Is knee replacement surgery free under Ayushman Bharat Yojana?

Dear ANAND KUMAR ji

Yes, knee replacement treatment is  available under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY). Physiotherapy and rehabilitation also be included when they form part of the approved treatment package.

Physiotherapy related to an approved hospital treatment be covered as part of the package, depending on the scheme rules. However, routine outpatient physiotherapy sessions taken separately are generally not covered under PM-JAY.

A knee replacement implant often lasts around 15–20 years or longer, although its lifespan varies from person to person. It depends on factors such as age, activity level, body weight, implant type, and overall health. Regular follow-up appointments, prescribed exercises, and avoiding excessive strain can help maintain knee function.

Ayushman Bharat provides cashless treatment coverage of up to ₹5 lakh per eligible family per year. This is the overall family coverage limit, not a fixed amount paid to the patient for one knee replacement.

The knee replacement package rate depends on the applicable state's scheme rules, the approved procedure, and the implant category. The approved package amount is settled with the hospital; the patient does not receive this amount directly. Ask the hospital's Ayushman Mitra for the current package rate applicable to your case.

How to Check Ayushman empanelled hospital?

1. Open the official PM-JAY Hospital Search Portal.
2. Select your state.
3. Select your district.
4. Check the complete list of empanelled hospitals in your district.
5. Select Government or Private hospital, if the option is available.
6. Select Orthopaedics or the relevant specialty, if available.
7. Search for the name of your preferred hospital, if applicable.
8. Enter the captcha, if shown, and click Search.
9. Confirm that the hospital's PM-JAY empanelment is currently active.
10. Contact the hospital's Ayushman Mitra or PM-JAY desk to confirm knee replacement package availability, implant coverage, and cashless approval.

What documents are required?

• Ayushman Card or beneficiary details.
• Aadhaar Card or another valid government photo ID.
• Orthopaedic doctor's prescription and diagnosis.
• Knee X-rays, MRI reports, or other relevant investigation reports, if available.
• Previous medical records and discharge summaries, if any.
• Current medicines and other relevant treatment documents.

Please share your city and state so we can help you find suitable Ayushman-empanelled hospitals for knee replacement treatment.

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