Is Breast Cancer Surgery Covered Under the ABHA Card?

Dear Gomathy Chidambaram ji,

No, an ABHA (Ayushman Bharat Health Account) card alone does not provide financial coverage for breast cancer surgery or any other medical treatment. The ABHA card is a digital health ID that helps you securely store, manage, and share your medical records across healthcare providers.

However, breast cancer surgery and related treatments be covered under the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PM-JAY), subject to the patient's eligibility, medical condition, and the approved PM-JAY treatment package.

Understanding the Difference : ABHA Card vs. Ayushman Card (PM-JAY)

• ABHA Card (Health ID) :
  
  

  • A 14-digit digital health ID available to all citizens.

  • Used to store and access medical records, prescriptions, laboratory reports, and treatment history digitally.

  • It does not provide health insurance or monetary benefits.

• Ayushman Card (PM-JAY) :
  
  

  • A government-funded health insurance scheme for eligible beneficiaries.

  • Provides cashless treatment coverage up to ₹5 lakh per family per year for approved medical and surgical procedures, including certain cancer treatments.

How HexaHealth Can Assist You For Breast Cancer?

• Expert Consultation : We can connect you with experienced oncologists and breast cancer surgeons.

• Partner Hospital Network : We can help you connect with our nearby partner hospitals and experienced cancer specialists.

• Ayushman Bharat Guidance : We can help verify your PM-JAY eligibility and assist with understanding the available treatment coverage.

• Treatment Guidance : We can help you understand the available treatment options, including surgery, chemotherapy, radiation therapy, and follow-up care.

• Seamless Experience : From consultation booking to treatment coordination and post-treatment support, HexaHealth supports you throughout your healthcare journey.

Kindly share :

• The patient's age

• Your city and state

• Whether the patient has an active Ayushman Bharat (PM-JAY) card

• Any available biopsy reports, scan reports, or doctor's recommendations

This will help us connect you with the most suitable hospital and experienced cancer specialists near you.

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