Ayushman Bharat (PM-JAY) Angioplasty, Bypass and Dialysis Package Rates

PM-JAY covers cardiac procedures and dialysis as defined Health Benefit Packages. Procedure rates are stratified by city tier, and coronary stents are reimbursed as a separate capped allowance.

PM-JAY Cardiac and Dialysis Packages (HBP 2022)

• PTCA (angioplasty incl. diagnostic angiogram), Tier-3 to Tier-1 — Rs 50,800 - 60,900
• Drug-eluting stent allowance (per stent, separate) — Rs 34,128 + GST
• Bare-metal stent allowance (per stent, separate) — Rs 9,373 + GST
• CABG (bypass), Tier-3 to Tier-1 — Rs 1,62,400 - 1,94,900
• Haemodialysis (per session), Tier-3 / Tier-2 / Tier-1 — Rs 1,500 / 1,800 / 1,800

Rates shown are as per the Ayushman Bharat PM-JAY Health Benefit Package (HBP) 2022 master, National Health Authority (2022) and are subject to periodic revision. Always verify the latest approved rates on the official source.

How Ayushman Bharat (PM-JAY) Works

Ayushman Bharat PM-JAY provides health cover of Rs 5,00,000 per family per year for secondary and tertiary hospitalisation on a family-floater basis, with no cap on family size, age or gender and pre-existing conditions covered from day one.

Eligible families are identified from the SECC 2011 deprivation and occupational criteria. Treatment is cashless and paperless at empanelled public and private hospitals and is portable across India.

Payment is made against fixed Health Benefit Packages. HBP 2022 introduced tiered pricing by city tier (Tier-1/X, Tier-2/Y, Tier-3/Z), with implants such as stents and joint prostheses reimbursed as separately mapped add-on amounts.

Frequently Asked Questions

Does Ayushman Bharat cover angioplasty and stents?

Yes. The angioplasty procedure has a defined package rate and the stent is reimbursed separately at a capped allowance (about Rs 34,128 + GST per drug-eluting stent).

Is dialysis covered under PM-JAY?

Yes, haemodialysis is covered per session (about Rs 1,500-1,800 depending on city tier) for eligible beneficiaries at empanelled hospitals.

Related

• CGHS angioplasty rate list
• CGHS CABG (bypass) rate list
• What is coronary artery disease?

Medical Disclaimer

The information provided in this article is for general informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.

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• Ayushman Bharat (PM-JAY) Knee Replacement Package Rate
• Ayushman Bharat (PM-JAY) Cataract Surgery Package Rate
• Dialysis Cost: CGHS vs Ayushman vs Private (Per Session)