Which diseases are not covered by the Ayushman Card? Learn the scheme's rules.
If a patient only visits a doctor and is not hospitalized, it is considered outpatient treatment. In such cases, the cost of medicines and routine checkups is not covered under the Ayushman Scheme.
The Government of India's Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) is considered a major relief for economically disadvantaged families. Under this scheme, eligible beneficiaries receive free treatment up to ₹5 lakh per year, especially if a serious illness requires hospitalization. In such cases, the government bears the entire cost of treatment, reducing the burden of health-related expenses on poor families. However, having an Ayushman Card does not mean that all types of treatment will be free. This scheme primarily applies to hospitalization. However, there are many services and treatments that are not covered by this scheme. Therefore, before going to the hospital, it is important to know which expenses are covered under this scheme and which are not.
If a patient only visits a doctor and is not hospitalized, it is considered out-of-pocket treatment. In such cases, the cost of medications and routine tests is not covered under the Ayushman Card scheme. The patient must pay for these out-of-pocket expenses.
Furthermore, if you only undergo a checkup or test without being admitted to a hospital, you may have to pay for them yourself. However, if you are receiving treatment while hospitalized on the advice of a doctor, the cost of the tests may be covered.
The cost of vitamin tonics and supplements taken for general weakness or fatigue is also not included in this scheme. This scheme only covers the cost of supplements prescribed by a doctor during the treatment of a serious illness.
Normal treatments such as cavity fillings, teeth cleaning, or routine dental checkups are also not covered under the Ayushman Card scheme. However, treatment may be included in the case of an accident, tumor, cyst, or serious jaw injury.
Additionally, many people resort to IVF to become parents. Some assume that the cost of IVF and other reproductive technologies will also be covered under the Ayushman Bharat Yojana (Ayushman Bharat Yojana), but this is not true. The cost of IVF and other reproductive technologies is not included in the Ayushman Bharat Yojana (Ayushman Bharat Yojana). Treatments related to family expansion are not available free of charge under the scheme.
Cosmetic surgery, laser tattoo removal, weight loss surgery, neck lifts, nose surgery, vaccinations, or immunizations are also not covered under this scheme. Treatments that rely solely on medical equipment, such as circumcision of children under 2 years of age, are also not covered under this scheme.
The Ayushman Bharat Card scheme is designed only for the economically weaker sections. Government employees, tax payers, ESIC beneficiaries, and organized sector employees whose salaries are subject to PF deductions, are also not eligible for this scheme.

