Severe knee pain can make walking, climbing stairs, and daily activities very difficult. Many patients and their families worry about surgery costs and want to know whether knee replacement surgery is covered under the Ayushman Bharat  PMJAY scheme.

Is Knee Replacement Surgery Covered Under Ayushman Bharat?

Yes, if :

• The patient is eligible under Ayushman Bharat – PMJAY

• The hospital is PMJAY empanelled

• The surgery is medically necessary

• Required package approval is completed

then knee replacement surgery may be available under cashless treatment at eligible hospitals. PMJAY includes coverage for joint replacement procedures in eligible cases.

Coverage may include :

• Hospital admission

• Surgery charges

• Knee implant as per package guidelines

• OT expenses

• Doctor consultation during admission

• Hospital stay

• Basic investigations related to treatment

Final approval depends on :

• Patient eligibility

• Hospital empanelment status

• PMJAY package verification

• Orthopedic surgeon assessment

When Is Knee Replacement Recommended?

Doctors may recommend knee replacement if :

• Severe knee arthritis is present

• Walking is difficult

• Chronic knee pain affects daily life

• Medicines and physiotherapy are not providing sufficient relief

• The knee joint is significantly damaged

The final decision is based on orthopedic evaluation and imaging reports.

Which Doctor Should You Consult?

Treatment is usually managed by :

• Orthopedic Surgeon

• Joint Replacement Specialist

• Bone and Joint Specialist

Doctors may recommend :

• X-ray

• MRI (if required)

• Blood tests

• Physical examination

These investigations help determine the most suitable treatment plan.

What Should You Confirm With the Hospital?

Please confirm :

• Is PMJAY active in the hospital?

• Is knee replacement available?

• Is cashless treatment possible?

• Is the implant covered under the package?

• Is pre-authorisation required?

Documents Usually Required

Please keep ready :

• Ayushman / PMJAY card

• Aadhaar card

• X-ray or MRI reports

• Doctor prescriptions

• Previous treatment records

How to Check PMJAY Hospitals?

Verification Steps

• Visit Ayushman Bharat Official Portal

• Open the "Find Hospital" section

• Select :

  • State

  • District

  • Specialty – Orthopedics

You can then find nearby PMJAY empanelled hospitals offering orthopedic and joint replacement services.

How HexaHealth Can Assist You with Knee Replacement Under Ayushman Bharat

At HexaHealth, we are committed to making your healthcare journey smooth and stress-free. Here's how we can help you with knee replacement surgery under the Ayushman Bharat scheme :

• Eligibility Check : We can help you verify your eligibility for the Ayushman Bharat scheme quickly.
• Hospital Network : We have a network of top hospitals in across India that are empaneled under Ayushman Bharat and offer advanced knee replacement procedures.
• Expert Consultations : We can connect you with highly experienced orthopedic surgeons specializing in knee replacement surgery.
• Seamless Process : Our team will guide you through the entire process, from finding the right hospital to understanding the documentation required for cashless treatment under Ayushman Bharat.
• Dedicated Support : We provide end-to-end support, including appointment booking, hospital admission assistance, and post-operative care coordination.

We are here to support you at every step towards a healthier and more active life. Feel free to reach out to HexaHealth for any assistance.

Wishing you comfort, strength, and improved mobility ahead.
Warm regards,
Team HexaHealth