Is Jawline Fracture Treatment by a Dental Surgeon Covered Under the ECHS Scheme?

Hello,

Yes, jawline fracture treatment is covered under ECHS, depending on the treatment required, the applicable ECHS package and the hospital's active empanelment.

This treatment is generally handled by an Oral and Maxillofacial Surgeon (OMFS), who specialises in fractures and other conditions affecting the jaw, face and mouth. A jaw fracture require proper examination, X-rays or a CT scan and, in some cases, treatment to fix the broken bone.

The final treatment and ECHS coverage will depend on the doctor's assessment and applicable scheme rules.

How to Check ECHS Empanelled Hospital?

Follow these steps to find a suitable ECHS hospital:

1. Visit the official ECHS website.
2. Open the section for empanelled hospitals or medical facilities.
3. Select your state and city or the nearest location.
4. Check the hospital list and look for a multispeciality hospital with an Oral and Maxillofacial Surgery or Dental Surgery department.
5. Check whether the hospital's ECHS empanelment is currently active.
6. Check with the ECHS Polyclinic and the hospital's ECHS help desk whether jaw fracture treatment and the required procedure are covered under the applicable package.

Important: A hospital being ECHS-empanelled does not mean every treatment or dental procedure is automatically covered. Coverage depends on the approved procedure, package and referral or authorisation requirements.

Steps to Get Treatment Under ECHS

1. For planned treatment: Visit your nearest ECHS Polyclinic for an examination and referral to an appropriate empanelled hospital.
2. For an emergency: If the jaw fracture has just happened, or there is severe bleeding, breathing difficulty or serious facial injury, go to the nearest emergency department immediately. Do not delay urgent treatment for referral formalities. ECHS emergency rules and documentation requirements will apply.
3. Hospital examination: The Oral and Maxillofacial Surgeon will examine the jaw and recommend suitable treatment.
4. Coverage and approval: The hospital's ECHS desk will guide you about the applicable package, referral and any required approval.
5. Cashless treatment: Eligible and authorised treatment at an empanelled hospital is provided as per ECHS rules and applicable package rates.

Documents Required

• Valid ECHS membership card.
• Referral letter from the ECHS Polyclinic, if required.
• Aadhaar card or another valid photo ID.
• Jaw X-ray or CT scan reports, if already available.
• Doctor's prescription and medical examination reports.
• Previous treatment records, discharge summary or emergency papers, if applicable.
• Any approval or authorisation documents required by ECHS.

Important Precautions for Jaw Fracture

• Do not put pressure on the injured jaw or try to adjust the broken bone yourself.
• Avoid hard and chewy foods until the doctor advises otherwise.
• Do not delay treatment, especially if there is difficulty breathing, swallowing, severe bleeding or a change in the way your teeth fit together.
• Follow the specialist's instructions regarding food, medicines and follow-up visits.

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