Hello,

When a mother suffers from knee pain or difficulty walking, families naturally become concerned about proper treatment, surgery expenses, and hospital support. It is completely understandable to ask whether knee surgery can be done under the Pradhan Mantri Ayushman Arogya Scheme.

Is Knee Surgery Covered Under Ayushman Bharat?

Yes, if :

• The patient is eligible under Ayushman Bharat – PMJAY
• The hospital is empanelled under PMJAY
• Surgery is medically necessary
• Package approval is completed

then selected knee surgeries may be available under cashless treatment at eligible hospitals.

Coverage may include :

• Hospital admission
• Knee surgery charges
• OT expenses
• Doctor consultation during admission
• Hospital stay
• Basic investigations related to surgery

Final approval depends on :

• Patient eligibility
• Hospital empanelment
• PMJAY package verification
• Orthopaedic surgeon assessment

Which Knee Problems May Need Surgery?

Doctors may advise surgery if there is :

• Severe knee pain
• Difficulty walking
• Joint stiffness
• Swelling in knee
• Ligament injury
• Arthritis or joint damage
• Poor relief with medicines or physiotherapy

Proper orthopaedic evaluation is important before surgery planning.

Which Doctors Usually Treat This?

Treatment is usually managed by :

• Orthopaedic surgeon
• Joint replacement specialist

Doctors may recommend:

• Knee X-ray
• MRI in some cases
• Blood tests
• Physical examination

These tests help determine the exact condition and suitable treatment plan.

How to Check PMJAY Hospitals?

Verification Steps

• Visit Ayushman Bharat Official Portal
• Open the “Find Hospital” section
• Select:
  • State
  • District
  • Specialty – Orthopaedics
• Check nearby PMJAY empanelled hospitals

You can also contact the hospital Ayushman help desk directly regarding knee surgery package availability.

Documents Usually Required

Please keep these documents ready:

• Ayushman / PMJAY card
• Aadhaar card
• Knee X-ray or MRI reports
• Doctor prescriptions
• Previous treatment papers

These documents help with eligibility verification and approval process.

How HexaHealth Can Assist You

• Scheme Navigation : Our dedicated team can help you understand the eligibility criteria and the entire process to avail benefits for your mother's knee surgery under the Ayushman Bharat scheme.
• Empanelled Hospitals : We partner with numerous hospitals across India that are empanelled under Ayushman Bharat and offer advanced knee surgery procedures. We can connect you with the best hospitals in your vicinity that accept the scheme.
• Expert Consultation : We facilitate consultations with top orthopedic surgeons specializing in knee surgeries, who can accurately assess your mother's condition and recommend the best treatment plan.
• Seamless Treatment Journey : From assisting with documentation for the Ayushman Bharat scheme to booking appointments, hospital admission, and post-operative care, HexaHealth supports you at every step of your mother's treatment journey.
• Cost-Effective Care : Our goal is to ensure your mother receives high-quality medical care without financial burden, leveraging government schemes like Ayushman Bharat.

We understand that navigating medical procedures and government schemes can be challenging, but our team is here to make it easier for you and your mother. Please feel free to reach out to HexaHealth for personalized assistance.

Wishing your mother comfort, strength, and speedy recovery ahead.
Warm regards,
Team HexaHealth