Is the Ayushman Card valid for ACL surgery, and where is it accepted?

Dear Nikhil gore ji,

ACL surgery, or Anterior Cruciate Ligament surgery, is a common orthopedic procedure to reconstruct or repair a torn ligament in the knee, often required after sports injuries. You're asking an important question regarding its coverage under the Ayushman Bharat scheme.

Yes, Ayushman Bharat PM-JAY may cover ACL (Anterior Cruciate Ligament) surgery, provided the patient is eligible under the scheme, the hospital is PM-JAY empanelled, and the procedure is approved under an eligible treatment package.

Is ACL Surgery Covered Under Ayushman Bharat?

Yes, if :

• The patient is eligible under Ayushman Bharat PM-JAY

• The hospital is PM-JAY empanelled

• An orthopaedic specialist recommends ACL surgery

• The required PM-JAY package approval is obtained

If approved, the surgery may be provided on a cashless basis at the empanelled hospital.

What Is ACL Surgery?

ACL surgery is performed to repair or reconstruct the Anterior Cruciate Ligament (ACL), one of the major ligaments in the knee. It is commonly recommended for patients who have suffered a ligament tear due to sports injuries, accidents, or other trauma.

Common symptoms of an ACL injury include :

• Knee pain and swelling

• Instability while walking or running

• Difficulty bearing weight on the affected leg

• Reduced range of motion

An orthopaedic surgeon can determine whether ACL reconstruction surgery is required after a clinical evaluation and imaging tests.

Documents Usually Required

• Ayushman / PM-JAY Card

• Aadhaar Card

• Doctor's prescription or recommendation

• MRI, X-ray, or other diagnostic reports

• Previous treatment records, if available

How to Check Coverage for ACL Surgery?

Verification Steps

• Visit the Ayushman Bharat Official Portal

• Open the "Find Hospital" section

• Select :

  • State

  • District

  • Specialty

Alternative Verification

• Call the Ayushman Helpline at 14555

• Contact the hospital's Ayushman Help Desk directly

Hospital empanelment, treatment packages, and coverage availability may change over time. Therefore, it is advisable to confirm the latest details with the hospital before admission.

How HexaHealth Can Support You

We at HexaHealth are here to make your healthcare journey seamless, especially when it comes to utilizing government schemes like Ayushman Bharat

• Eligibility Check : We can help you verify your Ayushman card eligibility quickly and accurately.
  
  
• Hospital Network : We have a vast network of partner hospitals that are empanelled under the Ayushman Bharat scheme. We can connect you with the best orthopedic surgeons and hospitals in your vicinity for ACL surgery.
  
  
• Treatment Coordination : Our care coordinators will assist you through every step, from booking consultations and admissions to understanding the cashless process for your ACL surgery.
  
  
• Financial Assistance : We ensure you understand the complete financial aspects and help you leverage the benefits of your Ayushman card effectively.

Please feel free to reach out to us, and we'll be happy to guide you through the process for your ACL surgery under the Ayushman Bharat scheme.

Please share your city so that  we can help you with more specific information regarding ACL surgery coverage.

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