Is knee replacement covered under Ayushman Bharat Yojana?

Dear Ajay Kumar ji,

A knee replacement, or total knee arthroplasty, is a surgical procedure to replace a damaged knee joint with artificial parts, typically performed when severe arthritis or injury causes chronic pain and disability. It is indeed possible to undergo a knee replacement under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) scheme.

Is It Possible to Replace Both Knees Under Ayushman Card?

Yes, if 

• Your mother is eligible under Ayushman Bharat PMJAY

• The hospital is PMJAY empanelled

• The orthopedic surgeon recommends knee replacement surgery

• The required PMJAY package approval is obtained

then knee replacement surgery may be covered under Ayushman Bharat on a cashless basis, subject to eligibility and approval.

Whether both knees can be replaced (simultaneously or in stages) depends on

• The patient's age and overall health

• Severity of knee damage

• Surgeon's assessment

• PMJAY package approval

Which Doctor Should You Consult?

Treatment is usually managed by

• Orthopedic Surgeon

• Joint Replacement Specialist

Doctors may recommend

• Knee X-rays

• Blood tests

• Physical examination

• Other investigations if required

What Should You Confirm With the Hospital?

Please ask

• Is PMJAY active in the hospital?

• Is bilateral knee replacement available?

• Is the procedure covered under PMJAY?

• Is cashless treatment possible?

• Is pre-authorisation required?

Documents Usually Required

• Ayushman / PMJAY Card

• Aadhaar Card

• Knee X-ray reports

• Medical records

• Doctor prescriptions

How to Check PMJAY Hospital Status?

Verification Steps

• Visit Ayushman Bharat Official Portal

• Open the "Find Hospital" section

• Select :

  • State

  • District

  • Specialty – Orthopaedics

Alternative Verification

• Call the Ayushman Bharat Helpline14555

• Contact the hospital's Ayushman Help Desk directly

• Verify knee replacement package availability before admission

Typical Symptoms Leading to Knee Replacement

• Severe knee pain that limits everyday activities, including walking, climbing stairs, and getting in and out of chairs.
  
  
• Chronic knee inflammation and swelling that does not improve with rest or medications.
  
  
• Knee deformity, such as a bowing in or bowing out of your leg.
  
  
• Failure of other non-surgical treatments like medication, injections, or physical therapy to provide significant relief.

How HexaHealth Can Assist You

• Finding Empaneled Hospitals : We can help you identify top hospitals in your area that are empaneled under the Ayushman Bharat scheme and offer excellent knee replacement surgeries.
  
  
• Expert Consultations :  Connect you with highly experienced orthopedic surgeons specializing in knee replacements.
  
  
• Navigating Ayushman Bharat : Our team can guide you through the process of verifying eligibility, understanding the benefits, and facilitating the necessary paperwork for availing treatment under the scheme.
  
  
• Seamless Treatment Journey: From booking appointments to hospital admission and post-operative care, HexaHealth supports you at every step for a hassle-free experience. Our partner hospitals offer advanced care and patient-friendly facilities for a comfortable recovery.

Please let us know the name of the hospital you are referring to, and we can help you check its empanelment status. Wishing your mother a smooth and successful recovery!

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