Is knee replacement surgery covered by a health card?

Hello,

Knee replacement surgery, also known as knee arthroplasty, is a procedure to replace damaged parts of the knee joint with artificial implants. Regarding your query about coverage, it seems you might be referring to a government health scheme card, possibly the Ayushman Bharat card.

Knee Replacement Surgery and Government Health Schemes

Yes, knee replacement surgery is generally included under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) for eligible beneficiaries across India. This scheme aims to provide health coverage to economically vulnerable sections of society.

Key Points Regarding Coverage:

• Eligibility: To avail of coverage under Ayushman Bharat, you must be an eligible beneficiary as per the scheme's criteria (based on SECC 2011 data for rural and urban areas).
• Medical Necessity: The surgery must be deemed medically necessary by a qualified doctor, typically for conditions like severe osteoarthritis, rheumatoid arthritis, or other debilitating knee conditions that significantly impair mobility and quality of life.
• Network Hospitals: The treatment must be received at an empaneled hospital that is part of the Ayushman Bharat network.
• Cashless Treatment: Eligible beneficiaries can receive cashless treatment at these network hospitals for covered procedures, including knee replacement surgery.

How HexaHealth Can Help:

• Eligibility Check: We can help you verify your eligibility for the Ayushman Bharat scheme.
• Doctor Consultation: Connect you with top orthopedic surgeons specializing in knee replacement surgery.
• Hospital Network: Assist you in finding and booking appointments at Ayushman Bharat empaneled hospitals that offer quality knee replacement services.
• Seamless Process: Guide you through the entire treatment journey, from initial consultation to discharge, ensuring a hassle-free experience under the scheme.

If you or someone you know is considering knee replacement surgery, feel free to reach out to HexaHealth. We are here to support you in accessing the best possible care and understanding your coverage options.

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