Does Ayushman Bharat card cover knee replacement surgery?

Hello,

We understand that severe knee pain can make walking and daily activities very difficult. Knee replacement surgery, also known as knee arthroplasty, is a procedure that involves replacing a damaged knee joint with an artificial implant to relieve pain and improve mobility. Here's how the Ayushman Bharat card works for this surgery

Does Ayushman Bharat Cover Knee Replacement Surgery Without Any Cost?

Yes, if :

• The patient is eligible under Ayushman Bharat – PMJAY

• The hospital is PMJAY empanelled

• Knee replacement surgery is medically required

• The required PMJAY package approval is obtained

then knee replacement surgery is generally provided on a cashless basis under the approved package. Coverage may include surgery, hospitalization, implants, and related treatment expenses.

Important Note

In some situations, additional charges may arise if :

• A non-covered implant is chosen

• A room category upgrade is requested

• Services outside the approved package are selected

Please ask the hospital if any extra payment is requested. PMJAY treatment for covered procedures is intended to be cashless.

What Should You Do?

• Consult an Orthopedic Surgeon

• Get X-rays and required investigations done

• Verify your PMJAY eligibility

• Meet the hospital's Ayushman Help Desk for package approval

Hospital Mein Kya Confirm Karna Chahiye?

Please ask

• Is knee replacement covered under PMJAY?

• Is cashless treatment available?

• Are implant costs included?

• Is pre-authorisation required?

• Are there any non-covered expenses?

Documents Usually Required

• Ayushman / PMJAY Card

• Aadhaar Card

• Knee X-ray reports

• Medical records

• Doctor prescriptions

Hospital Kaise Check Karein?

Verification Steps

• Visit Ayushman Bharat Official Portal

• Open the "Find Hospital" section

• Select :

  • State

  • District

  • Specialty – Orthopaedics

Alternative Verification

• Call the Ayushman Bharat Helpline: 14555

• Contact the hospital's Ayushman Help Desk directly

How HexaHealth Can Assist You

• Eligibility Check : We can help you check your eligibility for the Ayushman Bharat scheme.
  
  
• Hospital Network : HexaHealth has a network of top hospitals empanelled under Ayushman Bharat for knee replacement surgery. We can help you find and choose the best one.
  
  
• Seamless Process : We provide end-to-end support, from connecting you with experienced orthopedic surgeons and booking consultations to navigating the Ayushman Bharat approval process and managing your hospital stay.
  
  
• Financial Guidance : Our team can guide you through the financial aspects, ensuring you understand the benefits and make the most of your Ayushman Bharat coverage.

We are here to help make your healthcare journey as smooth and stress-free as possible.

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