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+{{htmlmetatags>metatag-keywords=(PMJAY hospital finder,Ayushman Bharat empanelled hospital,find PMJAY hospital,hospitals.pmjay.gov.in,PMJAY helpline 14555,Mera PMJAY app,HBP 2.2 health benefit package,cashless treatment 5 lakh,SHA State Health Authority,ABHA Health ID,PMJAY cashless denial,RTI for Ayushman Bharat,district implementation unit,SECC 2011 family list,PMJAY pre-authorisation)&metatag-description=(Step-by-step 2026 guide to finding a PMJAY (Ayushman Bharat) empanelled hospital — use hospitals.pmjay.gov.in, the Mera PMJAY app, helpline 14555, or your state SHA portal. Covers 27,000+ hospitals, HBP 2.2 procedure codes, what to do when a hospital refuses cashless, and when an RTI to NHA / SHA actually unblocks treatment.)}}
+====== How to find a PMJAY empanelled hospital — complete 2026 guide ======
+{{ :social:auto:find-pmjay-empanelled-hospital-2026.png?direct&1200 |How to find PMJAY empanelled hospital 2026 — RTI Wiki citizen guide}}
+{{page>snippets:dpdp-banner}}
+<WRAP info>
+**Quick answer.** To find an Ayushman Bharat PMJAY empanelled hospital near you, open **hospitals.pmjay.gov.in** → select State → District → Speciality (Cardiology, Oncology, Orthopaedics, etc.) → Hospital Type (Public / Private / Both). You will see name, address, contact number, empanelled specialities and NABH grade. The same data is on the **Mera PMJAY** mobile app (Google Play / App Store) and on the **PMJAY helpline 14555** (24×7, multilingual). Always **call the hospital before going** — empanelled does not always mean cashless is active that week (payment delays can pause it). Cover is up to **₹5 lakh per family per year** across **1,949+ procedures** under **HBP 2.2** at **27,000+ hospitals** nationwide. If a hospital refuses cashless despite being on the list, escalate to the State Health Authority (SHA), then file an RTI to the SHA / NHA — see the linked RTI template at the bottom of this guide.
+</WRAP>
+===== Rajesh's story — "Three hospitals said 'PMJAY suspended this week', the fourth said yes" =====
+<WRAP center round box 80%>
+//Rajesh Kumar, 48, autorickshaw driver, Aliganj, Lucknow. Family of four. Wife Sunita, 44, diagnosed with 90% blockage in left anterior descending artery — needed angioplasty. PMJAY card already issued (family on SECC 2011 deprivation list).//
+> "The cardiologist at the government district hospital said angioplasty would happen but the wait was three weeks because their cath lab was overbooked. He told me to use my Ayushman card at any private hospital. I am a Class-VIII pass — I did not know how. My nephew opened hospitals.pmjay.gov.in on his phone and put State = Uttar Pradesh, District = Lucknow, Speciality = Cardiology. We got eighteen hospitals. We started calling from the top. **First hospital said 'PMJAY suspended this week, payment from government pending — please pay cash and claim later.' Second said the same. Third said only emergency cases under PMJAY, not planned angioplasty.** Fourth was Apollomedics Lucknow — they said cashless is on, please come tomorrow morning with the card and Aadhaar. Pre-authorisation came from SHA-UP in 36 hours. Procedure was done on the fifth day from diagnosis. Package code was C001 (PTCA single stent). Total billed ₹1,18,400 — I paid zero. I learnt one rule: empanelled is not the same as cashless-active today. Always call. **Helpline 14555 also helped — they confirmed Apollomedics was active when I rang to double-check.**"
+—Rajesh, March 2026
+</WRAP>
+The Pradhan Mantri Jan Arogya Yojana (PMJAY), launched in September 2018 by the **National Health Authority (NHA)** under the Ayushman Bharat Mission, is the world's largest publicly funded health assurance scheme. As of early 2026, **35+ crore Ayushman Bharat cards** have been issued and over **8.7 crore hospital admissions** authorised. About **27,000 empanelled hospitals** (roughly 45% public, 55% private) deliver care across **1,949 treatment packages** under the revised **Health Benefit Package 2.2 (HBP 2.2, 2024 revision)**.
+The cover is **₹5 lakh per family per year**, on a family-floater basis, with no cap on family size and no upper age limit. It is fully **cashless and paperless** at the point of care — a beneficiary simply walks in with the Ayushman card (or Aadhaar / ration card / SECC reference for verification) and the hospital raises a pre-authorisation with the State Health Authority (SHA).
+===== What the scheme covers — and what "empanelled" actually means =====
+PMJAY covers **secondary and tertiary care hospitalisation** — surgical and medical procedures that require admission. Outpatient consultation, OPD medicines, fertility treatment, organ transplant (initially excluded; now partially covered for cornea/kidney in many states) and cosmetic surgery are generally **not** covered.
+A hospital is "empanelled" when it has signed an MoU with the SHA of the state, agreed to the **HBP 2.2 package rates** (which are typically 30-50% below private market rates), been graded by NHA's **Hospital Empanelment Module (HEM)** and assigned **specialities** it can treat under PMJAY (a hospital may be empanelled for cardiology but not for oncology). Empanelment does **not** mean every procedure at that hospital is covered — only the listed specialities and HBP codes.
+**HBP 2.2 (2024)** revised the package master to add **new procedures** (e.g., advanced oncology like CAR-T not yet, but updated chemotherapy regimens, knee replacement, additional cardiac and neuro packages). Each procedure has a unique alphanumeric code:
+  * **C001** — PTCA single vessel single stent (angioplasty)
+  * **C002** — PTCA single vessel double stent
+  * **M002** — Hysterectomy (abdominal)
+  * **O001** — Total hip replacement
+  * **N001** — Craniotomy for brain tumour
+The package rate is **all-inclusive** — bed charges, surgeon's fee, medicines, implants, post-op stay (3-5 days standard), and one follow-up are bundled. The hospital cannot ask for any additional payment from the beneficiary (any "deposit" is a violation of the empanelment MoU).
+===== Where to look — the four official channels =====
+==== Channel 1 — Hospital Finder portal (most complete) ====
+  * Open https://hospitals.pmjay.gov.in
+  * Click **"Find Hospital"** on the home page.
+  * Filter by **State → District → Speciality → Hospital Type** (Public / Private / Both / All).
+  * Optional filters: NABH-accredited only, EHCP (Empanelled Health Care Provider) status, hospital name search.
+  * The list returns: hospital name + address + contact number + email + empanelled specialities + bed strength + NABH/NABL accreditation status.
+  * Click any hospital → details page shows the **HBP code list** that hospital is authorised for.
+==== Channel 2 — Mera PMJAY mobile app ====
+  * Free download from Google Play and Apple App Store (search "Mera PMJAY", publisher: National Health Authority).
+  * Login via mobile number + OTP.
+  * Features: check eligibility, view e-card, **find empanelled hospital with map view** (uses GPS to show nearest first), language support (12 Indian languages).
+  * Useful when you do not have a laptop and want a quick map-based search.
+==== Channel 3 — PMJAY Helpline 14555 ====
+  * **Toll-free, 24×7, multilingual** (Hindi, English, and 11 regional languages).
+  * Operator can search hospitals by your district + speciality and read out the top matches, including current cashless-active status.
+  * Also use this number to: report a hospital that refused cashless, lodge a beneficiary grievance, check pre-authorisation status, ask for help understanding HBP code coverage.
+  * Alternate number for landline: **1800-111-565** (some states).
+==== Channel 4 — State SHA (State Health Authority) websites ====
+Each state runs PMJAY through its SHA, and many states have a parallel state scheme that piggy-backs on the PMJAY infrastructure (so the same empanelled list is reused, often with a higher state cover):
+  * **Maharashtra** — Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) at jeevandayee.gov.in
+  * **Odisha** — Biju Swasthya Kalyan Yojana (BSKY)
+  * **Andhra Pradesh / Telangana** — Aarogyasri (drytrust.org / aarogyasri.telangana.gov.in)
+  * **Tamil Nadu** — Mukhyamantri Comprehensive Health Insurance Scheme (CMCHIS) / Makkalai Thedi Maruthuvam
+  * **Kerala** — Karunya Arogya Suraksha Padhathi (KASP)
+  * **Rajasthan** — Mukhyamantri Ayushman Arogya Yojana (replacing Chiranjeevi)
+  * **Karnataka** — Ayushman Bharat-Arogya Karnataka (AB-ArK)
+Always check both the central PMJAY portal **and** your state SHA portal — sometimes a hospital is empanelled under the state scheme but flagged separately from PMJAY central.
+===== Step-by-step — finding the right hospital =====
+==== Step 1 — Confirm your eligibility first ====
+Before searching, make sure your family is on the PMJAY beneficiary list. Two ways:
+  * Open https://beneficiary.nha.gov.in → enter mobile + OTP → enter Aadhaar / ration card / family ID → see status.
+  * Or call 14555 with your name + father's name + village/town and the operator will check the SECC 2011 / state addition list.
+If eligible but no card yet, generate the **Ayushman card** at any Common Service Centre (CSC), Ayushman Mitra desk in an empanelled hospital, or via the **Ayushman App** (different from Mera PMJAY — this one is for card creation).
+==== Step 2 — Open hospitals.pmjay.gov.in and apply filters ====
+Choose your state → district → the **speciality you actually need** (don't pick "All" — it returns 80+ hospitals and is unhelpful). The 22 PMJAY specialities include:
+Cardiology, Cardio-thoracic & Vascular Surgery, Oncology (Medical/Surgical/Radiation), Orthopaedics, General Medicine, General Surgery, Obstetrics & Gynaecology, Paediatrics, ENT, Ophthalmology, Urology, Neurology & Neurosurgery, Burns Management, Mental Disorders, Plastic Surgery, Polytrauma, and more.
+==== Step 3 — Look at the right HBP procedure code ====
+If you already know the procedure name (your treating doctor will tell you), search the HBP master to find the code. The full HBP 2.2 master is downloadable as Excel from pmjay.gov.in → Resources → Health Benefit Packages. The package rate next to the code tells you what PMJAY will pay the hospital — useful so you know in advance the implant grade / room type included.
+==== Step 4 — Cross-check NABH grading ====
+Many cashless-active private hospitals are graded **NABH Pre-Accreditation** or **NABH Accredited** (visible on the portal). NABH grade affects the package rate — a higher grade hospital gets 10-15% more under PMJAY. From a beneficiary's view it is a quality signal.
+==== Step 5 — Call the hospital before going ====
+This is the single most important step. Ring the hospital's **PMJAY help desk** (every empanelled hospital must have one — ask for "Ayushman Mitra" or "PMJAY desk"). Confirm:
+  * Cashless is currently active for your speciality (some hospitals temporarily suspend cashless when SHA payment is pending).
+  * They have authorised the specific HBP code your treatment falls under.
+  * Bed availability for the speciality ward.
+  * Documents to carry: PMJAY card / Aadhaar / referral note from a doctor / past medical reports.
+==== Step 6 — Walk in, register, get pre-authorisation ====
+  * Show your PMJAY card + Aadhaar at the Ayushman Mitra desk.
+  * Ayushman Mitra raises a **pre-authorisation request** to the SHA via the **Transaction Management System (TMS) portal** with diagnosis + proposed procedure + estimated cost.
+  * SHA medical auditor approves (or asks for clarification) — typically within **6 hours for emergencies, 24-48 hours for planned**.
+  * Once approved, hospital admits you — **no deposit, no payment**.
+==== Step 7 — During treatment and discharge ====
+  * Treatment is delivered as per the package. The hospital cannot demand any extra money for "better implants" or "single room upgrade" without your written consent (and even then, the PMJAY rates apply to the covered service; you only pay any voluntary upgrade).
+  * On discharge, hospital raises a **claim** with SHA (within 15 days). SHA pays the hospital directly. You get a discharge summary copy + a **patient feedback form** (please fill it).
+==== Step 8 — Post-discharge follow-up ====
+One follow-up consultation is included in the package. Diagnostic tests during follow-up may not be covered — check with hospital. If your case needs a second hospitalisation later (e.g., recurrence), a fresh pre-authorisation is needed; the cover keeps refreshing up to ₹5 lakh per family per policy year.
+===== Cover and rules at a glance =====
+<code>
++------------------------------------+-----------------------------------------+
+| Family cover                       | ₹5,00,000 / family / year (floater)     |
++------------------------------------+-----------------------------------------+
+| Family size cap                    | None (everyone in SECC 2011 family is   |
+|                                    | covered, plus state-added families)     |
++------------------------------------+-----------------------------------------+
+| Age cap                            | None — newborn to elder                 |
++------------------------------------+-----------------------------------------+
+| Pre-existing diseases              | Covered from Day 1                      |
++------------------------------------+-----------------------------------------+
+| Procedures covered (HBP 2.2)       | 1,949+ across 22 specialities           |
++------------------------------------+-----------------------------------------+
+| Empanelled hospitals               | ~27,000 (public + private + NGO)        |
++------------------------------------+-----------------------------------------+
+| Co-payment by patient              | ZERO (cashless, paperless at PoC)       |
++------------------------------------+-----------------------------------------+
+| Pre-authorisation SLA              | Emergency = 6 hrs, Planned = 24-48 hrs  |
++------------------------------------+-----------------------------------------+
+| Hospital claim payment by SHA      | 15-30 days from claim submission        |
++------------------------------------+-----------------------------------------+
+| OPD / outpatient                   | NOT covered (admission required)        |
++------------------------------------+-----------------------------------------+
+| Card cost                          | FREE — never pay anyone for the card    |
++------------------------------------+-----------------------------------------+
+| Helpline                           | 14555 (24x7, multilingual)              |
++------------------------------------+-----------------------------------------+
+| RTI fee (NHA / SHA)                | ₹10 by IPO; BPL = free                  |
++------------------------------------+-----------------------------------------+
+</code>
+===== Common reasons your search / treatment gets stuck =====
+  * **Hospital is "empanelled" but the specific package you need is not on its authorised list.** Always confirm the HBP code at the Ayushman Mitra desk before admission.
+  * **Hospital has temporarily suspended cashless because SHA payments are pending.** Common in private hospitals, especially mid-financial year. They will say "please pay cash, we'll reimburse" — that is **not** how PMJAY works; do not pay. Find another hospital or escalate.
+  * **Private hospital demands a "deposit" pre-admission** — strictly against the empanelment MoU. Refuse, ask for the Ayushman Mitra, and call 14555 from the hospital lobby.
+  * **Pre-authorisation delayed beyond SLA** — usually because clinical justification was incomplete. Ask the hospital to resubmit with stronger notes; escalate to SHA grievance helpline.
+  * **Family list (SECC 2011) doesn't include the claimant** — happens for newly added family members (newborn, daughter-in-law). Use the **Family ID linkage** option in the beneficiary portal to add. State SHA helpline can guide.
+  * **Wrong card details** (name spelt wrong, photo mismatch). Re-issue free at any CSC.
+  * **Tertiary care exclusions** — some procedures (organ transplant, advanced oncology like proton therapy) may be partially or not covered. Check the HBP master.
+  * **OPD treatment refused under PMJAY** — correct; OPD is not covered. For OPD/diagnostic, look at state schemes (e.g., Mohalla Clinics in Delhi, Aam Aadmi Mohalla Clinics elsewhere) or AB-HWC (Ayushman Bharat Health and Wellness Centres) for primary care.
+===== If stuck — the escalation ladder =====
+==== Rung 1 — Hospital Ayushman Mitra desk ====
+The first point. Every empanelled hospital must have one. Ask for the desk in-charge by name; get a written acknowledgement of your complaint.
+==== Rung 2 — PMJAY Helpline 14555 ====
+×7, free, multilingual. They open a beneficiary grievance ticket with the SHA. Note your **complaint reference number**.
+==== Rung 3 — State SHA grievance portal ====
+Every SHA has an online complaint portal — links from hospitals.pmjay.gov.in → "Grievance". Submit with hospital name, date of admission attempt, exact reason for refusal. SLA: 15 days.
+==== Rung 4 — District Implementation Unit (DIU) ====
+Each district has a DIU under the SHA, headed by a **District Programme Coordinator (DPC)**. Walk-in or written complaint to DIU usually triggers a hospital-level inspection within a week.
+==== Rung 5 — State Health Minister's grievance cell + CPGRAMS ====
+  * State Health Minister grievance cells (every state has one — Twitter / portal / phone).
+  * **CPGRAMS** at https://pgportal.gov.in → Ministry of Health and Family Welfare → National Health Authority. Higher visibility; usually gets routed to the SHA CEO.
+==== Rung 6 — Right to Information (RTI) ====
+The NHA in New Delhi and every State SHA are **public authorities** under §2(h) of the RTI Act, 2005.
+**RTI helps here when:**
+  * You want a written confirmation that a particular hospital is empanelled, since when, for which specialities, and for which HBP codes — RTI to PIO at SHA gives the empanelment MoU date and authorised speciality list.
+  * Your pre-authorisation was rejected and you want the **clinical reason** in writing — RTI to PIO SHA for the TMS rejection log entry against your case ID.
+  * A claim was raised by the hospital but the hospital later asked you to pay cash — RTI to PIO SHA to confirm whether the claim was approved/paid (often it was, and the hospital is double-dipping).
+  * Hospital insists "PMJAY payments are pending so cashless is suspended" — RTI to PIO SHA for the latest payment cycle to that hospital and the official suspension notice (if any).
+  * You suspect a hospital is denying admission to PMJAY beneficiaries while accepting paying patients — RTI to PIO SHA / DIU for inspection records and complaint history.
+For a full copy-ready template covering claim denial / cashless refusal cases, see the dedicated guide: [[:rti-for-ayushman-bharat-claim-denial|RTI for Ayushman Bharat claim denial — copy-ready template]].
+**RTI does NOT help here when:**
+  * The hospital is **not** empanelled and you want to force them to admit you under PMJAY — empanelment is voluntary; RTI cannot create an MoU.
+  * A private hospital simply chooses not to admit you (bed-availability, doctor preference, commercial decision) — that is private contract territory; not an RTI matter unless you can show discrimination.
+  * Your treatment is **not in the HBP 2.2 master** (e.g., elective cosmetic surgery, fertility treatment) — RTI cannot extend the cover.
+  * You want a **clinical second opinion** — RTI is for "information held"; it cannot give medical opinions.
+  * For broader complaints about hospital service quality — go to the state Clinical Establishments Act registrar / NABH; RTI is a secondary lever.
+===== FAQs =====
+**Q. My PMJAY card was issued in Lucknow. Can I use it for treatment in Mumbai?**\\
+Yes. PMJAY is portable nationwide. Any empanelled hospital in any state will accept it. The Ayushman Mitra at the destination hospital will verify your details on the central TMS portal — Aadhaar OTP is enough.
+**Q. Is OPD consultation covered under PMJAY?**\\
+No. PMJAY covers only inpatient hospitalisation (secondary and tertiary). For OPD, look at primary health centres, Ayushman Bharat-Health and Wellness Centres (AB-HWCs, ~1.7 lakh nationwide) or your state's free OPD scheme.
+**Q. Are diagnostic tests covered?**\\
+Pre-admission tests up to **3 days before** admission and follow-up tests up to **15 days after** discharge **for the same hospitalisation** are bundled into the package rate. Standalone diagnostics on OPD basis are not covered.
+**Q. The hospital is empanelled but says cashless is "off this week". What do I do?**\\
+This usually means the SHA has stopped reimbursing that hospital for some reason (audit query, billing dispute). Three options: (a) call 14555 to confirm the official status; (b) try another empanelled hospital in your district; (c) if it's an emergency, get admitted, document the refusal in writing, file a complaint to SHA + RTI for the suspension notice.
+**Q. My family is not on the SECC 2011 list. Am I excluded forever?**\\
+No. Many states have **expanded eligibility** beyond SECC 2011 — for example, all ration card holders in Rajasthan, all citizens up to a threshold in Haryana under "Chirayu", etc. Check your state SHA portal. Also, the central PMJAY recently extended cover to **all senior citizens above 70**, regardless of SECC inclusion.
+**Q. My PMJAY card is showing wrong details. How to correct?**\\
+Visit any CSC or empanelled hospital's Ayushman Mitra desk with original Aadhaar and the corrected detail (name spelling, photo). Re-issue is free.
+**Q. Is there a cap on the cost of one procedure?**\\
+The cost is capped at the HBP package rate for that procedure (e.g., angioplasty single stent ~₹40k-₹80k depending on hospital grade). Multiple procedures can be billed up to the family annual limit of ₹5 lakh.
+===== Related on RTI Wiki =====
+  * [[:rti-for-ayushman-bharat-claim-denial|RTI for Ayushman Bharat claim denial — copy-ready template]]
+  * [[:rti-for-beginners|RTI in 12 simple steps — for first-time filers]]
+  * [[:helplines:start|All Indian government helplines — one master directory]]
+  * [[:forms:start|RTI forms + state-wise fee chart]]
+  * [[:rti-for-beginners|All "health & hospitals" RTI guides]]
+//Last reviewed: 26 April 2026 by RTI Wiki editorial team. PMJAY Health Benefit Packages (HBP) and SHA-level empanelment lists change continuously — verify the latest on hospitals.pmjay.gov.in and your State SHA portal, or write to admin@bighelpers.in if you spot a stale figure.//
+{{tag>pmjay ayushman-bharat empanelled-hospital hospitals-pmjay-gov-in mera-pmjay helpline-14555 hbp-2-2 cashless-treatment state-health-authority nha rti-for-pmjay rti-ayushman-bharat citizen-guide help-first 2026}}