Ayushman Card Hospital List: How to Check It

What is the Ayushman Bharat PM-JAY scheme

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) is a government health insurance scheme launched by the Government of India in September 2018. It offers a health cover of Rs. 5 lakh per family per year for secondary and tertiary care hospitalisation. The scheme is aimed at economically vulnerable families identified through the Socio-Economic Caste Census (SECC) 2011, and covers more than 12 crore families across India. Treatment under the scheme is cashless and paperless at empanelled government and private hospitals nationwide.

What is covered under the Ayushman card

The Ayushman card covers a wide range of hospitalisation related expenses, including:

• Medical examination, consultation, and in-patient treatment
• Pre-hospitalisation expenses for up to 3 days
• Post-hospitalisation expenses for up to 15 days, including medicines and diagnostics
• Accommodation charges during the hospital stay
• Intensive and non-intensive care services
• All pre-existing medical conditions, covered from day one of enrolment, with no waiting period
• No restriction on family size, age, or gender for eligible households

Since September 2024, senior citizens aged 70 years and above are also eligible for an additional Rs. 5 lakh cover per year under the scheme, regardless of their income, following approval by the Union Cabinet.

Certain treatments, such as outpatient consultations, are generally not covered. For the complete list of inclusions and exclusions, refer to the official PM-JAY website.

How to check the Ayushman card hospital list

The list of hospitals empanelled under PM-JAY is maintained and updated by the National Health Authority (NHA) and the respective State Health Authorities. Since hospitals can be added, suspended, or removed from the network at any time, the most reliable way to check the current list is directly on the official government portal.

To check the hospital list:

1. Visit the official PM-JAY hospital portal at hospitals.pmjay.gov.in
2. Select your state and district
3. Choose the hospital type, such as government or private, if needed
4. Enter the required details and complete the captcha
5. View or download the current list of empanelled hospitals in your area

We recommend checking this list closer to your treatment date, since empanelment status can change. Please do not rely solely on any hospital list published outside the official PM-JAY or State Health Authority websites, including this page.

Types of hospitals under the PM-JAY network

Hospitals empanelled under PM-JAY generally fall into a few broad categories:

Empanelment for each hospital is approved by the respective State Health Authority, based on compliance with the scheme's guidelines.

Who is eligible for an Ayushman card

Eligibility for PM-JAY is primarily based on the Socio-Economic Caste Census (SECC) 2011 data, which identifies economically vulnerable households in rural and urban areas. Broadly, eligible groups include:

• Rural households meeting specific deprivation criteria under SECC 2011
• Urban households in defined occupational categories, such as domestic workers, street vendors, and construction workers
• Senior citizens aged 70 years and above, irrespective of income, as per the 2024 expansion

There is no restriction on family size, age, or gender for eligible households. To confirm your eligibility, you can check your status using your mobile number or ration card details on the official PM-JAY portal.

Things to know before visiting an empanelled hospital

• Carry your Ayushman card along with a valid ID proof, such as your Aadhaar card.
• Confirm that the hospital is currently empanelled before your visit, as its status can change.
• Treatment is cashless at empanelled hospitals, so no upfront payment should be required for covered procedures.
• Outpatient consultations are generally not covered, only in-patient hospitalisation.
• For any billing issues at an empanelled hospital, you can raise a complaint through the official PM-JAY helpline.

Common treatments available

Here are some examples of treatments you can access at PMJAY empanelled hospitals:

• Heart surgeries, including bypass procedures.
• Kidney dialysis and transplants.
• Orthopedic treatments, such as joint replacements.

• Cancer therapies, including chemotherapy and radiation.

  
  

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Treatments covered under Ayushman Bharat PMJAY

The Ayushman Bharat scheme covers a wide range of treatments to ensure comprehensive healthcare for eligible families. Below is an overview of the key categories of treatments covered:

Categories of covered treatments

Critical health conditions:

• Heart surgeries (e.g., bypass, valve replacements).
• Cancer treatments, including chemotherapy and radiation.
• Organ transplants, such as the kidney and liver.

Routine hospitalisations and general surgeries:

• Appendectomy.
• Hernia repair.
• Gall bladder removal.

Maternity and neonatal care services:

• Delivery and postnatal care.
• Treatment for premature infants.

Exclusions

While the Ayushman Bharat scheme covers a wide array of treatments, some exclusions apply:

• Cosmetic surgeries, such as rhinoplasty or liposuction.
• Experimental procedures not yet approved by medical authorities.

Tip: Always confirm treatment eligibility and coverage specifics at empanelled hospitals before admission.