Is Liver Screening or a Full Body Health Checkup Available at an Empanelled Hospital?

Dear S Dhamotharan ji,

Routine, preventive health check-up packages, such as a general full-body check-up or a routine liver check-up, are generally not covered under the Ayushman Bharat PM-JAY scheme. The scheme mainly covers eligible hospitalisation treatments under approved packages at empanelled hospitals.

The Ayushman Bharat card generally does not cover routine OPD check-ups or preventive screening packages. However, if you have symptoms or a medical condition that requires hospital admission, the doctor may recommend diagnostic tests as part of an eligible treatment package. Coverage depends on the applicable package, your eligibility, and the hospital's approval.

How PM-JAY Coverage Applies

• Routine Preventive Check-Ups: If you visit a hospital for a voluntary, routine screening without requiring covered hospital treatment, you will generally need to pay for the check-up yourself.
• Liver Tests for a Medical Condition: If you have symptoms such as jaundice, abdominal pain, or suspected liver disease, a doctor may recommend tests such as a Liver Function Test (LFT), ultrasound, or CT scan. These tests are covered when they are part of an eligible hospitalisation package and meet the scheme's requirements.
• Pre- and Post-Hospitalisation Diagnostics: Certain related diagnostic tests and medicines before admission and after discharge are covered according to the applicable package and scheme rules. The hospital's Ayushman Mitra can explain the applicable conditions.

Liver Check-Up vs. Full Body Check-Up

Note: The tests included in each package can vary. A full-body check-up may already include an LFT, so check the test list before paying for a separate liver check-up.

How to Check Ayushman empanelled hospital?

1. Open the official Ayushman Bharat Hospital Search Portal.
2. Select your state.
3. Select your district.
4. View the overall list of Ayushman-empanelled hospitals in your district.
5. Select Government or Private hospital, if the option is available.
6. Select the relevant specialty, if required and available.
7. Enter the hospital name if you want to check a particular hospital.
8. Enter the captcha, if shown, and click on Search.
9. Check the hospital's current empanelment status.
10. Contact the hospital's Ayushman Mitra/help desk to ask whether your specific medical condition and required tests are covered under an applicable package.

Which Documents Should You Carry?

• Ayushman Bharat card or beneficiary details, if available.
• Aadhaar card or another accepted government photo ID.
• Ration card or family ID, if required.
• Doctor's prescription or referral, if available.
• Previous liver function test reports, ultrasound reports, or other medical records, if available.
• Current medicines and previous hospital discharge summaries, if applicable.

What Should You Do Next?

If you want a routine health check-up, ask the hospital about its paid liver and full-body check-up packages. If you have symptoms or a diagnosed medical condition, consult a doctor to determine which tests you need and whether they may be covered under an eligible PM-JAY treatment package.

Please share the exact name and city of the empanelled hospital you plan to visit. Also, let us know whether you need a routine check-up or have specific symptoms, such as weakness, yellowing of the eyes, or abdominal pain.

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