How do I use my Ayushman Bharat card for orthopaedic surgery?

Hello,

The Ayushman Card, under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY), is a government scheme that provides cashless healthcare services to eligible beneficiaries across India. It can indeed be used for various orthopaedic surgeries.

How to Use Your Ayushman Bharat Card for Orthopaedic Surgery

Step 1: Visit a PMJAY Empanelled Hospital

Choose a hospital that is registered under Ayushman Bharat – PMJAY and has Orthopaedics services.

Step 2: Meet an Orthopaedic Specialist

The doctor may recommend

• Physical examination

• X-rays

• MRI/CT scan (if required)

• Blood tests

• Other investigations

The surgeon will determine whether surgery is medically necessary.

Step 3: Verify Your Ayushman Card

At the hospital's Ayushman Help Desk, submit

• Ayushman / PMJAY Card

• Aadhaar Card

• Medical reports

• Doctor's prescription

The hospital will verify your eligibility.

Step 4: PMJAY Approval Process

If surgery is required, the hospital may submit the case for package approval.

Approval depends on

• Patient eligibility

• Hospital empanelment status

• PMJAY package availability

• Orthopaedic surgeon's assessment

Step 5: Surgery & Hospitalization

If approved, eligible orthopaedic procedures may be provided on a cashless basis under PMJAY.

Examples may include :

• Fracture surgery

• Knee replacement

• Hip replacement

• Spine surgery

• Ligament reconstruction

• Other approved orthopaedic procedures

Documents Usually Required

• Ayushman / PMJAY Card

• Aadhaar Card

• X-ray/MRI reports

• Doctor prescription

• Previous medical records

How to Check PMJAY Hospital Status?

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

• Confirm package availability before admission

Common Orthopaedic Surgeries Covered

• Joint replacement surgeries (e.g., knee replacement, hip replacement)
  
  
• Fracture fixation and repair surgeries
  
  
• Spine surgeries for various conditions
  
  
• Ligament repairs (e.g., ACL reconstruction)
  
  
• Arthroscopic procedures
  
  
• Surgeries for bone tumors and infections

Important Tips

• Always confirm with the hospital's Ayushman Mitra desk whether your specific orthopaedic condition and the recommended surgery are covered under the scheme's package.
  
  
• Keep your Ayushman Card and ID proof handy when visiting the hospital.
  
  
• For any doubts or assistance, you can call the Ayushman Bharat helpline.

How HexaHealth Can Support You

HexaHealth is here to make your healthcare journey seamless and stress-free

• Hospital Search : We can help you identify and connect with top empanelled hospitals in your city that perform orthopaedic surgeries under the Ayushman Bharat scheme.
  
  
• Expert Consultation : Get access to leading orthopaedic surgeons who accept Ayushman Card patients.
  
  
• Scheme Navigation: Our experts can guide you through the eligibility criteria, benefits, and the entire process of using your Ayushman Card for your surgery.
  
  
• Appointment Booking : We assist with booking consultations and managing your appointments with ease.
  
  
• Financial Assistance: We help clarify the benefits of Ayushman Bharat and ensure you receive the cashless treatment you're entitled to.

We are committed to helping you access the best possible orthopaedic care. Please feel free to reach out to HexaHealth for any further assistance.

Please share your city and the type of orthopaedic problem (fracture, knee pain, hip problem, spine issue, etc.) for more specific guidance.

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