Yes, Shankari ji, uterus removal surgery (hysterectomy) is covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) scheme, provided you meet the eligibility criteria. However, it's important to note that the ABHA card (Ayushman Bharat Health Account) is distinct from the Ayushman Bharat health insurance scheme and does not, by itself, confer eligibility for free medical treatments.
Under PM-JAY, eligible beneficiaries are entitled to cashless treatment up to ₹5 lakh per family per year. The scheme encompasses a wide range of medical procedures, including:
Abdominal or vaginal hysterectomy
Laparoscopic hysterectomy
For conditions like fibroids, uterine bleeding, prolapse, or cancer
These procedures are part of the defined packages under the scheme, ensuring eligible beneficiaries receive necessary care.
To be eligible for PM-JAY benefits:
Socio-Economic Criteria: Your household should be listed in the Socio-Economic Caste Census (SECC) 2011 data.
Senior Citizens: As of September 2024, all senior citizens aged 70 years and above are covered under the scheme, irrespective of income.
You can check your eligibility on the PMJAY Beneficiary Portal.
The ABHA card is a digital health ID that allows you to store and manage your medical records electronically. While it facilitates seamless access to your health data, it does not provide health insurance coverage or free medical treatments.
Verify Eligibility: Confirm your eligibility for PM-JAY on the PMJAY Beneficiary Portal.
Locate Empanelled Hospitals: Use the PMJAY Hospital Finder to find empanelled hospitals in Chennai specializing in gynecology or general surgery.
Consultation: Visit the chosen hospital with your Ayushman card, Aadhaar card, and previous medical reports.
Pre-Authorization: The hospital will confirm eligibility and submit a pre-authorization request for cashless treatment.
Undergo Surgery: Once approved, you can proceed with the surgery, which will be cashless under the scheme.
Wishing you good health!