Are pre-admission tests free under the Ayushman Bharat scheme?

Hello,

Yes, medical tests conducted before a day care admission are covered under Ayushman Bharat Yojana (PMJAY), provided they are medically necessary and part of the approved treatment package at a PMJAY-empanelled hospital.

What Is Covered Under Ayushman Bharat?

As per the PMJAY guidelines, the cashless treatment package includ e:

• Pre-hospitalization investigations conducted up to 3 days before admission, when they are related to the approved treatment package.

• Diagnostic and laboratory tests required before the day care procedure.

• Day care procedures that do not require 24-hour hospitalization (such as cataract surgery, dialysis, and other approved procedures).

• Medicines and consumables used during treatment.

• Hospital charges, nursing care, and other expenses included in the approved package.

• Post-hospitalization care, including medicines and follow-up diagnostic tests for up to 15 days after discharge, as covered under the approved PMJAY package.

Important Points

• The tests must be prescribed by the treating doctor and be related to the approved treatment package.

• The tests and treatment should be carried out at a PMJAY-empanelled hospital.

• The cost of eligible pre-admission tests is included in the approved PMJAY treatment package, so patients are not charged separately.

Documents Required

• Ayushman Bharat (PMJAY) Card

• Aadhaar Card

• Doctor's prescription

• Relevant medical records (if available)

How to Check Eligibility?

Online Verification

• Visit the PMJAY Hospital Finder.

• Select your State, District, and Hospital.

How HexaHealth Can Assist You

• Ayushman Bharat Guidance: We help you understand the PMJAY eligibility and treatment process.

• Hospital Network: We connect you with trusted PMJAY-empanelled partner hospitals.

• Treatment Coordination: We assist with hospital selection, documentation, and treatment planning for a seamless experience.

Please let us know which day care procedure or treatment you need and your city and state. We will help you understand the coverage and connect you with the best hospital based on your Ayushman Bharat (PMJAY) eligibility or health insurance.

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