Is an intertrochanteric fracture covered by ABHA?

Hello Diwakar Ji,

Thank you for your query. An intertrochanteric fracture (a type of hip fracture common in older adults) typically requires surgical treatment, such as internal fixation with a plate, screw, or intramedullary nail. The good news is that this condition is covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)—but only if your ABHA card is linked to Ayushman eligibility.

Is Intertrochanteric Fracture Covered in ABHA?

• The ABHA card (Ayushman Bharat Health Account) is not an insurance card by itself.

• However, if you are a PM-JAY beneficiary (Ayushman cardholder) and your ABHA card is linked, then treatment for an intertrochanteric fracture is covered under the scheme.

Treatment Coverage Includes:

• Hospitalization expenses

• Surgery (internal fixation/ORIF)

• Implants and prosthetics (as per standard Ayushman packages)

• Post-operative care and medications during hospital stay

How to Confirm Eligibility Under Ayushman Bharat and Get Treated?

1. Visit a PM-JAY empanelled hospital in Navi Mumbai

2. Carry your ABHA card, Aadhaar card, and previous X-rays or medical records

3. Hospital’s Ayushman help desk will verify your eligibility

4. If approved, treatment will be cashless

You can check the empanelled hospitals here:
👉 https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

Need Help?

HexaHealth can assist you in:

• Finding the best hospital for orthopaedic surgery

• Booking consultations or second opinions

• Coordinating insurance approvals and surgery

Wishing you a smooth treatment and full recovery, Diwakar Ji. Let us know if you'd like help getting started with your treatment in Navi Mumbai.