PMJAY Suspended Hospitals — What You Need to Know
The National Health Authority regularly suspends and de-empanels hospitals from PM-JAY for violations of scheme guidelines. Understanding why this happens helps you make informed choices about where to seek treatment.
Why Hospitals Get Suspended
Fraud and ghost claims: Filing claims for treatments never performed, inflating treatment costs, or billing for patients who never visited. This is the most serious violation and usually leads to permanent de-empanelment and criminal prosecution.
Unnecessary procedures: Recommending and performing surgeries or treatments that were not medically necessary, solely to generate PM-JAY revenue. Examples include performing hysterectomies on young women who did not need them or recommending bypass surgery when medication would suffice.
Quality failures: Persistent infection outbreaks, high complication rates, post-surgical deaths above acceptable rates, poor hygiene, or inadequate equipment maintenance.
Patient overcharging: Demanding cash from PM-JAY patients for medicines, implants, room upgrades, or any component covered within the package rate.
Infrastructure non-compliance: Failing to maintain the infrastructure and equipment standards required for empanelment — for example, operating cardiac surgery without proper ICU backup.
What Happens When Your Hospital Is Suspended
If a hospital you were planning to visit has been suspended, you need to find an alternative. The hospital cannot accept new PM-JAY patients during suspension. Patients already admitted during the suspension can typically complete their ongoing treatment.
Search for alternative hospitals on PMJAYHospitals.com — filter by your district and the specialty you need. For example, if your local orthopaedic hospital is suspended, find other empanelled hospitals offering joint replacement or fracture treatment in your district or neighbouring districts.
How to Check Hospital Status
Before visiting any hospital, call 14555 or check the official PMJAY portal to verify current empanelment status. Hospital status can change — a hospital empanelled last month may be suspended today. On PMJAYHospitals.com, we update hospital data periodically, but real-time status verification should always be done through the official channels before visiting.
Disclaimer: PMJAYHospitals.com is an independent directory. For official information, visit pmjay.gov.in or call 14555.