Is Laparoscopic Hysterectomy for Uterine Fibroids Covered Under the Ayushman Bharat PM-JAY Scheme?

Hello,

Yes, laparoscopic hysterectomy (keyhole operation to remove the uterus) is covered under the Ayushman Bharat PM-JAY scheme

However, cashless treatment is subject to the hospital's active empanelment, availability of the applicable surgery package and approval from the Ayushman authorities. It is not automatically free at every hospital only at empanelled hospital and the hospital have approved package.

• Approved treatment package: Hysterectomy procedures is covered under the Obstetrics and Gynaecology speciality, subject to the applicable PM-JAY package and state scheme rules.
• Cashless treatment: Eligible beneficiaries can receive approved treatment without paying for covered services, within the available scheme limit of ₹5 lakh per family per year.
• What may be included: The approved package include hospital bed charges, operation theatre charges, surgeon and anaesthetist fees, medicines and surgical materials. Pre- and post-hospitalisation services are covered as per applicable package rules.
• Pre-authorisation approval: The hospital need to submit medical records, ultrasound reports and the doctor's recommendation to the scheme authorities for approval before the operation.

How to Check Ayushman empanelled hospital?

You can check whether your chosen hospital is registered under the Ayushman Bharat scheme by following these steps

1. Open the official PM-JAY Hospital Search Portal.
2. Select your State.
3. Select your District.
4. Choose Government or Private hospital, if this filter is available.
5. Select Obstetrics and Gynaecology speciality, if the option is available.
6. Search for the exact name of your hospital or check the hospital list for your district.
7. Enter the captcha and click on Search, if required.
8. Check whether the hospital has active PM-JAY empanelment.
9. Contact the hospital's Ayushman Mitra desk and confirm whether the laparoscopic hysterectomy package is available and whether pre-authorisation can be obtained for your case.

Which documents are required for Ayushman Card treatment?

• Patient's Ayushman Card.
• Aadhaar Card or another valid photo ID proof.
• Doctor's prescription and written advice for hysterectomy.
• Ultrasound reports showing uterine fibroids.
• Blood test reports and other medical investigation reports.
• Previous treatment records and medical history, if available.
• Current medicines list, if the patient is taking any medicines.
• Hospital admission papers and pre-authorisation documents, as required by the hospital.

Please share your city and state where you want to get the operation done. We can help you check the hospital's Ayushman empanelment details and guide you on what to confirm before admission.

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