Can you use Ayushman Bharat for diabetic surgery?

Hello,

Yes, Ayushman Bharat PM-JAY cover surgeries and hospitalisation for diabetes-related complications.

Routine diabetes consultations, regular medicines and most OPD treatment are generally not covered as standalone services. However, eligible hospitalisation and surgical procedures for serious complications be covered under applicable PM-JAY packages.

What Diabetes-Related Treatment Be Covered?

Depending on the patient's condition and the applicable package, treatment include

• Diabetic foot treatment, including medically necessary debridement or amputation

• Vascular procedures required for severe diabetic complications

• Certain eye surgeries for advanced diabetic retinopathy

• Dialysis-related access procedures when medically indicated

• Treatment of serious diabetes-related complications requiring hospitalisation

• Other eligible surgical procedures included in the applicable PM-JAY package

How to Check Whether a Hospital Accepts Ayushman Card

Before admission, follow these steps

1. Visit the official PM-JAY hospital search portal.

2. Select your state and district.

3. Search the hospital by its exact name.

4. Check whether the hospital's PM-JAY empanelment is currently active.

5. Check whether the required specialty, such as General Surgery, Vascular Surgery, Ophthalmology or another relevant department, is available.

Documents Required

Keep these documents ready

• Ayushman Card/e-card

• Aadhaar Card or valid identity proof

• Ration Card/Family ID, if applicable

• Doctor's prescription and surgery recommendation

• Diabetes-related medical records

• Blood investigation reports

• Imaging reports, if applicable

• Previous treatment or discharge records

• Other relevant medical documents

How HexaHealth Can Help

We can help you connect with experienced doctors and suitable Ayushman-empanelled partner hospitals according to the patient's condition and treatment requirement. We can also assist with consultation, appointment scheduling, investigations and treatment coordination.

Please share your city and state, the patient's age, the diabetes-related complication, and the exact surgery recommended by the doctor. We can help identify the appropriate specialist and guide you on checking a suitable PM-JAY partner hospital.

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