Can Hernia Surgery Be Covered Under the PM-JAY Scheme?

Dear Sayed Mohammad Ikram ji,

Yes, hernia treatment and surgery is covered under Ayushman Bharat

The doctor will first examine the hernia and decide whether surgery is needed. If surgery is advised and the applicable package is approved under PM-JAY, the treatment can be provided cashlessly at the empanelled hospital.

Before admission, ask the hospital's Ayushman Mitra to confirm the exact hernia package, what is included, and whether pre-authorization is required.

How to check a hospital for hernia treatment

1. Open the official PM-JAY Hospital Search portal.

2. Select your State.

3. Select your District.

4. Select Government or Private Hospital.

5. Select the relevant specialty, such as General Surgery.

6. Enter the exact hospital name.

7. Complete the Captcha, if shown.

8. Click Search.

9. Check that the hospital's PM-JAY empanelment is active.

10. Contact the hospital's Ayushman Mitra/PM-JAY desk with the doctor's advice and reports. Ask them to confirm whether your hernia treatment or surgery is covered under an applicable package and whether pre-authorization is required.

You can also check the list of PM-JAY empanelled hospitals in your district.

Documents to keep ready

• Ayushman Card

• Aadhaar Card

• Mobile number for verification, if required

• Doctor's prescription or surgery advice

• Ultrasound or other scan reports, if done

• Blood test reports

• Previous treatment records

• Previous discharge papers, if any

• Current medicines list

If the hernia becomes very painful, hard or swollen, cannot be pushed back, or you develop repeated vomiting, severe abdominal pain, fever, or difficulty passing stool or gas, seek urgent medical care rather than waiting for a routine appointment.

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