My mother gallbladder stone problem. Advice for better treatment by PMJAY

Yes, Nanthan ji, gastric treatment is covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) scheme. This includes treatments for various gastrointestinal issues such as acid reflux, ulcers, gastritis, and even surgeries like gastrectomy for stomach cancer.

Gastric Treatment in Nagercoil

In Nagercoil, there are several hospitals and clinics specializing in gastroenterology that offer comprehensive care for digestive system disorders. These facilities provide both medical and surgical treatments for conditions related to the stomach, intestines, liver, and other digestive organs.

Availing Treatment Under Ayushman Bharat

To utilize your Ayushman Bharat card for gastric treatment:

1. Verify Eligibility: Ensure you are a registered beneficiary under the Ayushman Bharat scheme.

2. Locate Empanelled Hospitals:

   • Visit the official Ayushman Bharat hospital search portal:
     https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew

   • Select State: Tamil Nadu

   • Select District: Kanyakumari

   • Choose the relevant Speciality (e.g., General Surgery or Gastroenterology)

   • Click on "Search" to view the list of empanelled hospitals in your area.

3. Prepare Necessary Documents:

   • Ayushman Bharat card or PM-JAY family ID

   • Aadhaar card

   • Medical reports and doctor's referral

4. Visit the Hospital:

   • Approach the Ayushman Bharat helpdesk at the hospital.

   • Present the necessary documents and discuss your condition.

5. Undergo Pre-Authorization Process:

   • The hospital will initiate the pre-authorization request under the Ayushman Bharat scheme.

   • Upon approval, the treatment will proceed without any out-of-pocket expenses.

If you need further assistance in finding an empanelled hospital nearby or have additional questions about the Ayushman Bharat scheme, feel free to ask.

Hello,

Gynecological surgeries are covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY). Here's what you need to know:

Gynecological Surgeries Covered Under Ayushman Bharat

The scheme includes a range of gynaecological procedures, such as:

• Cesarean section (C-section)

• Hysterectomy (removal of the uterus)

• Ovarian cystectomy (removal of ovarian cysts)

• Myomectomy (removal of uterine fibroids)

• Treatment for ectopic pregnancy

• Management of high-risk pregnancies

• Surgical treatment for endometriosis

These procedures are part of the defined packages under the scheme, ensuring eligible beneficiaries receive necessary care.

Coverage Details

• Financial Coverage: Up to ₹5 lakh per family per year for secondary and tertiary care hospitalization.

• Inclusions: Pre-hospitalization, hospitalization, post-hospitalization expenses, diagnostics, medications, and follow-up care up to 15 days post-discharge.

• Eligibility: Based on the Socio-Economic Caste Census (SECC) 2011 data. You can check your eligibility on the PM-JAY Beneficiary Portal.

Finding Empaneled Hospitals

To locate hospitals empaneled under Ayushman Bharat for gynecological surgeries:

1. Visit the official hospital search portal: https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

2. Select your State and District.

3. Choose the Specialty as "Obstetrics and Gynecology".

4. Click on "Search" to view the list of empaneled hospitals in your area.

Yes, simple ovarian cyst surgery is covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY). This scheme provides financial protection for various medical procedures, including gynecological surgeries.

Ovarian Cyst Surgery Coverage

Under PM-JAY, beneficiaries are entitled to cashless treatment up to ₹5 lakh per family per year. The scheme encompasses a wide range of medical procedures, including:

• Ovarian cystectomy: Surgical removal of ovarian cysts.

• Hysterectomy: Removal of the uterus, if medically necessary.

• Other gynecological surgeries: As prescribed by medical professionals.

These procedures are part of the defined packages under the scheme, ensuring eligible beneficiaries receive necessary care.

Availing Treatment Under Ayushman Bharat

To utilize the benefits of PM-JAY for ovarian cyst surgery:

1. Check Eligibility: Ensure you are an eligible beneficiary under the scheme. You can verify this on the PM-JAY Beneficiary Portal.

2. Locate Empaneled Hospitals: Use the official hospital search portal to find empaneled hospitals in your area:
   https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew

3. Consult with the Hospital: Visit the chosen empaneled hospital and consult with a gynecologist. They will assess your condition and determine the necessity of surgery.

4. Pre-Authorization: If surgery is advised, the hospital will initiate a pre-authorization request under PM-JAY.

5. Undergo Surgery: Once approved, you can proceed with the surgery, which will be cashless under the scheme.

If you need assistance in checking your eligibility, finding an empaneled hospital, or understanding the process further, feel free to ask.