Which Diseases Are Covered Under PMJAY?

Ayushman Bharat is a healthcare insurance program designed to offer financial security and high-quality medical services to individuals from economically disadvantaged backgrounds. Under this scheme, qualified beneficiaries receive cashless treatment or reimbursement for medical expenses incurred for the covered diseases.

The Ayushman Bharat covered diseases list comprises a wide range of medical procedures and treatments that cater to different diseases.

Let us explore whether your specific condition falls within the coverage of this scheme.

Know About the Ayushman Card Disease List

The Ayushman Bharat Yojana, also known as Pradhan Mantri Jan Arogya Yojana (PMJAY) was launched with the aim to provide free medical treatment to beneficiaries for a diverse range of illnesses and Best Mediclaim Policy conditions that they may not be able to afford otherwise.

This list serves as a comprehensive compilation of medical procedures and treatments that are included in the Ayushman Bharat Yojana. It is regularly updated by the National Health Authority to ensure its relevance and effectiveness. It has over 1,500 medical procedures and treatments available that includes both inpatient and outpatient treatment.

The Ayushman Bharat Yojana offers coverage for  approximately 25 specialities .

Here are some of the key specialities covered:

• Cardiology: Medical procedures related to heart conditions like angioplasty, pacemaker implantation, and bypass surgery.
• Neurology: Procedures related to conditions affecting the nervous system, including brain tumour surgery, epilepsy treatment, and nerve decompression surgery.
• Oncology: Coverage for cancer treatments such as chemotherapy, radiation therapy, and surgery.
• Trauma and Orthopaedics: Medical treatment for burns, injuries, fractures, and orthopaedic surgeries like skin grafting and wound dressing.
• Nephrology: Procedures for kidney-related conditions like kidney stone removal, dialysis, and kidney transplantation.
• Infectious Diseases: Coverage for medical treatment of infectious diseases such as tuberculosis, malaria, and HIV/AIDS.
• Maternal and Child Health: Medical treatment for mothers and newborns, including delivery, caesarean section, and treatment for birth defects.
• Mental Health: Coverage for mental health issues like depression, anxiety, and bipolar disorder in best health insurance.
• Gastroenterology: Medical procedures and treatments for digestive system conditions like gastroenteritis, hepatitis, and pancreatitis.
• Ophthalmology: Coverage for eye-related conditions such as cataract surgery, glaucoma treatment, and retinal detachment surgery.
• Orthopaedics: Treatments for conditions affecting the bones and joints, including joint replacement surgery, spinal surgery, and osteoporosis treatment.

How has the Scheme Improved Healthcare in India?

The implementation of the Ayushman Bharat Yojana has brought about significant improvements in the healthcare infrastructure of the nation, both by establishing new healthcare facilities and enhancing existing ones.

• Enhanced Healthcare Access: With the Ayushman Bharat covered diseases list in place, beneficiaries now have access to high-quality healthcare services. This ensures that they can receive the necessary medical treatments without facing any financial burden.
• Comprehensive Coverage:The list encompasses a wide range of over 1,500 medical procedures and treatments across various medical specialities. Beneficiaries can avail themselves of coverage for conditions spanning cardiology, neurosurgery, oncology, and many more.
• Inclusive for All Family Sizes: The scheme offers coverage to families of all sizes without imposing any restrictions on the number of family members included. This ensures that comprehensive healthcare benefits can be extended to every eligible individual health insurance and family health insurance.
• Cashless Treatment: Ayushman Bharat cardholders have the convenience of availing cashless treatment at any of the empanelled hospitals located throughout the country. This streamlines the healthcare process and eliminates the need for immediate out-of-pocket expenses.

Summing Up

The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana has garnered significant success in its initial stages, particularly in its aim to support underprivileged families. The Ayushman Bharat covered diseases list under the scheme is long and this Yojana plays a crucial role in granting access to quality healthcare for those who are economically disadvantaged. This initiative reflects the government of India's dedication to fortifying the healthcare ecosystem in the country and addressing the healthcare needs of marginalised communities.