Is Right Leg Fracture Surgery Covered Under the Ayushman Card, and What Is the Process?

Hello,

Yes, right leg fracture treatment is covered under the Ayushman Bharat (PM-JAY) scheme.

What is the process for getting treatment with an Ayushman Card?

1. Visit a government or private hospital that is empanelled under Ayushman Bharat.
2. Go to the Ayushman Mitra or PM-JAY help desk at the hospital.
3. Show your Ayushman Card and explain that you have a right leg fracture.
4. Show your X-ray, medical reports, and doctor's prescription so the doctor can decide the appropriate treatment.
5. Ask the Ayushman Mitra to check whether your required fracture treatment is covered under an approved package.
6. The hospital will complete the required verification and pre-authorisation process, if applicable.
7. Before treatment, confirm with the hospital whether the approved treatment will be cashless and whether any non-covered charges may apply.

How to Check Ayushman empanelled hospital?

1. Open the official Ayushman Bharat Hospital Search Portal.
2. Select your state.
3. Select your district.
4. First, check the complete list of empanelled hospitals in your district.
5. Select the government or private hospital option, if available.
6. Choose the relevant speciality, if listed.
7. Search for the exact hospital name.
8. Enter the captcha, if shown, and click Search.
9. Confirm with the hospital's Ayushman Mitra desk that its empanelment is active and your specific fracture treatment is covered.

Which documents should you carry?

• Ayushman Card or beneficiary details.
• Aadhaar Card or another valid identity proof.
• Right leg X-ray and other medical reports.
• Doctor's prescription and treatment advice.
• Previous hospital records or discharge summary, if available.
• Mobile number registered with your Ayushman beneficiary details, if applicable.

If the fracture is severe, there is an open wound, the leg looks deformed, or you have numbness or a cold or pale foot, seek emergency medical care immediately. Do not delay treatment while checking card coverage.

Please share your city and state so you can check the relevant Ayushman-empanelled hospitals near you.

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