Venuplasty Surgery Estimated cost, Doctor has asked to go for the surgery

Hello Swapnil ji,

Thank you for your question. I understand your concern regarding the hospital bill after your father's surgery. Here's what you need to know:

Can You Claim the Hospital Bill After Surgery?

Before proceeding, it's important to clarify:

Are you referring to the Ayushman Bharat (PM-JAY) scheme or a private health insurance policy?

If It’s Ayushman Bharat Scheme (PM-JAY)

Ayushman Bharat works on a pre-authorization, cashless treatment model. That means:

• The hospital must be empanelled under the scheme

• Approval is required before treatment

• Reimbursement is NOT allowed if you've already paid the bill and Ayushman benefits weren’t used at the time of treatment

What You Can Do:

1. Check if the hospital is empanelled
   Use the official portal:
   👉 https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

2. Speak to the hospital’s Ayushman Coordinator
   Some hospitals may help if eligibility was missed by mistake.

3. File a grievance (if applicable)
   If you believe Ayushman card was valid and the hospital denied it wrongly:

   • 📞 Call: 14555

   • 📝 Submit at: https://cgrms.pmjay.gov.in

If It’s a Private Health Insurance Policy

If your father has a private insurance policy, then reimbursement may be possible, depending on the insurer’s rules.

Steps to Claim:

1. Collect Original Documents:

   • Discharge summary

   • Hospital bill

   • Payment receipts

   • Investigation reports

   • Doctor’s prescription and treatment summary

   • Insurance policy copy

2. File Reimbursement Claim:

   • Submit all documents to your insurer within the allowed timeframe (usually 7–30 days post-discharge)

   • Some insurers allow online submission via their website or mobile app

   • Track claim status using the claim reference number

3. TAT for Reimbursement:

   • Most insurers process claims within 15–30 working days

Wishing your father a full and speedy recovery.

Hello Shaik Amar ji,

Agar aapki maa ko neck aur back pain ke liye surgery karani hai, to Hyderabad mein kaafi Ayushman Bharat (PM-JAY) empanelled hospitals available hain jahan spine surgery ya neuro/orthopedic treatment cashless kiya ja sakta hai (agar card active hai).

Steps to Check Ayushman Bharat Hospitals in Hyderabad

Aap khud bhi official website par hospital list dekh sakte hain:

1. Visit: 👉 https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

2. Select:

   • State: Telangana

   • District: Hyderabad

   • Specialty: Neurosurgery or Orthopedics

3. Click Search – you'll see a list of empanelled hospitals in Hyderabad.

Hyderabad ke Kuch Known Ayushman Empanelled Hospitals (Spine/Neck Surgery ke liye)

Although the availability may vary, here are examples of hospitals often empanelled:

• Osmania General Hospital (Govt.)

• Gandhi Hospital (Musheerabad – Govt.)

• KIMS Hospital, Secunderabad

• Yashoda Hospital (Malakpet / Secunderabad branches)

• Nizam's Institute of Medical Sciences (NIMS)

Please confirm their empanelment and availability using the above PMJAY link.

Aapko Kya Karna Hoga:

• Ayushman card aur Aadhaar card leke hospital ke Ayushman helpdesk pe consult kijiye

• Doctor aapki maa ka case dekhenge aur agar zaroori ho to pre-authorization process shuru karenge

Aapki maa ko jald rahat mile – yahi humari shubhkaamna hai.

Yes, proctology surgeries—such as treatments for piles (hemorrhoids), fissures, and fistulas—are covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) scheme, provided the hospital is empanelled under this program. However, as of now, Rahmania Medical Centre in Motihari, Bihar, is not listed among the empanelled hospitals under the Ayushman Bharat scheme.

Steps to Verify Hospital Empanelment

To confirm whether a hospital is empanelled under the Ayushman Bharat scheme:

1. Visit the Official PM-JAY Hospital Finder:

   • Go to https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm

2. Enter the Required Details:

   • State: Bihar

   • District: East Champaran

   • Hospital Name: Rahmania Medical Centre

3. Search:

   • Click on the "Search" button to view the list of empanelled hospitals in the specified district.

Alternative Options

If Rahmania Medical Centre is not empanelled, consider the following steps:

• Explore Other Empanelled Hospitals:

  • Use the PM-JAY hospital finder to locate other empanelled hospitals in East Champaran or nearby districts that offer proctology services.

• Contact the Hospital Directly:

  • Reach out to Rahmania Medical Centre to inquire about their current empanelment status or any upcoming plans to join the Ayushman Bharat scheme.

• Consult Local Health Authorities:

  • Speak with local health officials or Ayushman Bharat representatives for guidance on accessing covered services in your area.