Is Knee Surgery Covered By The Ayushman Bharat Card?

Hello,

Yes, knee surgery, including knee replacement (when medically required), is covered under the Ayushman Bharat Yojana (PMJAY). You can avail of cashless treatment at a PMJAY-empanelled hospital.

Please note that HexaHealth is not a hospital. We help patients connect with PM-JAY empanelled partner hospitals and experienced orthopaedic surgeons for consultation and treatment.

If you has recommended knee replacement surgery, ligament surgery, fracture surgery, or any other knee procedure, we can help you find a suitable PM-JAY empanelled partner hospital where eligible patients may receive cashless treatment.

Kindly share

• Your city and state

• What knee problem do you have? (Knee replacement, ligament injury, arthritis, fracture, etc.)

Based on these details, we will help you connect with the most suitable PM-JAY empanelled hospital and an experienced orthopaedic surgeon.

What Does Ayushman Bharat Cover for Knee Surgery?

Depending on the approved PMJAY package, coverage may include :

• Knee replacement surgery (when medically required)

• Other approved knee surgeries

• Orthopaedic surgeon consultation

• Hospital admission

• Operation theatre charges

• Medicines during hospitalization

• Diagnostic investigations

• Post-operative care and hospital stay

What Documents Are Required F or Knee Surgery?

• Ayushman Card

• Aadhaar Card

• Orthopaedic surgeon's prescription

• X-ray/MRI and other relevant reports

• Previous medical records

How to Check if the Hospital Offers Knee Surgery Under Ayushman Bharat?

Online Verification

• Visit PMJAY Hospital Finder

• Select your :

  • State

  • District

  • Specialty: Orthopaedics

• Click Search to view PMJAY-empanelled hospitals.

Common Symptoms Indicating a Need for Knee Surgery

• Persistent knee pain that doesn't improve with rest or medication.
  
  
• Stiffness and swelling in the knee joint.
  
  
• Difficulty walking, climbing stairs, or performing daily activities.
  
  
• A clicking, popping, or grinding sensation in the knee.

Treatment Options for Knee Problems

Treatment for knee issues can vary depending on the specific condition, its severity, and your overall health. Options include

• Non-Surgical Treatments : These often include rest, pain management through medication, physical therapy, lifestyle modifications, and various types of injections.
  
  
• Surgical Treatments : If non-surgical methods do not provide adequate relief, your doctor might recommend surgical options such as
  
  
  • Arthroscopy : A minimally invasive procedure used to diagnose and treat various knee problems like torn cartilage or ligaments.
    
    
  • Partial Knee Replacement : Replaces only the damaged part of the knee, preserving healthy bone and tissue.
    
    
  • Total Knee Replacement : Replaces the entire knee joint with artificial components to relieve pain and restore function.

HexaHealth can help you find hospitals that offer these advanced surgical options, often utilizing state-of-the-art facilities and experienced surgeons who employ minimally invasive techniques for faster recovery and reduced post-operative pain.

When to Seek Immediate Medical Attention (Alarming Symptoms)

• Sudden, severe knee pain that prevents you from putting any weight on your leg.
  
  
• An obvious deformity of the knee or lower leg.
  
  
• Significant swelling, redness, and warmth around the knee accompanied by fever.
  
  
• A knee that gives way or locks up completely and cannot be straightened.

How HexaHealth Can Support You?

HexaHealth is dedicated to guiding you through your healthcare journey

• Doctor Consultation : We can connect you with top orthopedic surgeons specializing in knee surgery in your city.
  
  
• Hospital Selection : We help you choose the best hospitals that are empanelled under Ayushman Bharat and offer high-quality knee surgery.
  
  
• Ayushman Bharat Assistance : Our team can assist you with understanding your eligibility and navigating the process for cashless treatment under the scheme.
  
  
• End-to-End Support : From initial consultation and appointment booking to hospital admission and post-operative care, we provide seamless support.

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