Is 13mm kidney stone surgery covered under the Ayushman card package?

Hello,

Yes, kidney stone surgery for a 13 mm stone is covered under Ayushman Bharat Yojana (PMJAY). You can avail cashless treatment at a PMJAY-empanelled hospital after beneficiary verification and treatment package approval. The exact procedure (such as RIRS, PCNL, URS, or ESWL) depends on the stone's size, location, and the urologist's assessment. 

What Is the Package Amount?

PMJAY does not have one fixed package amount for all kidney stone surgeries. The package depends on:

• Stone size and location

• Type of procedure required (RIRS, PCNL, URS, ESWL, etc.)

• Doctor's evaluation

• Approved PMJAY treatment package

If your treatment is approved under PMJAY, the eligible package is provided on a cashless basis, so you generally do not have to pay the package cost at a PMJAY-empanelled hospital. 

What Is Covered Under Ayushman Bharat?

The approved PMJAY package include

• Urologist consultation

• Diagnostic tests and investigations

• Kidney stone surgery (as medically advised)

• Operation theatre charges

• Surgeon and anaesthetist charges

• Medicines and consumables during hospitalization

• Hospital stay

• Post-operative follow-up care

Documents Required

• Ayushman Bharat (PMJAY) Card

• Aadhaar Card

• Doctor's prescription

• Ultrasound/CT scan and other relevant medical reports

• Previous medical records (if available)

How to Check Whether Kidney Stone Surgery Is Available Under PMJAY?

Online Verification

• Visit the PMJAY Hospital Finder.

• Select your:

  • State

  • District

  • Specialty: Urology

• Click Search to view PMJAY-empanelled hospitals.

How HexaHealth Can Assist You

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

• Hospital Network: We connect you with trusted PMJAY-empanelled partner hospitals.

• Expert Consultation: We help you connect with experienced urologists.

• Treatment Coordination: We assist with hospital selection, appointments, documentation, and treatment planning.

Please let us know your city or state. We will help you connect with an experienced urologist and the best nearby PMJAY-empanelled partner hospital based on your Ayushman Bharat eligibility.

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