Is Surgery for Tubular Adenomas With Low-Grade Dysplasia Covered Under the Ayushman Card at ILBS Hospital, Delhi?

Hello,

Your colonoscopy and biopsy report from Christian Medical College (CMC), Vellore, dated 04/12/2025, shows tubular adenomas with low-grade dysplasia, with no high-grade dysplasia or invasive cancer reported. This is reassuring, but you should consult a gastroenterologist or colorectal surgeon to decide whether further removal or treatment is needed.

ILBS is not empanelled under Ayushman Bharat PM-JAY for this treatment, so you should not expect cashless treatment under your Ayushman Card there.

You can check the official hospital list to find an empanelled hospital that offers the required treatment.

How to Check Ayushman empanelled hospital?

1. Open the official PM-JAY hospital search portal.
2. Select your state, such as Delhi.
3. Select your district.
4. First check the overall list of PM-JAY empanelled hospitals in your district.
5. Select Government or Private under hospital type, as applicable.
6. Choose the relevant speciality, such as Gastroenterology or Surgical Gastroenterology, if available.
7. Enter the name of a hospital you want to check.
8. Enter the captcha if shown and click Search.
9. Contact the hospital's Ayushman help desk to confirm that its empanelment is active and that your required procedure is covered under an approved package.

Which documents should you carry?

• Ayushman Card, if available.
• Aadhaar card or another accepted identity document.
• Colonoscopy report from CMC Vellore dated 04/12/2025.
• Biopsy or histopathology report showing tubular adenoma with low-grade dysplasia.
• Previous prescriptions and doctor's advice.
• Any other scan, blood test or medical reports related to your condition.

A tubular adenoma with low-grade dysplasia does not automatically mean that major surgery is required. The next step depends on whether the polyp was completely removed, its size and number, and the doctor's assessment. Do not delay your specialist follow-up while checking insurance coverage.

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