Is knee ligament reconstruction covered under ABHA scheme at Apollo Hospital?
Description
Knee ligament reconstruction surgery covered under abha scheme in Appollo hospital or not
Hello,
Knee ligament reconstruction surgery (such as ACL reconstruction) is covered under Ayushman Bharat PM-JAY
However, ABHA and Ayushman Bharat are two different things, so it is important not to confuse them.
Ayushman Card vs ABHA
| Ayushman Bharat PM-JAY | ABHA |
|---|---|
| Provides health insurance/healthcare benefits to eligible beneficiaries | Creates a digital health account/health ID |
| Can provide cashless treatment at eligible empanelled hospitals | Helps you digitally manage and share health records |
| Treatment is covered only according to eligible PM-JAY packages | ABHA itself does not pay for surgery |
| Eligibility is required | Having an ABHA number does not automatically make you eligible for free treatment |
Therefore, having an ABHA number does not mean that knee ligament surgery will be free. For cashless treatment, you need to check your Ayushman Bharat eligibility and the hospital's PM-JAY empanelment.
Which Apollo Hospital Are You Asking About?
Apollo has hospitals in different cities and states. PM-JAY empanelment is checked for the specific hospital and its location. Please tell us:
- Apollo Hospital name
- City
- State
How to Check Whether Apollo Hospital Accepts Ayushman Card
- Open the official PM-JAY Hospital Search portal.
- Select your State.
- Select the relevant District or City.
- Select the Private Hospital option.
- Search for the specific Apollo Hospital.
- Enter Captcha
- Click Search
- Check whether the hospital is currently listed as empanelled.
- Check whether orthopaedic treatment or the required ACL/knee ligament reconstruction package is available.
Documents Usually Required
Keep these documents ready
- Ayushman Card, if already available
- Aadhaar Card or accepted identity proof
- Ration Card, if applicable
- Beneficiary/family identification details
- Doctor's prescription
- MRI or X-ray reports of the knee
- Previous medical records
- Previous consultation and treatment documents
If you share the Apollo Hospital name, city and state, we can guide you specifically for that branch and explain how to check whether knee ligament reconstruction is available under the Ayushman scheme.
Wishing you and your family good health always.
Warm regards,
Team HexaHealth
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