Which hospitals accept the 10 lac health card for ENT surgery?

Hello,

Yes, you can use your ₹10 Lakh Health Card (such as Punjab's Mukh Mantri Sehat Yojana (MMSY), Delhi's State PM-JAY top-up, or the nationwide Ayushman Bharat (PM-JAY) Card) for eligible ENT (Ear, Nose and Throat) surgeries at any government hospital or empanelled private hospital that has a registered ENT speciality department.

Please note that while a Parliamentary Health Panel has proposed increasing the standard Ayushman Bharat (PM-JAY) health cover from ₹5 lakh to ₹10 lakh, the standard nationwide Ayushman Bharat scheme currently provides ₹5 lakh cashless health cover per eligible family per year. However, if you are covered under state-specific schemes, such as Punjab's Mukh Mantri Sehat Yojana (MMSY) or Delhi's integrated PM-JAY health scheme, you may be eligible for ₹10 lakh cashless health coverage as per the respective scheme guidelines.

Hospitals Where You Can Use the ₹10 Lakh Health Card for ENT Surgery

You can receive eligible ENT treatment at government and private hospitals empanelled under the respective health scheme.

ENT Surgeries Covered Under the Scheme

Depending on the approved Health Benefit Package (HBP), eligible ENT procedures include:

• Tonsillectomy

• Adenoidectomy

• Tympanoplasty (Ear Drum Repair)

• Myringotomy

• Functional Endoscopic Sinus Surgery (FESS)

• Septoplasty

• Nasal Bone Fracture Reduction

• Thyroidectomy

• Radical Neck Dissection

• Other approved ENT surgeries under the scheme.

The cashless package generally covers:

• Doctor consultation

• Hospitalisation

• Surgery charges

• Operation theatre charges

• Medicines and consumables

• Diagnostic tests

• Pre-hospitalisation expenses

• Post-hospitalisation care, as per scheme guidelines

How to Check Whether a Hospital Accepts Your Ayushman Bharat Card

You can verify the latest empanelled hospitals through the official Ayushman Bharat Hospital Search Portal.

Steps to Check the Hospital List

1. Visit the Ayushman Bharat PM-JAY Hospital Search Portal.

2. Select your State.

3. Select your District.

4. Choose the Hospital Type (Government or Private).

5. Select the required Speciality as ENT (Ear, Nose and Throat).

6. Click Search.

7. The portal will display all empanelled hospitals where your Ayushman Bharat Card or eligible state health card can be used.

Checking the official portal before admission helps ensure that both the hospital and the required ENT procedure are covered under your scheme.

How to Avail Cashless ENT Treatment

Once you select an empanelled hospital:

1. Visit the Ayushman Mitra Help Desk at the hospital.

2. Carry the following documents:

   • Ayushman Card or eligible ₹10 Lakh Health Card

   • Aadhaar Card

   • Doctor's prescription

   • Previous medical reports (if available)

3. The Ayushman Mitra will verify your eligibility and confirm whether your ENT surgery package is covered.

4. After approval, your treatment will be processed as a cashless package according to the applicable government scheme.

Need Help Finding the Right Hospital?

If you tell us your:

• State or City

• Type of ENT surgery advised (tonsil, sinus, ear, thyroid, nose, etc.)

HexaHealth can help you identify the nearest empanelled hospital, verify your eligibility, and guide you through the cashless treatment process.

How HexaHealth Can Help You

• Hospital Verification : We can help you identify and verify empanelled hospitals near you that accept your health card for ENT surgeries.
  
  
• Scheme Guidance : Our team assists you in understanding the documentation and approval process for cashless treatments.
  
  
• Doctor Consultations: Connect with experienced ENT specialists to discuss your diagnosis and treatment plan.

If you have the details of your specific state or district, please share them so we can guide you to the nearest empanelled hospital.

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