Does the Ayushman Card cover MRI scans and treatment costs?

DearSir/Mam,

Ayushman Bharat, officially known as Pradhan Mantri Jan Arogya Yojana (PM-JAY), is a flagship government scheme aimed at providing health coverage to vulnerable families. Magnetic Resonance Imaging (MRI) is a non-invasive imaging technology that uses a strong magnetic field and radio waves to create detailed images of organs and soft tissues inside the body.

Understanding Treatment and MRI Under Ayushman Bharat

• About Ayushman Bharat (PM-JAY):

  • The scheme provides cashless access to healthcare services for eligible families at empanelled public and private hospitals across India.
  • It covers a wide range of medical treatments, surgical procedures, and diagnostic tests, including hospitalisation expenses, pre and post-hospitalisation costs.
  • Each eligible family receives an insurance cover of up to ₹5 lakh per year for secondary and tertiary care hospitalisation.

• MRI Coverage Under Ayushman Bharat:

  • Yes, MRI scans are generally covered under the Ayushman Bharat scheme.
  • For an MRI to be covered, it must be prescribed by a doctor as a necessary diagnostic investigation for a covered medical condition or treatment.
  • The MRI procedure must be performed at an Ayushman Bharat empanelled hospital or diagnostic center that has a tie-up with the empanelled hospital.

• Important Considerations:

  • Always carry your Ayushman Card or proof of eligibility when visiting a hospital.
  • Confirm with the hospital's Ayushman Mitra (scheme facilitator) or help desk that the specific treatment or MRI scan you require is covered under your Ayushman Card and that the hospital is empanelled for that service.
  • The coverage applies to various medical conditions that require an MRI for diagnosis, such as neurological disorders, orthopedic issues, or certain organ conditions.

How HexaHealth Can Assist You:

• Eligibility Check: We can help you verify your eligibility for the Ayushman Bharat scheme.
• Hospital Network: We can connect you with top hospitals in your city that are empanelled under Ayushman Bharat and offer cashless treatment and MRI facilities.
• Seamless Process: Our team can guide you through the documentation and approval process for availing benefits under the scheme.
• Expert Consultation: We can help you find and book consultations with specialist doctors who can assess your condition and prescribe the necessary treatments or diagnostic tests like MRI.

We are here to support you in accessing quality healthcare. Please feel free to reach out to us for further assistance.