What is the maternity operation limit for Ayushman card?

Hello,

Yes, maternity services, including normal delivery and Caesarean (C-section), are covered under Ayushman Bharat Yojana (PMJAY). Maternity treatment can be availed cashlessly at a PMJAY-empanelled hospital after beneficiary verification and treatment package approval. 

What Is the Maternity Coverage Limit Under Ayushman Bharat?

Ayushman Bharat provides health coverage of up to ₹5 lakh per eligible family per year on a family floater basis. Maternity services, including delivery, are covered under the approved PMJAY treatment packages and are adjusted within this overall annual coverage. 

What Is Covered Under the Maternity Package?

As per the approved PMJAY package, coverage may include :

• Obstetrician/Gynaecologist consultation

• Normal delivery or Caesarean (C-section), as medically required

• Hospital admission and room charges

• Operation theatre charges (for C-section)

• Surgeon and anaesthetist charges (for C-section)

• Medicines and consumables during hospitalization

• Diagnostic investigations

• Nursing care

• Newborn care during hospitalization

• Post-hospitalization follow-up as per the approved package 

Documents Required

• Ayushman Bharat (PMJAY) Card

• Aadhaar Card

• Doctor's prescription or antenatal records (if available)

• Pregnancy-related medical reports (if available)

How to Check Whether Maternity Services Are Available Under PMJAY?

Online Verification

• Visit the PMJAY Hospital Finder.

• Select your:

  • State

  • District

  • Specialty : Obstetrics & Gynaecology

• Click Search to view PMJAY-empanelled hospitals.

How HexaHealth Can Assist You

• Ayushman Bharat Guidance: We help you understand PMJAY eligibility and the maternity treatment process.

• Hospital Network: We connect you with PMJAY-empanelled hospitals providing maternity services.

• Expert Consultation: Assistance in arranging consultations with experienced gynaecologists.

• Seamless Experience: From documentation to hospital coordination, we provide end-to-end support throughout your treatment journey.

Kindly let us know :

• Your City and State.

• Is the delivery expected to be normal or has the doctor advised a C-section

Based on these details, we will help you connect with the most suitable experienced Gynaecologist and PM-JAY partner hospital for your treatment.

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