Is clavicle surgery covered by the Ayushman Bharat Yojana card?

Hello,

Clavicle surgery, also known as collarbone surgery, is a procedure to repair a broken or fractured collarbone, often involving the use of plates, screws, or pins. Regarding your question about its coverage under the Ayushman Bharat scheme, here's the information:

Clavicle Surgery and Ayushman Bharat Coverage

Yes, orthopaedic surgeries, including those for clavicle fractures, are generally covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) scheme.

• The Ayushman Bharat scheme aims to provide health insurance coverage for secondary and tertiary care hospitalization to over 10 crore poor and vulnerable families (approximately 50 crore beneficiaries).
• Bone fracture treatments and related surgeries, like clavicle surgery, are typically included in the list of medical packages covered by the scheme.

Important Considerations for Availing Benefits:

• Eligibility: Ensure that the patient is an eligible beneficiary under the Ayushman Bharat scheme. Eligibility is determined based on the SECC 2011 database and other criteria.
• Empanelled Hospital: The surgery must be performed at a hospital that is empanelled under the Ayushman Bharat scheme.
• Documentation: Carry your Ayushman card or e-card along with valid identification proofs (Aadhaar card) to the hospital.

How to Check Ayushman-Empanelled Hospitals (Step-by-Step)

1. Visit: https://hospitals.pmjay.gov.in

2. Select State

3. Select District

4. Choose Hospital Type → Hospital

5. Click Search
   You will get the list of hospitals where clavicle surgery can be done under Ayushman.

How HexaHealth Can Help

At HexaHealth, we are committed to making healthcare accessible and stress-free. We can assist you with:

• Eligibility Check: We can help you check if you or your family members are eligible for the Ayushman Bharat scheme.
• Hospital Network: Connect you with top Ayushman Bharat empanelled hospitals in your city that perform clavicle surgery.
• Seamless Process: Guide you through the documentation and admission process to ensure you can avail the benefits of the scheme for your surgery without any hassle.
• Expert Consultation: Facilitate consultations with experienced orthopaedic surgeons who can provide the best treatment for a clavicle fracture.

Please feel free to reach out to us if you need any assistance with your Ayushman Bharat benefits or finding a suitable hospital for clavicle surgery.

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