Does the PM Medical Scheme Cover Uterus Removal Surgery (Hysterectomy)?

Hello,

Yes, uterus removal surgery (Hysterectomy) is covered under Ayushman Bharat Yojana (PMJAY). You can avail cashless hysterectomy surgery at a PMJAY-empanelled hospital after beneficiary verification and treatment package approval.

When Is a Hysterectomy Needed?

A gynaecologist recommend uterus removal surgery for conditions such as :

• Large or multiple uterine fibroids.

• Heavy or prolonged menstrual bleeding that does not improve with medicines.

• Uterine prolapse (the uterus slips downward).

• Adenomyosis.

• Endometriosis causing severe pain.

• Chronic pelvic pain due to uterine disease.

• Precancerous changes or cancer of the uterus, cervix, or ovaries (when clinically indicated). 

Types of Hysterectomy Covered

Depending on your medical condition, the gynaecologist advise :

• Abdominal Hysterectomy – The uterus is removed through an incision in the abdomen.

• Vaginal Hysterectomy – The uterus is removed through the vagina without an abdominal incision.

• Laparoscopic Hysterectomy – A minimally invasive procedure performed using small incisions and a camera-assisted technique.

• Radical Hysterectomy – Performed in selected cancer cases when more extensive surgery is required. 

What Is Covered Under Ayushman Bharat for Hysterectomy?

As per the approved PMJAY package, coverage include :

• Gynaecologist consultation

• Pre-operative evaluation and diagnostic investigations

• Hysterectomy (uterus removal surgery) when medically advised

• Open or laparoscopic hysterectomy (as medically advised and covered under the approved PMJAY package)

• Operation theatre charges

• Surgeon and anaesthetist charges

• Medicines and consumables during hospitalization

• Hospital stay

• Nursing care

• Post-operative follow-up care

Documents Required

• Ayushman Bharat (PMJAY) Card

• Aadhaar Card

• Doctor's prescription

• Ultrasound, biopsy reports, or other relevant medical reports (if available)

• Previous medical records (if available)

How to Check Whether Hysterectomy Is Available Under PMJAY?

Online Verification

• Visit the PMJAY Hospital Finder.

• Select your:

  • State

  • District

  • Specialty: Obstetrics & Gynaecology

• Click Search to view PMJAY-empanelled hospitals.

How Can HexaHealth Help?

At HexaHealth, we can help you throughout your treatment journey by :

• Checking your Ayushman Bharat (PM-JAY) eligibility.

• Finding the nearest PM-JAY empanelled hospital for hysterectomy.

• Connecting you with experienced gynaecologists.

• Assisting with appointment booking and hospital coordination.

• Guiding you through the cashless approval process and required documentation.

If you tell us your city or state, we can help you find the nearest empanelled hospital where uterus removal surgery is available under the PM-JAY scheme.

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