Is ACL and meniscus surgery covered under Ayushman Bharat scheme?

Hello,

Yes, ACL (Anterior Cruciate Ligament) surgery and meniscus surgery are covered under Ayushman Bharat Yojana (PMJAY). You can avail cashless ACL and meniscus surgery at a PMJAY-empanelled hospital after beneficiary verification and treatment package approval.

When Is ACL or Meniscus Surgery Required?

An orthopaedic doctor recommend surgery if you have

• A complete ACL tear causing knee instability.

• A meniscus tear resulting in persistent pain, locking, or swelling.

• Difficulty walking, climbing stairs, or participating in daily activities.

• Symptoms that do not improve with medicines, rest, or physiotherapy.

The doctor may advise an MRI scan and a physical examination to confirm the diagnosis and determine the most suitable treatment.

What Is Covered Under Ayushman Bharat for ACL and Meniscus Surgery?

As per the approved PMJAY package, coverage include

• Orthopaedic specialist consultation

• Pre-operative evaluation and diagnostic investigations

• ACL reconstruction surgery (when medically advised)

• Meniscus repair or meniscus surgery (when medically advised)

• Operation theatre charges

• Surgeon and anaesthetist charges

• Medicines and consumables during hospitalization

• Hospital stay

• Nursing care

• Post-operative rehabilitation and follow-up care

Documents Required

• Ayushman Bharat (PMJAY) Card

• Aadhaar Card

• Doctor's prescription

• MRI, X-ray, or other relevant medical reports (if available)

• Previous medical records (if available)

How to Check Whether ACL and Meniscus Surgery Are Available Under PMJAY?

Online Verification

• Visit the PMJAY Hospital Finder.

• Select your:

  • State

  • District

  • Specialty: Orthopaedics

• Click Search to view PMJAY-empanelled hospitals.

How HexaHealth Can Assist You

• Ayushman Bharat Guidance: We help you understand the PMJAY eligibility and treatment process.

• Hospital Network: We connect you with trusted PMJAY-empanelled partner hospitals offering ACL and meniscus surgery.

• Expert Consultation: We help you consult with experienced orthopaedic surgeons.

• Treatment Coordination: We assist with hospital selection, appointments, documentation, and treatment planning for a seamless experience.

Kindly Share the Following Details

• Your City and State.

Based on these details, we will help you connect with an experienced orthopaedic surgeon and the best Ayushman Bharat empanelled partner hospital for your treatment.

We wish you a successful treatment and a speedy recovery.
Warm regards,
Team HexaHealth