My mother is unable to walk We wanted to do TKR surgery Can we do this

Hello ji,

We're truly sorry to hear about your accident and knee injury. A fracture with a complete ACL tear often requires surgical intervention, especially if you're facing pain, instability, or difficulty walking. Let’s guide you step-by-step on how you can get financial support through Ayushman Bharat (PM-JAY).

Can You Use Ayushman Bharat for ACL & Fracture Surgery?

Yes, Ayushman Bharat (PMJAY) covers many orthopaedic surgeries, including:

• ACL reconstruction

• Fracture fixation

• Knee ligament repair

The treatment must be availed at a PMJAY-empanelled hospital.

What You Need to Check First:

1. Check Eligibility:

   • Visit https://mera.pmjay.gov.in

   • Enter your mobile number or Aadhaar to verify if you or your family are eligible.

2. Find Empanelled Hospitals Near You:

   • Visit https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

   • Select your state and district to view the list of hospitals under PMJAY.

3. Visit the Hospital:

   • Carry your Ayushman card (or Aadhaar + eligibility proof).

   • Go to the Ayushman help desk in the hospital and show your case details.

How HexaHealth Can Support You

• Help you check your PMJAY eligibility

• Connect you to the right empanelled hospital for surgery

• Assist with documentation, appointment booking, and admission

• Guide you through a second opinion and a recovery plan

Please let us know your city and contact preference, and we’ll arrange help immediately.

Wishing you strength, quick healing, and a full recovery ahead!

Hello Diwakar Ji,

Thank you for your query. An intertrochanteric fracture (a type of hip fracture common in older adults) typically requires surgical treatment, such as internal fixation with a plate, screw, or intramedullary nail. The good news is that this condition is covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)—but only if your ABHA card is linked to Ayushman eligibility.

Is Intertrochanteric Fracture Covered in ABHA?

• The ABHA card (Ayushman Bharat Health Account) is not an insurance card by itself.

• However, if you are a PM-JAY beneficiary (Ayushman cardholder) and your ABHA card is linked, then treatment for an intertrochanteric fracture is covered under the scheme.

Treatment Coverage Includes:

• Hospitalization expenses

• Surgery (internal fixation/ORIF)

• Implants and prosthetics (as per standard Ayushman packages)

• Post-operative care and medications during hospital stay

How to Confirm Eligibility Under Ayushman Bharat and Get Treated?

1. Visit a PM-JAY empanelled hospital in Navi Mumbai

2. Carry your ABHA card, Aadhaar card, and previous X-rays or medical records

3. Hospital’s Ayushman help desk will verify your eligibility

4. If approved, treatment will be cashless

You can check the empanelled hospitals here:
👉 https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

Need Help?

HexaHealth can assist you in:

• Finding the best hospital for orthopaedic surgery

• Booking consultations or second opinions

• Coordinating insurance approvals and surgery

Wishing you a smooth treatment and full recovery, Diwakar Ji. Let us know if you'd like help getting started with your treatment in Navi Mumbai.

Hello Zulfikar Ji,

Thank you for your message. A broken collarbone (clavicle fracture), especially if it's displaced or severely fractured, often requires surgery to ensure proper healing and restore full shoulder function.

Line of Treatment for Collarbone Fracture

1. Clinical Evaluation and Imaging:

   • X-ray or CT scan to assess fracture type, displacement, and bone alignment

   • Based on the result, your doctor will decide between non-surgical (for mild cases) and surgical options

2. Surgical Treatment (if required):

   • Open Reduction and Internal Fixation (ORIF):

     • A common surgery where the bone is realigned and fixed using plates and screws

   • Helps achieve faster recovery, better shoulder movement, and lower risk of deformity or non-union

Next Steps:

• Visit an orthopaedic or trauma specialist for a physical examination and  X-ray

• Discuss surgery timing, anaesthesia, recovery period, and cost

• Get a pre-surgery evaluation (blood tests, ECG, etc.)

Precautions Before Shoulder Fracture Surgery

• Avoid food or water for 6–8 hours before surgery (as advised by your doctor)

• Stop any blood-thinning medications (e.g., aspirin) 5–7 days prior, if advised.

• Share full medical history—especially if you have diabetes, high BP, or allergies.

• Get all required blood tests, ECG, and chest X-ray done before the procedure.

• Arrange for someone to accompany you on the day of surgery

Precautions After Shoulder Fracture Surgery

• Wear a sling or shoulder immobiliser as advised

• Avoid lifting, driving, or heavy movements for a few weeks

• Start physiotherapy after 2–3 weeks to regain strength and mobility

• Follow-up visits to check bone healing via X-rays

How HexaHealth Can Help You?

• Connect you with the best orthopaedic surgeons in Noida

• Assist with X-rays, second opinions, and hospital booking

• Help with insurance approval, cost transparency, and EMI options if needed

• Support with post-surgery rehab and physiotherapy scheduling

Wishing you a successful recovery. Let us know if you'd like to book a consultation or need help understanding your treatment options.