one
-
Aadhaar Card or another valid government ID
-
ABHA Card, if available
-
Doctor's prescription/referral
-
Previous X-rays of your hand
-
Recent X-ray, if available
-
Previous operation/treatment records
-
Discharge summary from the fracture treatment
-
Implant/plate-related documents, if available
-
Previous medical reports and prescriptions
Wishing you and your family good health always.
Warm regards,
Team HexaHealth
Can get joint replacement surgery under the Ayushman Bharat PMJAY scheme?
Can get knee infection treatment using an Ayushman card at CMC?
What Causes Concurrent Knee, Neck, and Upper Back Pain?
