Is lumbar spine surgery covered under PMJAY insurance?

Hello,

Yes, lumbar spine surgery is covered under Ayushman Bharat (PM-JAY).

What Can Be Covered under PMJAY for Spine Surgery?

Depending on the approved package, it include

• Spine/neurosurgery consultation

• Required diagnostic investigations, including MRI when applicable

• Lumbar spine surgery

• Surgeon and anaesthesia charges

• Hospitalisation and nursing care

• Medicines and consumables included in the package

• Post-operative care as applicable

PM-JAY surgical packages are generally bundled, meaning the approved package covers the applicable treatment-related costs rather than charging the beneficiary separately for each component. 

Documents Required

• Ayushman Bharat (PM-JAY) Card

• Aadhaar Card

• MRI/CT scan reports

• Doctor's prescription and surgery recommendation

• Previous medical records

• Current medication details

How to Check Whether Your Lumbar Surgery Is Covered

1. Visit the PM-JAY Hospital Finder.

2. Select your State and District.

3. Select Orthopaedics or Neurosurgery.

4. Search for PM-JAY-empanelled hospitals.

How HexaHealth Can Assist You

HexaHealth can help you with

• Hospital Selection: Connect you with a suitable PM-JAY-empanelled partner hospital based on your location and spine condition.

• Experienced Spine Specialist: Help you connect with an experienced orthopaedic spine surgeon or neurosurgeon.

• Ayushman Guidance: Help you understand PM-JAY eligibility and the cashless treatment process.

• Treatment Evaluation: Assist with arranging a specialist consultation to understand whether surgery is actually required.

• Document Guidance: Help you prepare your MRI reports, prescriptions and other medical records.

• Appointment Support: Assist with scheduling your consultation.

• Treatment Coordination: Help coordinate your hospital visit and treatment journey.

You can also explore HexaHealth's Ayushman Bharat Hospitals directory to check PM-JAY-empanelled hospitals.

Please tell me your city/state and the exact lumbar spine surgery advised (for example, discectomy, decompression or fixation). We can help you identify the appropriate PM-JAY hospital and specialist.

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