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Is Laser Treatment for Fistula Covered Under Government Health Insurance?

Anonymous
Posted Under General Surgery, on 7 July 2026

Anonymous
Posted Under General Surgery, on 7 July 2026

Description

Is the Fistula laser treatment cover in government insurance

Write Answer...
H
HexaHealth Team
Expert

Hello,


Yes, fistula surgery is covered under the Ayushman Bharat Yojana (PMJAY).  the fistula requires laser treatment and it is included under the approved PMJAY treatment package, eligible beneficiaries can avail of cashless treatment at PMJAY-empanelled hospitals.

Kindly share


  • Which government health insurance scheme do you have? (For example, Ayushman Bharat (PM-JAY), CGHS, ECHS, or a State Health Scheme)

  • Your city and state


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


What Does Ayushman Bharat Cover for Fistula Treatment?


Depending on the approved PMJAY package, coverage may include :


  • Fistula surgery

  • Laser fistula treatment (where included in the approved package)

  • General Surgeon/Proctologist consultation

  • Hospital admission

  • Operation theatre charges

  • Medicines during hospitalization

  • Diagnostic investigations

  • Post-operative care and hospital stay


What Documents Are Required for Fistula Treatment?


  • Ayushman Card

  • Aadhaar Card

  • General Surgeon's/Proctologist's prescription

  • Relevant medical reports

  • Previous medical records


How to Check if a Hospital Offers Laser Fistula Treatment Under Ayushman Bharat?


Online Verification


  • Visit PMJAY Hospital Finder

  • Select your

    • State

    • District

    • Specialty: General Surgery

  • Click Search to view PMJAY-empanelled hospitals.


How HexaHealth Can Assist You?


  • Ayushman Bharat Guidance : HexaHealth can help you understand your eligibility and guide you through the PMJAY process for fistula treatment.

  • Hospital Network : We can connect you with our partner PMJAY-empanelled hospitals offering fistula surgery.

  • Expert Consultations : We can help you book consultations with experienced General Surgeons and Proctologists.

  • Seamless Experience : From finding the right doctor and hospital to managing appointments and Ayushman documentation, HexaHealth aims to make your treatment journey smooth and hassle-free.


We wish you a smooth and successful recovery journey. Please feel free to reach out to HexaHealth for further assistance.


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

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