Is shoulder fracture surgery covered under the Ayushman Bharat card?

Hello,

Yes, Ayushman Bharat (PM-JAY) can be used for shoulder fracture treatment at a PM-JAY-empanelled hospital. 

Treatment may include hospitalisation, surgery, operation-theatre charges, doctor consultation and eligible investigations related to the approved treatment. The exact coverage depends on the fracture, treatment required, hospital empanelment and package approval.

What Treatment Be Required?

The orthopaedic doctor will first assess the fracture through examination and imaging, usually an X-ray and, in selected cases, a CT scan.

Depending on the fracture, treatment include

• Sling or immobilisation for a stable fracture

• Pain-relieving medicines as prescribed

• Physiotherapy during recovery

• Fracture fixation surgery for displaced or complex fractures

• Plates, screws or other implants when surgery is required

The doctor will decide whether surgery is necessary after reviewing the X-ray/scan. Do not delay orthopaedic evaluation if there is severe pain or significant difficulty moving the arm.

How to Check an Ayushman Hospital

You can verify the hospital before admission by following these steps

1. Visit the official Ayushman Bharat PM-JAY hospital search portal.

2. Select your State.

3. Select your District.

4. Choose Government or Private hospital.

5. Select Orthopaedics as the speciality, if available.

6. Enter the hospital name if you have a particular hospital in mind.

7. Check whether the hospital is currently PM-JAY empanelled.

Documents to Keep Ready

Take these documents to the hospital

• Ayushman Bharat/PM-JAY Card

• Aadhaar Card

• Ration Card/Family ID, if applicable

• Doctor's prescription

• Shoulder X-ray reports

• CT/MRI reports, if advised

• Previous medical records

• Previous discharge summary, if applicable

• Current medicines list

How HexaHealth Can Help

We can help you connect with experienced orthopaedic doctors and suitable PM-JAY-empanelled partner hospitals for shoulder fracture treatment. We can also assist with consultation, appointment and treatment coordination.

Please share your city and state, and we can help identify suitable partner hospitals where you can enquire about Ayushman cashless treatment for the shoulder fracture.

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