Why Was the Mukh Mantri Sehat Yojna Card Not Accepted for Pregnancy Treatment at DMC Hospital, Ludhiana?

Hello,

The Ayushman Bharat Mukh Mantri Sehat Bima Yojana (AB-PMJAY MMSBY) is cover eligible maternity and newborn care packages. However, coverage depends on the applicable scheme rules, the hospital's empanelment status, and the specific treatment package available at that branch. Even if a hospital is empanelled, every service may not be covered there.

Why might a private hospital refuse the card for pregnancy?

• Package availability: The hospital may not provide maternity or delivery services under the scheme at that particular branch.
• Branch-specific empanelment: A hospital's main campus and another branch may have different empanelment status or available packages.
• Scheme eligibility: Coverage depends on the applicable package and the patient's eligibility under the scheme.

What steps should you take next?

1. Contact the hospital's scheme help desk: Ask whether the specific branch is empanelled for maternity care, normal delivery, or C-section under the Mukh Mantri Sehat Bima Yojana.
2. Check the official hospital list: Visit the MMSY and check the hospital's empanelment details. You can also ask the state scheme help desk about the relevant maternity package.
3. Explore another empanelled hospital: Contact the another Hospital that other listed maternity under ayushman in Ludhiana and ask whether the required delivery package is available under the scheme.
4. Carry the required documents: Take the scheme card, Aadhaar or another valid ID, pregnancy reports, prescriptions, and previous medical records.

If the patient has heavy bleeding, severe abdominal pain, fainting, or another emergency symptom, seek urgent medical care without delaying treatment while checking card coverage.

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