Can I get ESWL treatment for kidney stones under Ayushman Bharat?

Dear Abhishek Ji,

Yes, ESWL (Extracorporeal Shock Wave Lithotripsy) for kidney stones is covered under Ayushman Bharat Yojana (PMJAY).

Based on the details you've shared, you have a single kidney since birth, PUJ obstruction, a 7–10 mm kidney stone, previous PCNL surgeries, multiple DJ stent procedures, bladder cystitis, are on anti-TB treatment, and your creatinine is 2.15 mg/dL. Since this is a complex kidney condition, you should be evaluated by an experienced urologist before deciding on the most appropriate treatment.

For stones measuring 7–10 mm, treatment options such as ESWL (Extracorporeal Shock Wave Lithotripsy), URS (Ureteroscopy), or other procedures may be considered. However, because you have a single functioning kidney, previous surgeries, and PUJ obstruction, the treating urologist will decide whether ESWL is safe and suitable or whether another procedure would provide better results.

PMJAY Hospital in Jammu for ESWL / Kidney Stone Treatment

You can enquire at the following hospital

• Pulse Hospital and Research Center, Sunjwan

What Is Covered Under Ayushman Bharat?

As per the approved PMJAY package, coverage include :

• Urologist consultation

• Pre-treatment evaluation and diagnostic investigations

• ESWL or other medically indicated kidney stone procedures (as advised by the treating doctor)

• Operation theatre/procedure charges (where applicable)

• Medicines and consumables during hospitalization

• Hospital stay (if required)

• Nursing care

• Post-treatment follow-up care

Documents Required

• Ayushman Bharat (PMJAY) Card

• Aadhaar Card

• Doctor's prescription

• Ultrasound, CT scan, KUB X-ray, kidney function tests, and other relevant medical reports

• Previous medical records (PCNL, DJ stenting history, and other treatment records)

How to Check Whether ESWL Is Available Under PMJAY?

Online Verification

• Visit the PMJAY Hospital Finder.

• Select your:

  • State: Jammu & Kashmir

  • District: Jammu

  • Specialty: Urology

• Click Search to view PMJAY-empanelled hospitals.

You Can Also Check Through HexaHealth

You can also refer to HexaHealth's Ayushman Bharat Hospitals List in Jammu to explore PMJAY-empanelled hospitals and verify hospital details before planning your treatment.

How HexaHealth Can Assist You

• Ayushman Bharat Guidance: We help you understand your PM-JAY eligibility and the treatment approval process.

• Hospital Verification: We help verify whether your preferred hospital or a suitable partner hospital in Jammu provides the required treatment under Ayushman Bharat.

• Urologist Consultation: We help you connect with experienced urologists for a detailed evaluation of your kidney condition.

• Treatment Coordination: We assist with doctor appointments, medical documentation, hospital selection, and treatment planning for a smooth experience.

• Complete Care Support: From consultation to admission and follow-up care, HexaHealth supports you throughout your treatment journey.

Since you have a single kidney and an elevated creatinine level, please do not delay treatment. A timely evaluation by a urologist is important to protect your kidney function.

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