Does Ayushman Bharat cover breast cancer surgery cost?

Hello,

Yes, breast cancer surgery is covered under the Ayushman Bharat PM-JAY scheme.Breast cancer care also include chemotherapy and radiotherapy when covered under the applicable package.

How can you check whether a hospital covers breast cancer surgery under the Ayushman Card?

1. Open the official Ayushman Bharat PM-JAY hospital search portal.
2. Select the state where the hospital is located.
3. Select the district.
4. Choose the appropriate hospital category, such as government or private, if asked.
5. Select the relevant specialty, such as Oncology, if this filter is available.
6. Enter the hospital name or find it in the list.
7. Complete the captcha and click Search.
8. Check whether the hospital's PM-JAY empanelment is currently active.
9. Contact the hospital's Ayushman Mitra or PM-JAY help desk and ask whether breast cancer surgery is covered under an approved package at that hospital.
10. Ask the hospital to confirm cashless eligibility and obtain the required approval before planned surgery, wherever possible.

Which documents should you carry?

• Ayushman Card, if available.
• Aadhaar card or another accepted identity document.
• Breast cancer biopsy report.
• Mammography, ultrasound, MRI or other available investigation reports.
• Doctor's prescription and recommendation for surgery.
• Previous treatment records, including chemotherapy or radiotherapy details, if applicable.
• Previous discharge summaries and medical records, if available.

Please share the city and state where the patient wants treatment. We can then guide you on checking that hospital's Ayushman empanelment and the next steps for breast cancer surgery coverage.

Wishing you and your family good health always.
Warm regards,
Team HexaHealth