Is hip replacement surgery covered under the PMJAY Ayushman card?

Hello,

Yes, total hip replacement surgery is covered under Ayushman Bharat Yojana (PMJAY). You can avail cashless total hip replacement surgery at a PMJAY-empanelled hospital after beneficiary verification and treatment package approval. PMJAY includes approved packages for cemented and cementless total hip replacement. 

When Is Total Hip Replacement Recommended?

An orthopaedic surgeon advise Total Hip Replacement (THR) if the hip joint is severely damaged and non-surgical treatments no longer provide relief. Common conditions include

• Severe osteoarthritis of the hip.

• Rheumatoid arthritis affecting the hip joint.

• Avascular necrosis (AVN) of the hip.

• Hip fracture that cannot be treated with fixation.

• Advanced joint damage causing severe pain and difficulty walking.

• Significant stiffness and reduced hip movement affecting daily activities.

What Is Covered Under Ayushman Bharat for Total Hip Replacement?

As per the approved PMJAY package, coverage include :

• Orthopaedic specialist consultation

• Pre-operative evaluation and diagnostic investigations

• Total hip replacement surgery (when medically advised)

• Hip implant (as covered under the approved PMJAY package)

• 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

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

• Previous medical records (if available)

How to Check Whether Total Hip Replacement Is 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 total hip replacement 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.

Please let us know your city or state. We will help you connect with an experienced orthopaedic surgeon and the best PMJAY-empanelled hospital based on your Ayushman Bharat eligibility or health insurance.

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