Is Surgery for Stage 4 EVN Covered Under the Ayushman Card?

Hello,

Yes, surgery for Stage 4 AVN (Avascular Necrosis) is covered under the Ayushman Card. If you intended to ask about AVN (a condition where bone tissue dies due to lack of blood supply), advanced Stage 4 typically requires Total Hip Replacement surgery, which is fully covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) health benefit packages.

How to Check Ayushman empanelled hospital?

1. Open the official website: Visit the Ayushman Bharat PM-JAY Hospital Search Portal.
2. Select your state: Choose the state where you want treatment.
3. Select your district: Choose your district.
4. Choose the hospital type: Select Government or Private.
5. Select the relevant speciality: Choose the speciality related to your medical condition, if available.
6. Check the hospital list: Review the empanelled hospitals in your selected area.
7. Search for a specific hospital: Enter the hospital's name if you already have one in mind.
8. Complete verification: Enter the captcha, if requested, and click Search.
9. Confirm active empanelment: Check that the hospital is currently empanelled under PM-JAY.
10. Ask the Ayushman Mitra: Confirm whether your exact condition and proposed operation are covered under an approved package and whether pre-authorisation is needed.

Which documents should you carry?

• Ayushman card of the eligible patient.
• Aadhaar card or another accepted identity document.
• Documents required to verify scheme eligibility, if requested.
• Old medical records showing your stage 4 diagnosis from 8 years ago.
• Recent doctor's prescriptions and medical reports.
• Recent scan reports, such as MRI, CT scan or ultrasound, if relevant to your condition.
• Blood test reports and other investigation reports, if available.
• Previous operation records and discharge summaries, if applicable.
• Current medicines and their prescriptions.

If your condition is worsening quickly or you have severe pain, heavy bleeding, sudden weakness or another serious symptom, seek urgent medical care rather than waiting for scheme approval.

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