Can I Get Treatment for a Chronic Stomach Infection Under Ayushman Bharat (PM-JAY)?

Hello,

Yes, treatment for a stomach infection is covered under Ayushman Bharat Yojana (PMJAY). You can avail cashless treatment at a PMJAY-empanelled hospital after beneficiary verification and treatment package approval.

Since you have been experiencing stomach infection symptoms for the last 1 year, it is important to consult a Gastroenterologist for a proper diagnosis and treatment plan.

Please note that routine outpatient (OPD) consultations and medicines taken without hospital admission are generally not covered under PM-JAY.

What Is Covered Under Ayushman Bharat?

As per the approved PMJAY package, coverage include :

• Gastroenterologist consultation

• Diagnostic investigations (Blood tests, Stool tests, Ultrasound, Endoscopy, CT Scan, or other tests as medically required)

• Medicines during hospitalization

• Hospital admission and treatment (if medically required)

• Surgical or endoscopic procedures (if medically advised and covered under the approved PMJAY package)

• Nursing care

• Hospital stay

• Post-treatment follow-up care

Documents Required

• Ayushman Bharat (PMJAY) Card

• Aadhaar Card

• Doctor's prescription (if available)

• Previous medical reports and prescriptions (if available)

How to Check Whether Treatment Is Available Under PMJAY?

Online Verification

• Visit the PMJAY Hospital Finder.

• Select your:

  • State

  • District

  • Specialty : Gastroenterology

• Click Search to view PMJAY-empanelled hospitals.

Typical Symptoms of Chronic Stomach Infections

• Persistent abdominal pain or cramping
  
  
• Recurring bouts of loose motion or diarrhea
  
  
• Bloating, gas, and indigestion
  
  
• Unexplained fatigue and weight loss

Treatment Options

• Non-Surgical Treatments : Comprehensive stool and blood tests to identify the exact pathogen, followed by targeted courses of prescribed antimicrobials, anti-parasitic medications, and dietary modifications to heal the gut lining.
  
  
• Surgical Options : In rare cases where chronic infections lead to complications like bowel obstructions, strictures, or severe tissue damage, surgical intervention may be required. Through HexaHealth, you can access advanced laparoscopic procedures with minimal pain, shorter hospital stays, and dedicated post-operative support.

What Tests Required?

• Blood tests.

• Stool examination.

• Ultrasound of the abdomen.

• Upper GI endoscopy, if required.

• Tests for H. pylori infection.

• Other investigations based on your symptoms.

After identifying the cause, the doctor will recommend the appropriate treatment.

How HexaHealth Can Assist You?

• Ayushman Bharat Guidance: We help you understand the PMJAY eligibility and treatment process.

• Hospital Network: We connect you with PMJAY-empanelled hospitals offering gastroenterology treatment.

• Expert Consultation: We assist in arranging consultations with experienced gastroenterologists.

• Seamless Experience: From documentation to hospital coordination, we provide end-to-end support throughout your treatment journey.

Kindly Share the Following Details

• Your City and State.

Based on these details, we will help you connect with the most suitable specialist and PM-JAY empanelled partner hospital for your treatment.

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