Is immunotherapy covered under Ayushman Bharat PM-JAY scheme?

Dear Niraj ji,

No, high-cost immunotherapy medicines such as Tishtha (Nivolumab), 240 mg dose, is not be covered under Ayushman Bharat PM-JAY in many cases. However, coverage depends on the applicable cancer treatment package, the patient's eligibility and the hospital's approval, so it is important to confirm before starting treatment.

Ayushman Bharat PM-JAY generally provides eligible families with cashless treatment worth up to ₹5 lakh per family per year under the standard scheme. It covers various approved cancer treatments, including certain cancer procedures, chemotherapy and radiation therapy. However, expensive immunotherapy medicines is excluded from, or not separately covered under, some fixed treatment packages.

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