Is kidney stone surgery covered under Ayushman Bharat scheme?

Hello,

Yes. Kidney stone treatment and several stone-removal procedures are included in the Ayushman Bharat PM-JAY package list. The official PM-JAY package list includes procedures such as ureteroscopy with stone removal and lithotripsy, laser stone treatment, ESWL (shock-wave treatment), and ureterolithotomy. 

The exact treatment covered depends on the size and location of the stone, the patient's condition, and the procedure recommended by the urologist. Treatment should be taken at a currently empanelled PM-JAY hospital and processed under the applicable package.

Which Kidney Stone Treatments Be Covered?

Depending on the condition, the urologist recommend :

• Ureteroscopy (URS) with stone removal

• Laser lithotripsy/URSL

• ESWL (Extracorporeal Shock Wave Lithotripsy)

• Ureterolithotomy

• Other appropriate stone-related procedures

The official PM-JAY package documents specifically list ureteroscopy with stone removal and lithotripsy and ESWL among the urology procedures.

Not every kidney stone requires surgery. Small stones may sometimes pass naturally with medical treatment, while larger, obstructing, infected, or persistent stones may require a procedure.

How to Check an Ayushman Hospital for Kidney Stone Surgery

Before admission, follow these steps :

1. Open the official PM-JAY hospital search portal.

2. Select your State.

3. Select your District.

4. Search the exact hospital name.

5. Check that the hospital is currently empanelled under PM-JAY.

6. Check whether Urology services are available.

Documents Required

Keep these documents ready :

• Ayushman Bharat PM-JAY Card/e-card

• Aadhaar Card or valid government ID

• Urologist's prescription

• Ultrasound/USG KUB report

• CT KUB report, if advised

• Urine test reports

• Blood-test reports

• Kidney function/creatinine report

• Previous treatment records

• Previous discharge summary, if applicable

• Current medicines list

If you have not yet consulted a urologist, you can visit an empanelled hospital with your Ayushman Card and available medical records. The urologist can examine you and decide which treatment is required.

When Should You Seek Urgent Treatment?

Do not delay medical care if you have a kidney stone along with :

• Fever or chills

• Severe or worsening pain

• Repeated vomiting

• Difficulty passing urine

• Blood in urine

• Very low urine output

• Severe weakness

A blocked urinary system combined with infection can become serious and may require urgent treatment.

How HexaHealth Can Help

We can help you connect with suitable urologists and PM-JAY-empanelled partner hospitals, coordinate consultations and appointments, and guide you regarding Ayushman verification and required documents.

Please share your city, state, hospital name (if you have one), and the kidney stone procedure advised by your doctor. We can then guide you on what to verify before admission.

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