Does Ayushman Card cover cranioplasty in private hospitals?

Dear Suparna Ganesh dhangar ji,

Cranioplasty is an important brain-related surgery that may be needed after head injury, brain surgery, or skull damage. Families naturally become concerned regarding surgery safety, hospital availability, and treatment expenses. It is completely understandable to ask whether cranioplasty may be possible in a private hospital under the Ayushman card.

What Is Cranioplasty?

Cranioplasty is a surgical procedure used to repair or reconstruct a damaged or missing part of the skull.

Doctors may recommend this surgery after : 

• Head injury
• Brain surgery
• Skull bone damage
• Infection-related bone removal
• Trauma cases

The surgery helps protect the brain and may improve appearance and neurological support.

Which Doctors Usually Perform Cranioplasty?

Treatment is usually managed by :

• Neurosurgeon
• Brain and spine surgeon
• Neurocritical care specialist

Doctors may recommend :

• CT scan
• MRI brain
• Blood tests
• Neurological examination

These investigations help determine the patient’s condition and surgery planning.

Can Cranioplasty Be Done Under Ayushman Bharat?

Yes, if :

• The patient is eligible under Ayushman Bharat – PMJAY
• The private hospital is empanelled under PMJAY
• Surgery is medically necessary
• Package approval is completed

then selected neurosurgical procedures, including cranioplasty in eligible cases, may be available under cashless treatment.

Coverage may include :

• Hospital admission
• Surgery charges
• ICU and OT expenses
• Doctor consultation during admission
• Hospital stay
• Basic investigations related to surgery

Final approval depends on :

• Patient eligibility
• Hospital empanelment
• PMJAY package verification
• Neurosurgeon assessment

What Symptoms Require Urgent Medical Attention?

Please seek immediate consultation if the patient has :

• Severe headache
• Weakness
• Vomiting
• Fits or seizures
• Confusion
• Unconsciousness
• Swelling near surgery area

These symptoms should not be ignored.

How to Find PMJAY Private Hospitals?

Verification Steps

• Visit Ayushman Bharat Official Portal
• Open the “Find Hospital” section
• Select:
  • State
  • District
  • Specialty – Neurosurgery
• Check PMJAY empanelled private hospitals

You can also directly contact hospital Ayushman help desks regarding cranioplasty package availability.

Documents Usually Required

Please keep these documents ready :

• Ayushman / PMJAY card
• Aadhaar card
• CT/MRI reports
• Neurosurgeon prescriptions
• Previous hospitalization records

These documents help with eligibility verification and surgery planning.

How HexaHealth Can Assist You

HexaHealth is committed to making healthcare accessible and can provide comprehensive support :

• Finding Empanelled Hospitals : We can help you identify top private hospitals in your preferred city that are empanelled under the Ayushman Bharat scheme and offer cranioplasty.
• Expert Consultation : Connect you with highly experienced neurosurgeons specializing in cranioplasty.
• Ayushman Bharat Assistance : Our team can guide you through the entire process of availing treatment under the Ayushman Bharat scheme, including understanding eligibility and documentation.
• Seamless Experience : From appointment booking to admission and discharge, we strive to ensure a smooth and hassle-free experience for you.

Please feel free to reach out to HexaHealth for further assistance. We are here to help you navigate your healthcare journey with ease.

Wishing the patient strength, stability, and speedy recovery ahead.
Warm regards,
Team HexaHealth