Diseases Covered Under Ayushman Bharat Scheme (PMJAY)

Explore the comprehensive list of diseases covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) and understand how you can benefit from this scheme.
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3 min
20-June-2024

Ayushman Bharat, also known as the Pradhan Mantri Jan Arogya Yojana (PMJAY), is a pioneering initiative by the Government of India aimed at providing healthcare coverage to economically vulnerable families. Under this scheme, a wide range of diseases and medical conditions are covered, ensuring that beneficiaries have access to quality healthcare without financial hardship.

List of diseases covered by Ayushman Bharat (PMJAY)

Ayushman Bharat covers a comprehensive list of diseases and medical conditions. This initiative ensures that families are protected against the financial burden of major illnesses. The comprehensive plan covers a wide variety of diseases and medical conditions grouped into 23 major categories, including surgery, medical oncology, pediatrics, general medicine, ENT, cardiac, orthopedics, ophthalmology, and many others.

List of diseases and Illnesses covered under Ayushman Bharat Yojana (PMJAY) Scheme

  • Double valve replacement
  • Carotid angioplasty
  • Prostate cancer
  • Skull base surgery
  • Anterior spine surgery
  • Heart valve replacement
  • Pacemaker implantation
  • Renal transplantation
  • Corneal transplantation
  • Pediatric cancer
  • Neurosurgery
  • Burns
  • Congenital heart defects
  • Maternal surgeries
  • Hip replacement

Under this ambit, over a thousand procedures and surgeries are incorporated, offering a cashless treatment facility to the eligible beneficiaries. From major high-cost surgical procedures like cardiac bypass, knee replacement, chemotherapy to radiotherapy, and more, the wide-ranging list is extensive and all-encompassing.

Read more: How to download Ayushman card?

Know about the Ayushman card disease list

The Ayushman card or PMJAY card serves as an essential tool for beneficiaries to access healthcare services covered under the scheme. It contains details about the beneficiary and lists the diseases and treatments covered. The card ensures seamless access to treatment at empanelled hospitals without upfront payment, thereby easing the financial burden on beneficiaries during medical emergencies.

Also, read: Health insurance

List of diseases covered by Ayushman Bharat (PMJAY)

Ayushman Bharat covers a comprehensive list of diseases and medical conditions. This initiative ensures that families are protected against the financial burden of major illnesses. The diseases covered under Ayushman Bharat include but are not limited to:

  • Coronary Artery Bypass Grafting (CABG): A surgical procedure to improve blood flow to the heart.
  • Double valve replacement: Surgery to replace both the mitral and aortic valves of the heart.
  • Carotid angioplasty with stent placement: A procedure to open clogged arteries in the neck.
  • Percutaneous Transluminal Coronary Angioplasty (PTCA): Non-surgical treatment to open up narrowed coronary arteries.
  • Prostate cancer: Treatment for cancer affecting the prostate gland.
  • Skull base surgery: Surgical procedures for complex skull base tumors.
  • Anterior spine surgery: Surgical interventions for spinal cord compression.
  • Heart valve replacement: Surgery to replace diseased heart valves.
  • Pacemaker implantation: Procedure to implant a pacemaker device for heart rhythm disorders.
  • Renal transplantation: Surgery to replace a diseased kidney with a healthy kidney from a donor.
  • Corneal transplantation: Surgical procedure to replace a damaged or diseased cornea.
  • Bone marrow transplantation: Procedure to replace damaged or destroyed bone marrow with healthy stem cells.
  • Pediatric cancer: Treatment for various types of cancers affecting children.
  • Neurosurgery: Surgical procedures involving the brain, spinal cord, or peripheral nerves.
  • Burns: Treatment for severe burns requiring hospitalisation and specialized care.
  • Congenital heart defects: Surgeries to correct structural defects in the heart present from birth.
  • Maternal surgeries: Surgical interventions related to pregnancy and childbirth complications.
  • Hip replacement: Surgery to replace a damaged hip joint with an artificial joint.

This list is indicative and represents the breadth of coverage provided under Ayushman Bharat PMJAY.

Explore: 10 benefits of PMJAY Ayushman Bharat Yojana

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How to check if a disease is covered under Ayushman Bharat

To determine if a specific disease or medical condition is covered under Ayushman Bharat PMJAY, beneficiaries can follow these steps:

  • Visit the PMJAY website: The official website provides comprehensive information about covered diseases and treatments.
  • Contact Ayushman Bharat centres: These centres offer assistance and guidance regarding covered diseases and the process of availing treatment.
  • Consult empanelled hospitals: Hospitals participating in the scheme have detailed information about covered diseases and can provide clarity on treatment options.
  • Check with insurers: Insurance companies associated with Ayushman Bharat can offer specific details regarding coverage and benefits.

Read more: Beneficiary NHA

Ayushman Bharat PMJAY exemplifies the Indian government's commitment to providing universal healthcare access and financial protection to its citizens, particularly those who are economically vulnerable. By covering a wide range of diseases and medical conditions, the scheme not only promotes health and well-being but also contributes to social and economic development by reducing the financial burden on families.

Frequently asked questions

What types of diseases are covered under Ayushman Bharat (PMJAY)?
Ayushman Bharat (PMJAY) covers a wide range of diseases including cardiac conditions, cancer, neurosurgery, kidney transplants, burns, congenital disorders, maternal and pediatric care, orthopedic surgeries like hip replacements, and complex procedures like bone marrow transplants.
How can I check if my disease is covered under the PMJAY scheme?
To check if your disease is covered under PMJAY, visit the official PMJAY website, contact an Ayushman Bharat Centre, consult an empaneled hospital, or check with an associated insurer for detailed information on covered conditions and treatments.

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