Hello,

Severe knee pain and difficulty walking can make daily life physically exhausting and uncomfortable. When doctors suggest total knee replacement surgery, patients and families naturally want to know whether the treatment is available under PMJAY Ayushman Bharat and whom to contact for proper guidance and approval.

Can Total Knee Replacement Be Done Under PMJAY?

Yes, if :

• The patient is eligible under Ayushman Bharat – PMJAY
• The hospital is empanelled under PMJAY
• Surgery is medically necessary
• Package approval is completed

then total knee replacement surgery may be available under cashless treatment at eligible hospitals.

Coverage may include :

• Hospital admission
• Knee replacement surgery charges
• OT expenses
• Doctor consultation during admission
• Hospital stay
• Basic investigations related to surgery

Final approval depends on :

• Patient eligibility
• Hospital empanelment
• PMJAY package verification
• Orthopaedic surgeon assessment

Which Symptoms May Need Knee Replacement?

Doctors may recommend surgery if there is :

• Severe knee pain
• Difficulty walking
• Joint stiffness
• Swelling in knee
• Difficulty climbing stairs
• Reduced mobility
• Poor relief with medicines or physiotherapy

Proper orthopaedic evaluation is important before surgery planning.

Which Doctors Usually Treat This?

Treatment is usually managed by :

• Orthopaedic surgeon
• Joint replacement specialist

Doctors may recommend :

• Knee X-ray
• MRI in some cases
• Blood tests
• Physical examination

These tests help determine the severity and suitable treatment plan.

Whom Should You Contact?

You may contact :

• PMJAY empanelled hospital
• Hospital Ayushman help desk
• Orthopaedic department
• Joint replacement specialist

They can guide regarding :

• Eligibility verification
• Package approval
• Surgery process
• Required documents

How to Check PMJAY Hospitals?

Verification Steps

• Visit Ayushman Bharat Official Portal
• Open the “Find Hospital” section
• Select:
  • State
  • District
  • Specialty – Orthopaedics
• Check nearby PMJAY empanelled hospitals

Direct confirmation from the hospital Ayushman desk is also important before admission.

Documents Usually Required

Please keep these documents ready :

• Ayushman / PMJAY card
• Aadhaar card
• Knee X-ray or MRI reports
• Doctor prescriptions
• Previous treatment papers

These documents help with eligibility verification and approval process.

How HexaHealth Can Help with Your PMJAY & TKR Journey

• Eligibility Verification : We can assist you in quickly and easily checking your PMJAY eligibility.
• Hospital & Doctor Network : Connect you with top hospitals and highly experienced orthopedic surgeons specializing in Total Knee Replacement, all empaneled under PMJAY.
• Seamless Process : Our patient care coordinators will provide end-to-end support, including managing documentation, hospital admission procedures, and ensuring a cashless treatment experience under PMJAY.
• Guidance & Support : We ensure you receive comprehensive support from your initial consultation to post-operative care.

We are here to help make your healthcare journey as smooth as possible.

Wishing you comfort, mobility, and speedy recovery ahead.
Warm regards,
Team HexaHealth