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Can Ayushman Bharat cover simple ovarian cyst surgery?

I
Indrajit Patil
Posted Under Women's Health, on 30 June 2025

I
Indrajit Patil
Posted Under Women's Health, on 30 June 2025

Description

Can we did simple ovarian cyst operation in aayushyaman bharat scheme?

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H
HexaHealth Team
Expert

Yes, simple ovarian cyst surgery is covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY). This scheme provides financial protection for various medical procedures, including gynecological surgeries.

Ovarian Cyst Surgery Coverage

Under PM-JAY, beneficiaries are entitled to cashless treatment up to ₹5 lakh per family per year. The scheme encompasses a wide range of medical procedures, including:

  • Ovarian cystectomy: Surgical removal of ovarian cysts.

  • Hysterectomy: Removal of the uterus, if medically necessary.

  • Other gynecological surgeries: As prescribed by medical professionals.

These procedures are part of the defined packages under the scheme, ensuring eligible beneficiaries receive necessary care.

Availing Treatment Under Ayushman Bharat

To utilize the benefits of PM-JAY for ovarian cyst surgery:

  1. Check Eligibility: Ensure you are an eligible beneficiary under the scheme. You can verify this on the PM-JAY Beneficiary Portal.

  2. Locate Empaneled Hospitals: Use the official hospital search portal to find empaneled hospitals in your area:
    https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew

  3. Consult with the Hospital: Visit the chosen empaneled hospital and consult with a gynecologist. They will assess your condition and determine the necessity of surgery.

  4. Pre-Authorization: If surgery is advised, the hospital will initiate a pre-authorization request under PM-JAY.

  5. Undergo Surgery: Once approved, you can proceed with the surgery, which will be cashless under the scheme.

If you need assistance in checking your eligibility, finding an empaneled hospital, or understanding the process further, feel free to ask.

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