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Deepa Chaudhary-August 02, 2022

Surgeries & Specialties Covered Under Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)

Pradhan Mantri Jan Arogya Yojna

Services at Ayushman Bharat- Health & Wellness Centres (AB-HWCs) are free and universal to all individuals living in the service region. AB-HWCs would give service delivery of a package of preventive, promotive, curative and rehabilitative services near communities to overcome the challenge of the dual burden of disease. The widened range of services would include services related to Non-Communicable Diseases (NCDs), Mental health, ENT, Ophthalmology, Oral health, Geriatric and Palliative Health Care and Trauma Care, in addition to the existing services of RCH and communicable diseases. Further Free Diagnostics and Drugs Services have been expanded to make more medicines/ diagnostics available at these AB-HWCs.

Pradhan Mantri Jan Arogya Yojana (PMJAY) offers health coverage up to Rs. 5 lakh per family per year for secondary and tertiary inpatient care through a set of 1393 defined packages, including one (1) undefined surgical package, across 24 specialities. The Annexure contains information on the specialities covered by AB-PMJAY.

 

The following components are included in the health coverage provided by AB-PMJAY, which covers all costs related to hospitalisation of beneficiaries:

  • Medical examination, treatment, and consultation
  • Pre-hospitalization
  • Medicine supplies
  • Non-intensive and intensive care services
  • Diagnostic and laboratory investigations
  • Medical implant services 
  • Accommodation advantages
  • Food services
  • Complications arising during treatment
  • Follow-up care after hospitalisation for up to 15 days

As on 05.07.2022, over 3.37 Crore hospital admission cases have been registered across 32 States under AB-PMJAY.

Here is a list of specialities covered under Ayushman Bharat Yojana:

Ayushman Bharta Yojna

List of specialties covered under AB-PMJAY

S. No.

Speciality

Number of Packages

1

Burns Management

12

2

Cardiology

39

3

Cardio-thoracic & Vascular surgery

92

4

Emergency Room Packages

(Care requiring less than 12 hours stay)

4

5

General Medicine

72

6

Interventional Neuroradiology

15

7

Medical Oncology

52

8

General Surgery

253

9

Mental Disorders Packages

17

10

Neonatal care Packages

10

11

Neurosurgery

83

12

Ophthalmology

42

13

Obstetrics & Gynaecology

79

14

Oral and Maxillofacial Surgery

9

15

Otorhinolaryngology

94

16

Paediatric Medical management

102

17

Paediatric surgery

34

18

Radiation Oncology

14

19

Surgical Oncology

48

20

Urology

161

21

Polytrauma

12

22

Plastic & reconstructive Surgery

9

23

Orthopaedics

101

24

Paediatric Cancer

38

25

Unspecified Surgical Package

1


Total

1,393

You can check the list of specialities with packages under Ayushman Bharat-PMJAY on the official PMJAY website (www.pmjay.gov.in) or by visiting this link: https://pmjay.gov.in/sites/default/files/2020-01/HBP_2.0-For_Website_V2.pdf

For any information related to free surgery under Ayushman Yojana or any queries regarding Ayushman Bharat Yojana, Contact Medpho on #BasEkCall at 88569-88569.

Frequently Asked Question ( FAQs)

1. Which treatment comes under Ayushman Bharat?

PMJAY Critical Illness Coverage
It benefits the families by providing them with access to healthcare services and by providing aid for daycare treatments, particularly those involving pre-existing conditions. Nearly 1,393 medical packages are covered by the programme at hospitals in India's public and private networks.

2. Is neurosurgery covered in Ayushman Bharat?

The scheme includes a number of potential advantages for neurology and neurosurgery. Practically all severe neuro morbidities requiring secondary and tertiary care have been addressed. Meningitis, strokes, brain tumours, and surgery for epilepsy are all covered by PMJAY.

3. Can we use ayushman card for eye operation?

The National Health Authority has made the decision to improve cancer treatment, offer patients a choice of implants for major procedures like knee replacement, and exclude cataract treatments from Ayushman Bharat's coverage. The decision has been made to no longer include free cataract procedures under Ayushman Bharat.

 


For any information related to free surgery under Ayushman Yojana or any queries regarding Ayushman Bharat Yojana, Contact Medpho on #BasEkCall at 88569-88569.