Dear Riteshh Raj Ji,

The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) is a government-funded health insurance scheme in India that provides financial protection to vulnerable families for secondary and tertiary care hospitalization. Women's health conditions can sometimes require surgical treatment, and many patients are concerned about treatment costs and hospital admission. If a gynecologist has advised surgery, you may want to know whether it can be covered under the Ayushman Bharat – PMJAY scheme.

Can Gynecological Surgery Be Done Under Ayushman Card?

Yes, if :

• The patient is eligible under Ayushman Bharat – PMJAY
• The hospital is empanelled under PMJAY
• The surgery is medically necessary
• Required package approval is completed

then selected gynecological procedures and surgeries may be available under cashless treatment at eligible hospitals.

Coverage may include :

• Hospital admission
• Surgery charges
• Operating theatre expenses
• Doctor consultations during admission
• Hospital stay
• Basic investigations related to treatment

Final approval depends on :

• Patient eligibility
• Hospital empanelment status
• PMJAY package verification
• Gynecologist assessment

What Types of Gynecological Conditions May Require Surgery?

Depending on the diagnosis, surgery may be recommended for :

• Uterine fibroids
• Ovarian cysts
• Uterine polyps
• Hysterectomy (uterus removal) in eligible cases
• Certain menstrual or reproductive health conditions
• Other gynecological disorders

The exact treatment plan depends on the patient's medical condition and doctor's evaluation.

Which Doctors Usually Manage These Conditions?

Treatment is usually managed by :

• Gynecologist
• Obstetrician & Gynecologist (OB-GYN)
• Laparoscopic Gynecological Surgeon

Doctors may recommend :

• Ultrasound
• Blood tests
• Physical examination
• Additional imaging or investigations if required

These tests help determine the most appropriate treatment plan.

Documents Usually Required

Please keep these documents ready :

• Ayushman / PMJAY card
• Aadhaar card
• Ultrasound reports
• Doctor prescriptions
• Previous treatment records, if available

These documents help with eligibility verification and treatment approval.

How to Check PMJAY Hospitals?

Verification Steps

• Visit Ayushman Bharat Official Portal
• Open the "Find Hospital" section
• Select :
  • State
  • District
  • Specialty – Obstetrics & Gynecology

Nearby PMJAY empanelled hospitals can be checked there.

How HexaHealth Can Assist

Navigating government schemes and finding the right hospital can sometimes be challenging. HexaHealth can support you by :

• Identifying Empaneled Hospitals : We can help you find nearby hospitals that are empaneled under the Ayushman Bharat scheme and offer gynecological services.
• Understanding Benefits : Our team can guide you through the process of understanding your Ayushman Bharat benefits and how to utilize them for gynecological operations.
• Doctor Consultations:  We can connect you with experienced gynecologists who perform procedures covered under the scheme.
• Seamless Hospitalization : From appointment booking to admission and discharge, we strive to make your treatment journey smooth and hassle-free, ensuring you leverage your Ayushman Bharat benefits effectively.

If you have a specific gynecological procedure in mind or need assistance with your Ayushman Bharat card, please feel free to reach out to HexaHealth.

Wishing you good health and a smooth recovery journey ahead.
Warm regards,
Team HexaHealth