Hello Ankit Ji,
Under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY), routine dental treatments—including teeth alignment procedures like braces or clear aligners—are generally not covered. These elective or cosmetic procedures fall outside the scheme’s standard coverage.
However, there are exceptions:
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Medically Necessary Dental Procedures: If dental treatment is required due to trauma, tumours, cysts, or serious infections necessitating hospitalisation, it may be covered under PMJAY.
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Oral and Maxillofacial Surgeries: Procedures addressing severe dental issues, such as jaw fractures or oral cancers, are included in the scheme.
PMJAY does not provide coverage for standard orthodontic treatments aimed at cosmetic improvement. If you're seeking assistance for such procedures, consider exploring other health insurance plans that include dental benefits or consulting with dental colleges and government hospitals in your area, as they may offer subsidized rates.
For the most accurate and updated information, contact your local empanelled hospital or visit the official PMJAY website.
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