Will Ayushman Bharat card cover knee replacement surgery costs?

Hello,

Yes, your Ayushman Bharat PM-JAY card cover knee replacement treatment. The official PM-JAY package list includes total knee replacement.

We understand that severe knee pain can make walking and daily activities difficult. Since doctors have advised knee replacement, please get your treatment plan checked by an orthopaedic specialist and confirm Ayushman coverage before admission.

How to check an Ayushman hospital for knee replacement?

1. Open the official PM-JAY Hospital Search portal.

2. Select your State.

3. Select your District.

4. Check the overall PM-JAY empanelled hospital list for your district.

5. Select Government or Private hospital, if required.

6. Select Orthopaedics as the specialty.

7. Search for the exact hospital name.

8. Enter the captcha, if shown.

9. Click Search and check whether the hospital is currently active under PM-JAY.

10. Visit the hospital’s Ayushman Mitra/PM-JAY desk. Show your reports and ask whether total knee replacement for your right knee is covered under an active package and whether pre-authorisation is required.

Documents you should carry

• Ayushman Bharat Card

• Aadhaar Card or another valid government ID

• Orthopaedic doctor's prescription and knee replacement advice

• Knee X-ray reports

• MRI report, if available

• Previous medical reports and prescriptions

• Current medicines list

• Previous admission or discharge papers, if applicable

• Referral or authorisation documents, if required

Important points to remember

• Do not assume that every hospital listed under PM-JAY offers knee replacement.

• Ask the Ayushman desk to confirm the exact package, implant coverage, and any required approval before admission.

• Do not stop or change your medicines without your doctor's advice.

• Until you are assessed, avoid activities that worsen the pain and use a walking aid if your doctor recommends one.

Please tell me your city and state, and We can help you check which hospitals to look at for right knee replacement under your Ayushman Card.

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