Is the Ayushman Card Accepted for Chemotherapy At KLE Hospital?

Dear Sinin Ji,

If you are referring to KLE Hospital and have been informed that your Ayushman Bharat (PM-JAY) Card cannot be used for chemotherapy, it does not necessarily mean that chemotherapy is not covered.

KLE Cancer Hospital, Belagavi is a PM-JAY empanelled hospital, and Medical Oncology services, including eligible chemotherapy packages, are available under Ayushman Bharat (PM-JAY) for eligible beneficiaries.

However, not every chemotherapy session or medicine is automatically covered. Approval depends on several factors, including:

• The type and stage of cancer.

• Whether the prescribed chemotherapy is included in the PM-JAY treatment package.

• The treating Medical Oncologist's recommendation.

• Package authorization by the hospital's Ayushman Help Desk.

If the hospital has informed you that the treatment is not covered, ask them for the exact reason, such as

• The prescribed chemotherapy drug is not included under the approved PM-JAY package.

• The required package authorization has not yet been approved.

• Additional medicines or targeted therapies are outside the PM-JAY package.

• There is an eligibility or documentation issue.

You can also request the hospital's Ayushman Help Desk (Ayushman Mitra) to review your case and explain the coverage available under your treatment package.

How HexaHealth Can Assist You?

• Experienced Medical Oncologists : We can connect you with experienced cancer specialists.

• Partner Hospital Network : We can help you find a suitable PM-JAY empanelled partner hospital if required.

• Ayushman Bharat Guidance : We can guide you regarding eligibility, package approval, required documents, and the cashless treatment process.

• Treatment Support : We can assist you with chemotherapy planning, follow-up treatment, and supportive care.

• End-to-End Assistance : From diagnosis to treatment and follow-up, HexaHealth supports you throughout your healthcare journey.

Kindly let us know

• Which KLE Hospital are you referring to? (Please mention the City and State.)

• What type of cancer is being treated?

Based on these details, we will guide you further and help you connect with the most suitable experienced Medical Oncologist and PM-JAY partner hospital, if required.