Can Ayushman Bharat (PM-JAY) card be used for hysterectomy surgery?

Hello,

Ji Haan, kal PM-JAY desk par dobara baat karna bilkul sahi step hai. Aapko sirf doctor ki baat par rukne ke bajay ye confirm karna chahiye ki aapki mummy ke case mein kaunsa hysterectomy package applicable hai aur hospital mein woh package active hai ya nahi. Official PM-JAY package documents mein hysterectomy listed hai, including abdominal hysterectomy, isliye “sarkar ne hysterectomy poori tarah band kar di hai” kehna general statement ke taur par sahi nahi lagta. 

Unke khene ka matlab ye bhi ho sakta ki vo hospital abb uss surgery ke empanelled nai hain ya vo hospital hi ayushman empanelled nahi hai.

Kal PM-JAY desk par kya poochna hai?

1. Sabse pehle mummy ka Ayushman Card aur doctor ki surgery advice dikhayein.

2. Hospital ke Ayushman Mitra/PM-JAY desk se poochein ki mummy ki diagnosis ke liye kaunsa PM-JAY package applicable hai.

3. Specifically poochein: “Hysterectomy ka PM-JAY package is hospital mein active hai ya nahi?”

4. Ye bhi poochein ki hospital ki Obstetrics & Gynaecology specialty PM-JAY ke under active hai ya nahi.

5. Agar hospital kahe ki package available nahi hai, to reason clear poochein:

   • hospital mein package active nahi hai?

   • required specialty/package available nahi hai?

   • patient ki diagnosis package criteria mein nahi aa rahi?

   • pre-authorisation required hai aur pending/rejected hai?

6. Agar hospital kahe ki “government ne hysterectomy band kar diya hai”, to exact government order/circular ya package status dikhane ko politely kah sakte hain.

7. Agar hospital treatment process aage badhata hai, to admission se pehle cashless approval aur pre-authorisation confirm kar lein.

PM-JAY mein treatment defined health-benefit packages ke through hota hai, aur empanelled hospital ko applicable package ke according claim process karna hota hai.

Hospital check karne ke proper steps

1. Official PM-JAY Hospital Search portal open karein.

2. Apna State select karein.

3. Apna District select karein.

4. Sabse pehle district ki overall PM-JAY empanelled hospital list check karein.

5. Hospital ka exact naam search karein.

6. Hospital ki active PM-JAY empanelment check karein.

7. Relevant specialty Obstetrics & Gynaecology check karein.

8. Hysterectomy ka required package available hai ya nahi, ye verify karein.

9. Hospital ke PM-JAY desk par diagnosis aur reports dikhakar package confirm karein.

10. Agar hospital mein package available nahi hai, to usi district ki overall empanelled list se doosra active hospital check kiya ja sakta hai. Haryana ki official website par active, de-empanelled, inactive aur suspended hospitals ki separate lists bhi available hain.

Kaunse documents lekar jaayein?

• Ayushman Card

• Aadhaar Card/valid government ID

• Gynaecologist ki prescription aur operation advice

• Ultrasound/sonography report

• Blood test reports

• Biopsy report, agar hui hai

• Previous prescriptions

• Purane operation/admission ke papers

• Saari previous medical reports

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