Is knee replacement surgery free under Ayushman Bharat card?

Dear Madhavi Kulkarni Ji,

Knee replacement surgery, also known as total knee arthroplasty, is a procedure to replace the damaged cartilage and bone in the knee joint with artificial components, alleviating pain and improving mobility. It is a common and effective solution for severe knee issues.

Yes, knee replacement surgery is covered under the Ayushman Bharat Yojana (PM-JAY) for eligible beneficiaries. If your 72-year-old mother is eligible under the scheme, she can receive cashless treatment at PMJAY-empanelled hospitals after medical evaluation and package approval.

Knee Replacement Coverage

PMJAY can cover

• Single Knee Replacement Surgery

• Bilateral (Both Knee) Replacement Surgery

• Hospital admission

• Surgeon and specialist consultation during hospitalization

• Implant-related expenses as per approved package

• Post-operative care and hospitalization

Documents Required

• Ayushman Card

• Aadhaar Card

• Orthopaedic surgeon's prescription

• X-ray and knee investigation reports

• Previous medical records

How to Check Hospital Eligibility?

Verification Steps

• Visit the Ayushman Bharat Official Portal

• Open the "Find Hospital" section

• Select your State and District

• Search the hospital name

• Contact the hospital's Ayushman Help Desk

You can also call the Ayushman Helpline at 14555 for assistance.

Government Schemes in Maharashtra

If your mother is not covered under PM-JAY, she also be eligible under

• Mahatma Jyotirao Phule Jan Arogya Yojana (MJPJAY)

• State government health assistance schemes available in Maharashtra

These schemes also provide coverage for major surgeries, including knee replacement, at empanelled hospitals.

Typical Symptoms Leading to Knee Replacement

• Severe, chronic knee pain that significantly interferes with daily activities like walking, climbing stairs, or even resting.
  
  
• Persistent knee inflammation and swelling that does not improve with rest or medications.
  
  
• Knee deformity, such as a bow-legged or knock-kneed appearance.
  
  
• Significant stiffness in the knee, limiting the ability to bend or straighten the leg.
  
  
• Failure of conservative treatments like physiotherapy, pain medications, and injections to provide relief.

Hospitals in Nashik, Maharashtra

• Sahyadri Super Speciality Hospital, Dwarka Circle, Nashik
  
  
• Ashoka Medicover Hospital, Parab Nagar, Nashik
  
  
• Sankalp Speciality Healthcare Private Limited, Nashik
  
  
• Apollo Hospital Nashik - Contact, Services and Appointment
  
  

  

How HexaHealth Can Assist You

• Hospital & Doctor Selection : We can help you find top orthopaedic surgeons and Ayushman Bharat empanelled hospitals in Nashik for your mother's knee replacement surgery.
  
  
• Eligibility Check : Our team can assist you in verifying your mother's eligibility for the Ayushman Bharat scheme quickly and easily.
  
  
• Seamless Process : We provide end-to-end support, from scheduling consultations and managing appointments to assisting with documentation and navigating the cashless process under Ayushman Bharat, ensuring a smooth experience.
  
  
• Dedicated Care Coordinator : You will have a dedicated HexaHealth care coordinator who will guide you through every step of the treatment journey, including pre-operative and post-operative support.

We understand that navigating healthcare can be challenging, and we are here to support you in ensuring your mother receives the best possible care under the available schemes.

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