What is the cost of a hip fracture with Ayushman card coverage?

Dear Kailash Bajaj ji,

A hip fracture is a break in the upper part of the thigh bone (femur), near the hip joint. It can be a serious injury, especially for older adults. Let's discuss the costs involved and how the Ayushman Bharat scheme can help.

Understanding Hip Fracture Treatment Costs and Ayushman Bharat Coverage

The cost of treating a hip fracture can vary significantly based on several factors. It's not a fixed amount as each case is unique.

Factors Influencing Treatment Cost:

• Type of Fracture: The specific location and severity of the hip fracture will determine the complexity of the treatment required.
• Treatment Method: Most hip fractures require surgical intervention, such as hip replacement or internal fixation (using plates, screws, or rods). Non-surgical management is less common but may be an option in specific cases. Surgery is generally more expensive.
• Hospital Type: Costs can differ significantly between government hospitals, private hospitals, and super-specialty hospitals.
• City: The geographical location of the hospital also plays a role, with metro cities often having higher costs.
• Implants and Devices: The quality and type of surgical implants or prosthetic joints used can impact the overall expense.
• Rehabilitation: Post-surgery physiotherapy and rehabilitation are crucial for recovery and contribute to the total cost.

Generally, the cost for hip fracture surgery in India can range from approximately ₹80,000 to ₹4,00,000 or more, depending on the factors mentioned above.

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) Coverage for Hip Fractures:

Yes, the Ayushman Bharat card (PMJAY) generally covers the treatment for hip fractures.

• Cashless Treatment: If you are an eligible beneficiary, you can receive cashless treatment at empaneled public and private hospitals across India.
• Comprehensive Coverage: The scheme covers hospitalization expenses, including pre-hospitalization, diagnostics, surgery, and post-hospitalization care for up to 15 days.
• Sum Insured: It provides a health cover of up to ₹5 lakh per family per year for secondary and tertiary care hospitalization.

Important Points to Remember for Ayushman Bharat:

• Eligibility: Ensure your family is eligible under the scheme. Eligibility is primarily based on the Socio-Economic Caste Census (SECC) 2011 data for rural and urban areas.
• Empaneled Hospitals: You must seek treatment at a hospital that is empaneled under the Ayushman Bharat scheme. You can usually check this at the hospital's reception or on the official PMJAY website.
• Documentation: Always carry your Ayushman card or e-card along with a valid government ID for verification purposes at the hospital.

How HexaHealth Can Help You with Hip Fracture Treatment:

At HexaHealth, we are here to support you in every step of your healthcare journey:

• Cost Estimation: We can provide you with transparent cost estimates for hip fracture treatment at various hospitals, helping you plan better.
• Ayushman Bharat Assistance: Our team can help you verify your Ayushman Bharat eligibility and connect you with empaneled hospitals that offer quality care for hip fractures.
• Expert Consultations: We can help you find and book appointments with experienced orthopedic surgeons specializing in hip fracture repair.
• Hospital Selection: We assist in comparing hospitals based on facilities, surgeon expertise, success rates, and patient reviews, ensuring you make an informed choice.
• Seamless Experience: From assisting with admission procedures to understanding your treatment plan and navigating post-operative care, we support you throughout your recovery.

Important Tips:

• Post-Fracture Care: Strictly follow your doctor's advice regarding weight-bearing restrictions, prescribed exercises, and the use of mobility aids (like walkers or crutches) during your recovery period.
• Prevention: To prevent future falls, especially if you are elderly, ensure your living environment is safe (good lighting, clear pathways, handrails) and wear appropriate, non-slip footwear.

We wish you a swift and complete recovery.