Is Spine Surgery for a Back Problem Covered Under PM-JAY, and What Costs Are Covered?

Hello,

Yes, spine treatments and surgeries is covered under Ayushman Bharat PM-JAY.

The commonly stated PM-JAY coverage is up to ₹5 lakh per eligible family per year.

How to check ayushman hospital?

1. Open the official PM-JAY Hospital Search portal.

2. Select your State.

3. Select your District.

4. Select Government or Private Hospital.

5. Select the relevant specialty, such as Orthopaedics or Neurosurgery, as available.

6. Enter the exact hospital name.

7. Complete the Captcha, if shown.

8. Click Search.

9. Check that the hospital's PM-JAY empanelment is active.

10. Contact the hospital's Ayushman Mitra/PM-JAY desk with the doctor's prescription and reports. Ask them to confirm the exact spine surgery package, what is included, whether implants are covered, and whether pre-authorization is required.

You can also check the list of PM-JAY empanelled hospitals in your district.

Documents to carry

• Ayushman Card

• Aadhaar Card

• Mobile number for verification, if required

• Spine MRI/CT/X-ray reports and images

• Orthopaedic or neurosurgeon's prescription

• Blood test reports

• Previous treatment records

• Previous hospital discharge summary, if any

• Current medicines list

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