What is covered for hysterectomy under PM-JAY scheme?

Hello,

Yes, uterus removal surgery, also called hysterectomy, is covered under the Ayushman Bharat PM-JAY scheme

The PM-JAY package list includes hysterectomy under Obstetrics & Gynaecology. The exact type of operation depends on the patient's medical condition and the doctor's advice.

It may be advised for conditions such as certain problems with the uterus, fibroids, abnormal bleeding or other medically necessary conditions. The doctor will decide whether hysterectomy is required.

How to check a hospital for Ayushman treatment?

Follow these steps :

1. Open the official PM-JAY Hospital Search portal.

2. Select your State.

3. Select your District.

4. First check the overall list of PM-JAY empanelled hospitals in that district.

5. Select Government or Private hospital, as applicable.

6. Select the relevant specialty, usually Obstetrics & Gynaecology.

7. Search the exact hospital name.

8. Enter the captcha if it is shown.

9. Click on Search and check whether the hospital's PM-JAY empanelment is active and whether the required hysterectomy package is available.

10. Before admission, visit the hospital's Ayushman/PM-JAY desk and show the doctor's advice and medical reports. Ask them to confirm the exact package, cashless eligibility and whether pre-authorisation is required.

What documents should be carried?

• Ayushman Card

• Aadhaar Card or another valid government ID

• Doctor's prescription and treatment advice

• Ultrasound or other scan reports

• Blood test reports

• Previous prescriptions and medical records

• Previous admission or discharge papers

• Any referral or authorisation document, if required

The hospital's Arogya Mitra/Ayushman desk helps with beneficiary registration, admission and the claim process.

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