Is Cholecystectomy Surgery Covered Under the PM-JAY Scheme?

Hello,

Yes, patients can get gallbladder removal treatment (cholecystectomy) through Ayushman Bharat PM-JAY on a cashless basis at an empanelled hospital.

The PM-JAY package list includes:

• Open cholecystectomy

• Laparoscopic cholecystectomy

• Cholecystectomy with CBD exploration

• Cholecystectomy without CBD exploration

The exact package depends on the patient's diagnosis and the treatment advised by the surgeon.

Proper Steps to Check Ayushman Hospital

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 General Surgery or the relevant specialty.

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. Visit the hospital's Ayushman Mitra/PM-JAY desk with the patient's ultrasound, diagnosis and surgeon's advice. Ask them to confirm the exact cholecystectomy package, whether the treatment will be cashless, and whether pre-authorization is required.

You can also check the complete list of PM-JAY empanelled hospitals in your district. PM-JAY provides cashless coverage for eligible secondary and tertiary care treatment through empanelled hospitals.

Documents to Carry

• Ayushman Card

• Aadhaar Card

• Doctor's prescription/surgical advice

• Ultrasound abdomen report

• Blood test reports

• CT/MRI or other scan reports, if available

• Previous hospital and treatment records

• Current medicines and medical history

• Mobile phone for verification, if required

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