Is Kidney Stone Surgery Covered Under the Ayushman Bharat Card?

Hello,

A kidney stone operation refers to medical procedures designed to remove kidney stones that are too large to pass naturally or are causing severe symptoms.

Yes, kidney stone surgery is covered under the Ayushman Bharat Yojana (PMJAY). You can avail of cashless kidney stone treatment at PMJAY-empanelled hospitals after beneficiary verification and treatment package approval.

The type of treatment depends on

• The size and location of the kidney stone

• Whether it is causing pain, infection, or blockage

• Your overall health condition

Depending on your evaluation, the urologist may recommend

• Medicines for small stones

• Laser stone removal (URS/RIRS)

• PCNL (Percutaneous Nephrolithotomy) for larger stones

• Other appropriate procedures, if required

Kindly share

• Your city and state

• The size and location of the kidney stone (if known)

• Whether you have an ultrasound/CT scan report or a doctor's prescription

Based on this information, we will help connect you with the most suitable hospital and experienced urologist near you.

What Does Ayushman Bharat Cover for Kidney Stone Surgery?

Depending on the approved PMJAY package, coverage may include

• Kidney stone surgery (PCNL, URS, RIRS or other approved procedures)

• Hospital admission

• Urologist consultation

• Operation theatre charges

• Medicines during hospitalization

• Diagnostic investigations

• Post-operative care and hospital stay

What Documents Are Required for Kidney Stone Surgery?

• Ayushman Card

• Aadhaar Card

• Urologist's prescription

• Ultrasound/CT Scan and other relevant reports

• Previous medical records

How to Check if a Hospital Offers Kidney Stone Surgery Under Ayushman Bharat?

Online Verification

• Visit PMJAY Hospital Finder

• Select your

  • State

  • District

  • Specialty : Urology

• Click Search to view PMJAY-empanelled hospitals.

Common Symptoms of Kidney Stones

• Severe pain in the back and side, below the ribs
  
  
• Pain that radiates to the lower abdomen and groin
  
  
• Pain that comes in waves and fluctuates in intensity
  
  
• Painful urination (dysuria)
  
  
• Pink, red or brown urine
  
  
• Cloudy or foul-smelling urine
  
  
• Nausea and vomiting
  
  
• Persistent urge to urinate
  
  
• Fever and chills if an infection is present (alarming symptom)

Treatment Options for Kidney Stones

• Non-Surgical Management : For smaller stones, doctors may recommend increased fluid intake and sometimes specific methods to help the stone pass naturally.
  
  
• Surgical Interventions : For larger or problematic stones, several procedures are available
  
  
  • Extracorporeal Shock Wave Lithotripsy (ESWL) : Uses sound waves to break stones into tiny pieces that can be passed in urine.
    
    
  • Ureteroscopy (URS) :  A thin, lighted scope is passed through the urethra and bladder into the ureter to remove or laser-break the stone.
    
    
  • Percutaneous Nephrolithotomy (PCNL) : A minimally invasive surgical procedure for removing large kidney stones by making a small incision in the back.
    
    
  • Laparoscopic or Open Surgery : Rarely used for very large or complex stones.
    
    
    

  HexaHealth can connect you with leading urologists for these advanced procedures, ensuring personalized care and support throughout your treatment journey.

Precautions and Tips for Kidney Stone Management

• Stay well-hydrated by drinking plenty of water throughout the day.
  
  
• Limit consumption of sodium, animal protein, and oxalate-rich foods if prone to certain types of stones.
  
  
• Follow your doctor's dietary recommendations specific to your stone type.
  
  
• Regular check-ups are important, especially if you have a history of kidney stones.

How HexaHealth Can Help with Your Kidney Stone Treatment?

• Doctor Consultation : We can help you find and consult with top urologists and nephrologists specializing in kidney stone management.
  
  
• Hospital Selection : Get assistance in choosing the best hospital for your kidney stone operation, including those empanelled under the Ayushman Bharat scheme.
  
  
• Ayushman Card Support : Our team can guide you through the process of using your Ayushman Card to cover the costs of your treatment.
  
  
• Seamless Treatment Journey : From booking appointments to admission and post-operative care, HexaHealth ensures a smooth and hassle-free experience.

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