Is fissure surgery covered under Ayushman Bharat?

Dear Bhagyashri Anil Shinde ji,

An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus, causing pain and bleeding during bowel movements. Fissure surgery is a procedure performed to treat this condition when non-surgical methods are not effective. Here's information regarding its availability under the Ayushman Bharat scheme

Is Fissure Surgery Available Under Ayushman Bharat?

Yes, if :

• The patient is eligible under Ayushman Bharat – PMJAY

• The hospital is PMJAY empanelled

• Surgery is medically necessary

• The required package approval is obtained

then fissure surgery may be available on a cashless basis under approved PMJAY packages. Coverage can include hospitalization, surgery charges, OT expenses, doctor consultation during admission, and related treatment costs.

Which Doctor Should You Consult?

Treatment is usually managed by :

• General Surgeon

• Proctologist (Piles, Fissure & Fistula Specialist)

The doctor will examine the condition and decide whether medicines, lifestyle changes, or surgery is required.

What Should You Confirm With the Hospital?

Please ask :

• Is PMJAY active in the hospital?

• Is fissure surgery covered under PMJAY?

• Is cashless treatment available?

• Is pre-authorisation required?

Documents Usually Required

• Ayushman / PMJAY Card

• Aadhaar Card

• Doctor prescription

• Medical records and reports

How to Check PMJAY Hospital Status?

Verification Steps

• Visit Ayushman Bharat Official Portal

• Open the "Find Hospital" section

• Select :

  • State

  • District

  • Specialty – General Surgery

Alternative Verification

• Call the Ayushman Bharat Helpline: 14555

• Contact the hospital's Ayushman Help Desk directly

• Verify fissure surgery package availability before admission

Understanding Anal Fissure Symptoms

• Severe pain during and after bowel movements.
  
  
• Bright red blood on stool or toilet paper.
  
  
• A visible crack in the skin around the anus.
  
  
• Itching or irritation around the anus.
  
  
• A small lump or skin tag near the anal fissure.

Fissure Treatment Options

• Non-Surgical Options : Mild fissures can often be managed with dietary changes (high fiber), increased water intake, topical creams, and sitz baths.
  
  
• Surgical Options : If conservative treatments fail, surgery, such as a Lateral Internal Sphincterotomy (LIS), may be recommended to relieve muscle spasms and help the fissure heal.

How HexaHealth Can Assist You

• Ayushman Bharat Assistance : We can help you understand your eligibility for the Ayushman Bharat scheme and guide you through the documentation process.
  
  
• Hospital & Doctor Selection : HexaHealth can connect you with top surgeons and empaneled hospitals that offer fissure surgery under the Ayushman Bharat scheme.
  
  
• Seamless Experience : We provide end-to-end support, from booking appointments and hospital admission to discharge and post-operative care, ensuring a hassle-free treatment journey.
  
  
• Cost Estimation : Our team can help you get a clear understanding of the treatment costs and how Ayushman Bharat benefits can be utilized.

We are here to support you in accessing quality healthcare. Please feel free to reach out to us for more personalized guidance.

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