Is Total Knee Replacement Surgery Covered Under Ayushman Bharat in Private Hospitals?

Hello,

Yes, total knee replacement surgery is covered under Ayushman Bharat Yojana (PMJAY) in private hospitals that are PMJAY-empanelled. You can avail cashless knee replacement surgery after beneficiary verification and treatment package approval. PMJAY covers eligible total knee replacement procedures at both public and empanelled private hospitals. 

What Is Covered Under Ayushman Bharat for Knee Replacement?

As per the approved PMJAY package, coverage include

• Orthopaedic specialist consultation

• Pre-operative evaluation and diagnostic investigations

• Total knee replacement surgery (when medically advised)

• Knee implant (as covered under the approved PMJAY package)

• Operation theatre charges

• Surgeon and anaesthetist charges

• Medicines and consumables during hospitalization

• Hospital stay

• Nursing care

• Post-operative rehabilitation and follow-up care

Documents Required

• Ayushman Bharat (PMJAY) Card

• Aadhaar Card

• Doctor's prescription

• X-ray, MRI, or other relevant medical reports (if available)

• Previous medical records (if available)

How to Check Whether Knee Replacement Is Available Under PMJAY?

Online Verification

• Visit the PMJAY Hospital Finder.

• Select your:

  • State

  • District

  • Specialty: Orthopaedics

• Click Search to view PMJAY-empanelled hospitals.

How HexaHealth Can Assist You

• Ayushman Bharat Guidance: We help you understand the PMJAY eligibility and treatment process.

• Hospital Network: We connect you with trusted PMJAY-empanelled private partner hospitals offering knee replacement surgery.

• Expert Consultation: We help you connect with experienced orthopaedic surgeons.

• Treatment Coordination: We assist with hospital selection, appointments, documentation, and treatment planning for a seamless experience.

Please let us know your city or state. We will help you connect with an experienced orthopaedic surgeon and the best nearby PMJAY-empanelled private hospital based on your Ayushman Bharat eligibility or health insurance.

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