Is Chemotherapy Available at Private Hospitals Under the PM-JAY Scheme?

Hello,

Yes, chemotherapy for cancer is available free of cost at a private hospital under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY), provided the patient is eligible, the hospital is currently empanelled for the required cancer treatment, and the chemotherapy package is covered under the scheme. The usual PM-JAY cover is up to ₹5 lakh per eligible family per year, subject to applicable scheme rules.

How to Check Ayushman empanelled hospital?

Follow these steps to check whether a private hospital provides chemotherapy under the Ayushman Card

1. Open the official PM-JAY hospital search portal.
2. Select your state.
3. Select your district.
4. First check the overall list of PM-JAY-empanelled hospitals in your district.
5. Select “Private” under hospital type.
6. Choose the relevant specialty, such as Oncology or the available cancer-treatment category.
7. Enter the exact hospital name if you want to check a particular hospital.
8. Complete the captcha, if shown.
9. Click “Search”.
10. Confirm that the hospital's empanelment is active and contact its Ayushman help desk to verify that the required chemotherapy package is available and can be approved for your case.

Which Documents Are Required?

Keep the following documents ready when visiting the hospital's Ayushman help desk

The hospital may request additional documents or reports depending on the case.

How to Get Cashless Chemotherapy?

1. Visit the oncology department of an empanelled private hospital.
2. Show the Ayushman Card and cancer-related medical reports.
3. Ask the hospital's Ayushman help desk to check eligibility and the applicable chemotherapy package.
4. The hospital will verify the treatment details and complete any required pre-authorisation process.
5. Before starting treatment, confirm which medicines, tests, hospital services, and chemotherapy sessions are covered under the approved package.

A hospital being empanelled does not automatically mean every cancer medicine or chemotherapy regimen is covered. Coverage depends on the applicable package, medical eligibility, and approval. Routine OPD services are generally not covered under standard PM-JAY benefits, although specific approved treatment packages may include associated services.

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