Brain surgery for grandfather: What are the chances of success?

Yes, brain surgeries, including procedures like tumor removal and aneurysm repair, are covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY). This scheme provides eligible beneficiaries with cashless treatment coverage up to ₹5 lakh per family per year for a wide range of medical procedures, including neurosurgical interventions.

If Rachita Hospital has informed you that the surgery cannot be performed under the Ayushman Bharat scheme, it's possible that the hospital is not empanelled under PM-JAY. To avail of the benefits, you would need to approach a hospital that is empanelled under the scheme.

Next Steps:

1. Check Hospital Empanelment:

   • Visit the official PM-JAY hospital search portal:
     👉 https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew

   • Select your state and district to view the list of empanelled hospitals.

   • While this link clearly confirms Rachita Hospital is empanelled, you will need to connect with the hospital and confirm.

2. Verify Eligibility:

   • Ensure that your grandfather is eligible under the Ayushman Bharat scheme.

   • You can check eligibility on the PM-JAY Beneficiary Portal or visit the nearest Common Service Center (CSC).

3. Consult an Empanelled Hospital:

   • Once you've identified an empanelled hospital, consult with their neurosurgery department.

   • They will guide you through the pre-authorization process required under the scheme.

4. Prepare Necessary Documents:

   • Ayushman Bharat card

   • Aadhaar card

   • Previous medical records and reports

By following these steps, you can ensure that your grandfather receives the necessary treatment under the Ayushman Bharat scheme.