Is Kidney Stone Surgery Covered Under Ayushman Bharat (PM-JAY)?

Hello,

Yes, kidney stone surgery is covered under Ayushman Bharat Yojana (PMJAY). Kidney stone treatment and surgery can be availed cashlessly at a PMJAY-empanelled hospital after beneficiary verification and treatment package approval.

What Is Covered Under Ayushman Bharat for Kidney Stone Surgery?

As per the approved PMJAY package, coverage include :

• Urologist consultation

• Pre-operative evaluation and diagnostic investigations

• Kidney stone surgery (such as URS, RIRS, PCNL, or other medically advised procedures covered under the approved PMJAY package)

• Operation theatre charges

• Surgeon and anaesthetist charges

• Medicines and consumables during hospitalization

• Hospital stay

• Nursing care

• Post-operative follow-up care

Documents Required

• Ayushman Bharat (PMJAY) Card

• Aadhaar Card

• Doctor's prescription

• Ultrasound, CT Scan, X-ray KUB, or other relevant medical reports (if available)

• 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.

When Is Surgery Required for Kidney Stones?

The treating Urologist recommend surgery if :

• The kidney stone is large and cannot pass naturally.

• There is severe or recurrent pain.

• The stone is causing urine blockage.

• There is a kidney infection due to the stone.

• Kidney function is being affected.

• There is blood in the urine or repeated urinary tract infections.

Kidney Stone Treatments That Recommended

Depending on the size, location, and number of stones, the Urologist may advise :

• URS (Ureteroscopy).

• PCNL (Percutaneous Nephrolithotomy).

• RIRS (Retrograde Intrarenal Surgery).

• ESWL (Shock Wave Lithotripsy), where medically appropriate.

• Other suitable procedures based on your condition.

The exact treatment will be decided after clinical evaluation and imaging investigations.

How HexaHealth Can Assist You

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

• Hospital Network: We connect you with PMJAY-empanelled hospitals offering kidney stone surgery.

• Expert Consultation: We assist in arranging consultations with experienced urologists.

• Seamless Experience: From documentation to hospital coordination, we provide end-to-end support throughout your treatment journey.

Kindly Share the Following Details

• Your City and State.

Based on these details, we will help you connect with the most suitable PM-JAY partner hospital and experienced Urologist for your treatment.

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