Is pilonidal sinus surgery covered under Ayushman Bharat scheme?

Hello,

Yes. Pilonidal sinus is a recognised surgical condition under PM-JAY, and patients receive treatment under the scheme at a empanelled Ayushman Bharat hospital.

What Treatment Be Required?

Treatment depends on whether the sinus is infected, recurrent, or chronic. Depending on the condition, a general surgeon recommend

• Drainage of an abscess if there is an acute infection

• Excision of the pilonidal sinus

• Open or closed surgical excision

• Other suitable procedures depending on the size and extent of the sinus

The surgeon will decide the appropriate procedure after examination.

How to Check Ayushman Coverage?

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 hospital by its exact name.

5. Confirm that the hospital's current PM-JAY empanelment is active.

6. Select/check the relevant speciality, such as General Surgery.

Documents to Carry

Please keep these documents ready

• Ayushman Bharat Card / e-Ayushman Card

• Aadhaar Card or valid ID proof

• Doctor's prescription

• Examination/diagnostic reports

• Previous treatment records

• Previous discharge summary, if available

• Blood test reports, if available

• Any imaging report, if advised by the doctor

When Should You See a Doctor Quickly?

If your brother has severe pain, increasing swelling, pus or foul-smelling discharge, fever, redness, or repeated infection near the tailbone, he should get evaluated by a general surgeon promptly. Pilonidal sinus can recur if the sinus tract is not appropriately treated.

If you share your city and state, we can help you identify suitable Ayushman Bharat empanelled hospitals and connect you with experienced general surgeons through our partner hospitals.

HexaHealth is not a hospital. We help patients connect with experienced doctors at partner hospitals and can assist with consultation, appointment and treatment coordination.

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