What services and benefits are covered by Ayushman Card?

Hello,

The Ayushman card is provided under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY), a flagship scheme by the Government of India designed to provide health cover to economically weaker sections.

Understanding Services Covered by Ayushman Bharat PM-JAY

The Ayushman card provides comprehensive health insurance coverage of up to ₹5 lakhs per family per year for secondary and tertiary care hospitalization. Here's a detailed look at the services included.

Key Services Covered :

• Pre-hospitalization Expenses : This covers expenses incurred before admission to the hospital, such as consultations, diagnostic tests, and initial investigations, for up to 3 days.
• Hospitalization Expenses : This is the primary coverage and includes the cost of treatment during your stay in the hospital.
  
   This comprises :
  • Medical examinations, treatment, and consultation.
  • Pre-surgery investigations.
  • Intensive care unit (ICU) charges.
  • Room and boarding charges.
  • Charges for medical and surgical procedures.
  • Cost of implants (like stents, knee implants) and prosthetics, if required during treatment.
  • Pathology and radiology investigations.
  • Medicines and medical consumables.
  • Anesthesia, blood, and oxygen.

• Post-hospitalization Expenses : This covers expenses incurred for follow-up care and complications after discharge from the hospital, for up to 15 days.
• Day Care Treatments : Several surgical procedures that do not require an overnight stay in the hospital are also covered.
• Specialized Treatments : The scheme covers over 1,949 medical and surgical packages, including cardiology, oncology, orthopedics, general surgery, and many more.
• Newborn and Child Health Services : Comprehensive care for newborns and children is also included.

Important Points to Remember :

• The coverage is a family floater, meaning the ₹5 lakh limit can be utilized by one or more family members.
• There is no cap on the family size, ensuring all eligible family members are covered.
• The scheme is cashless, meaning beneficiaries do not have to pay any money for the covered treatments at empanelled hospitals.

How HexaHealth Can Help with Ayushman Bharat

• Eligibility Check : We can help you check your eligibility for the Ayushman Bharat scheme.
• Hospital Network : We can guide you to empanelled hospitals where you can avail of cashless treatment using your Ayushman card.
• Treatment Coordination : Our team can assist in coordinating your treatment, from consultations to hospital admission, ensuring a smooth experience under the scheme.
• Documentation Support : We provide support in understanding and managing the necessary documentation for availing benefits.

HexaHealth is committed to making quality healthcare accessible for everyone. Please feel free to reach out if you have further questions or need assistance with your Ayushman card.

Wishing you relief, comfort, and speedy recovery ahead.
Warm regards,
Team HexaHealth