Does Ayushman Card Cover Hand and Hip Fracture Surgery?

Hello,

Yes, treatment for hand fractures and hip fractures is covered under Ayushman Bharat PM-JAY

Depending on the fracture and its severity, treatment include

• X-rays and required diagnostic investigations

• Fracture management and immobilisation

• Reduction of the fracture

• Surgical fixation with plates, screws, nails or other implants when medically required

• Hip fracture surgery, where the applicable package is available

• Hospitalisation, medicines and consumables included in the approved package

What Should You Do?

If the fracture has already occurred, take the patient to a government hospital or currently empanelled private hospital without unnecessary delay. Carry the Ayushman Card, Aadhaar/valid ID, X-rays, CT reports if available and the orthopaedic doctor's prescription.

At the hospital, visit the Ayushman Mitra/Ayushman helpdesk and clearly explain that treatment is required for a hand or hip fracture. The hospital can verify eligibility and determine the applicable package.

How to Check an Ayushman Hospital

1. Open the official PM-JAY hospital search portal.

2. Select your state and district.

3. Search the hospital by name.

4. Check that its PM-JAY empanelment is currently active.

5. Check whether orthopaedics is available.

What Documents Should You Carry?

When visiting a hospital for treatment under the Ayushman Card, it is best to carry the following documents

• Ayushman Bharat Card / e-Ayushman Card

• Aadhaar Card or valid ID proof

• Patient’s medical reports

• Doctor’s prescription

• Previous treatment records

• Previous discharge summary, if available

• Recent blood test reports, if available

These documents will be useful for beneficiary verification and during the treatment process at the hospital’s Ayushman desk.

Important

For a hip fracture, particularly in an elderly patient, treatment should not be unnecessarily delayed because prolonged immobility can lead to complications. If there is severe pain, inability to stand or walk, deformity, numbness, loss of sensation or reduced blood circulation in the limb, seek emergency orthopaedic care.

If you share your city/district and whether the hand or hip fracture needs surgery, I can guide you on what type of Ayushman-empanelled hospital and orthopaedic facility to look for.

We can help connect you with experienced orthopaedic doctors at partner hospitals and assist with consultation and treatment coordination.

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