Is ACL reconstruction surgery covered under Ayushman Bharat PM-JAY?

Hello,

Yes, ACL reconstruction surgery is covered under the Ayushman Bharat PM-JAY scheme.

What Does ACL Surgery Involve?

ACL reconstruction is generally performed to repair or replace a torn Anterior Cruciate Ligament. It is commonly performed using an arthroscopic technique, where the damaged ligament is reconstructed using a graft.

A doctor recommend surgery when the ACL injury causes significant knee instability, pain, swelling, restricted movement or difficulty with daily activities. An MRI and physical examination are generally used to assess the injury and plan treatment.

How to Check an Ayushman Hospital for ACL Surgery

You can follow these steps to find a hospital where ACL ligament reconstruction surgery can be done under the Ayushman Bharat PM-JAY scheme

1. Visit the official Ayushman Bharat PM-JAY hospital search portal.

2. Select your state.

3. Select your district or city.

4. Choose the speciality as Orthopaedics.

5. Select the hospital type, such as government or private.

6. Check the list of PM-JAY-empanelled hospitals.

7. Select a hospital that has an Orthopaedics department and knee/ligament surgery facility.

8. Contact the hospital's Ayushman Mitra or PM-JAY help desk.

Documents to Keep Ready

• Ayushman Card

• Aadhaar Card/valid ID

• MRI or X-ray reports

• Orthopaedic doctor's prescription

• Previous treatment records, if available

The hospital should confirm the applicable package before surgery, as coverage can depend on the patient's eligibility, medical necessity and the hospital's current empanelment.

Please share your city and state, and we can help you identify suitable Ayushman-empanelled hospitals for ACL surgery.

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