Hello,

Stone-related problems can cause severe pain, vomiting, urine issues, and discomfort in daily life. Many patients naturally want to know whether stone surgery may be possible through the Ayushman card and what the treatment process is at the hospital.

Is Stone Surgery Covered Under Ayushman Bharat?

Yes, if :

• The patient is eligible under Ayushman Bharat – PMJAY
• The hospital is empanelled under PMJAY
• Surgery is medically necessary
• Package approval is completed

then selected kidney stone or urinary stone surgeries may be available under cashless treatment at eligible hospitals.

Coverage may include :

• Hospital admission
• Surgery charges
• OT expenses
• Doctor consultation during admission
• Hospital stay
• Basic investigations related to treatment

Final approval depends on :

• Patient eligibility
• Hospital empanelment
• PMJAY package verification
• Urologist assessment

What Symptoms Can Stone Problems Cause?

Patients may experience :

• Severe stomach or back pain
• Burning during urination
• Vomiting
• Blood in urine
• Frequent urination
• Fever in some cases

Proper medical evaluation is important because untreated stones may sometimes lead to complications.

Which Doctors Usually Treat Stones?

Treatment is usually managed by :

• Urologist
• Kidney stone specialist
• General surgeon in selected cases

Doctors may recommend :

• Ultrasound
• CT scan
• Urine tests
• Blood tests

These investigations help determine stone size and surgery planning.

What Is the Process for Treatment Through Ayushman Card?

Step 1 – Check Eligibility

The hospital Ayushman help desk verifies whether the patient is eligible under PMJAY.

Step 2 – Doctor Consultation

The specialist doctor evaluates the patient and reviews reports and scans.

Step 3 – Package Approval

If surgery is required :

• The hospital submits the PMJAY package request
• Approval and verification process is completed
  
  

Step 4 – Admission and Surgery

After approval :

• Patient admission
• Surgery or procedure
• Hospital stay
• Follow-up care

may be provided according to the treatment plan.

Documents Usually Required

Please keep these documents ready :

• Ayushman / PMJAY card
• Aadhaar card
• Ultrasound or CT scan reports
• Doctor prescriptions
• Previous treatment records if available

These documents help with eligibility verification and surgery approval.

How to Check PMJAY Hospitals?

Verification Steps

• Visit Ayushman Bharat Official Portal
• Open the “Find Hospital” section
• Select :
  • State
  • District
  • Specialty – Urology

Nearby PMJAY empanelled hospitals can be checked there.

Types of Stone Surgery Covered

Several types of stone removal procedures are covered, depending on the size, location, and type of stone. These include :

• Extracorporeal Shock Wave Lithotripsy (ESWL) : A non-invasive procedure using shock waves to break stones into smaller pieces that can pass through urine.
• Ureteroscopy (URS) : A minimally invasive procedure where a thin scope is passed through the urethra and bladder into the ureter to remove or break up stones using a laser.
• Percutaneous Nephrolithotomy (PCNL) : A minimally invasive surgical procedure for larger kidney stones, involving a small incision in the back to directly remove the stone.
  
  

How HexaHealth Can Assist

• Hospital Network : We can help you identify top hospitals in your area that are empanelled under the Ayushman Bharat scheme and have excellent urology departments for stone surgery.
• Expert Consultation : Connect you with experienced urologists and surgeons for an accurate diagnosis and treatment plan.
• Ayushman Bharat Support : Our team can guide you through the Ayushman Bharat eligibility check and assist with the necessary documentation and pre-authorization process for a seamless, cashless experience.
• Treatment Coordination : From booking appointments to arranging admissions and post-operative care, HexaHealth supports you at every step of your treatment journey.
  
  
  

We are here to help make your healthcare journey smooth and stress-free. Please feel free to reach out if you need further assistance.

Wishing you relief, comfort, and speedy recovery ahead.
Warm regards,
Team HexaHealth