Diseases Covered Under Ayushman Bharat Scheme (PMJAY)

Explore the comprehensive list of diseases covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) and understand how you can benefit from this scheme.
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3 min
10-March-2026

Ayushman Bharat, also known as the Pradhan Mantri Jan Arogya Yojana (PMJAY), is a pioneering initiative by the Government of India aimed at providing healthcare coverage to economically vulnerable families. Under this scheme, a wide range of diseases and medical conditions are covered, ensuring that beneficiaries have access to quality healthcare without financial hardship.

 

Know about the Ayushman card disease list

The Ayushman card or PMJAY card serves as an essential tool for beneficiaries to access healthcare services covered under the scheme. It contains details about the beneficiary and lists the diseases and treatments covered. The card ensures seamless access to treatment at empanelled hospitals without upfront payment, thereby easing the financial burden on beneficiaries during medical emergencies.

List of diseases covered by Ayushman Bharat (PMJAY)

Categories of diseases covered under Ayushman Bharat

 

The diseases covered under Ayushman Bharat include a broad range of medical conditions and treatments. These are generally grouped into several major categories based on the type of illness or medical specialty.


1. Cardiovascular diseases (Heart-Related Conditions)


  • Coronary artery disease (CAD)
  • Heart attack (myocardial infarction)
  • Congestive heart failure (CHF)
  • Complications caused by hypertension
  • Procedures such as angioplasty and bypass surgery

2. Cancer treatments


  • Chemotherapy and radiation therapy
  • Breast cancer
  • Cervical cancer
  • Oral cancer
  • Gastrointestinal cancers
  • Lung cancer

3. Neurological disorders


  • Stroke and paralysis
  • Brain tumours
  • Epilepsy treatment
  • Spinal disorders
  • Parkinson’s disease

4. Kidney and Urological diseases


  • Chronic kidney disease (CKD)
  • Partial coverage for kidney transplants
  • Dialysis procedures, including haemodialysis and peritoneal dialysis
  • Urinary tract infections (UTIs)
  • Prostate-related disorders

5. Liver and Gastrointestinal diseases


  • Liver cirrhosis
  • Hepatitis B and C
  • Gallbladder stones
  • Appendicitis surgery
  • Hernia repair procedures

6. Respiratory Diseases


  • Asthma treatment and management
  • Chronic obstructive pulmonary disease (COPD)
  • Tuberculosis (TB)
  • Pneumonia
  • Interstitial lung disease (ILD)

7. Orthopaedic Conditions


  • Hip and knee replacement surgeries
  • Bone fractures and injuries
  • Osteoporosis treatment
  • Rheumatoid arthritis

8. Obstetric and gynaecological conditions


  • Normal and caesarean deliveries
  • Hysterectomy (removal of the uterus)
  • Ovarian cyst surgery
  • Limited coverage for infertility treatments

9. Paediatric diseases (Children’s health)


  • Congenital heart defects
  • Childhood cancers
  • Conditions related to malnutrition
  • Neonatal care for newborns

10. Infectious diseases


  • Dengue and malaria
  • Selected services for HIV/AIDS treatment
  • Leprosy
  • Typhoid and cholera

11. Endocrine and metabolic disorders

 

  • Complications related to diabetes
  • Thyroid disorders
  • Pituitary gland conditions
  • Obesity-related treatments

12. Mental health disorders


  • Schizophrenia
  • Bipolar disorder
  • Treatment for severe depression
  • Psychiatric care and counselling services

These categories highlight the wide range of treatments and procedures available under the Ayushman Bharat scheme, aimed at providing accessible healthcare to eligible beneficiaries.

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How to check if a disease is covered under Ayushman Bharat

To determine if a specific disease or medical condition is covered under Ayushman Bharat PMJAY, beneficiaries can follow these steps:

  • Visit the PMJAY website: The official website provides comprehensive information about covered diseases and treatments.
  • Contact Ayushman Bharat centres: These centres offer assistance and guidance regarding covered diseases and the process of availing treatment.
  • Consult empanelled hospitals: Hospitals participating in the scheme have detailed information about covered diseases and can provide clarity on treatment options.
  • Check with insurers: Insurance companies associated with Ayushman Bharat can offer specific details regarding coverage and benefits.

Ayushman Bharat PMJAY exemplifies the Indian government's commitment to providing universal healthcare access and financial protection to its citizens, particularly those who are economically vulnerable. By covering a wide range of diseases and medical conditions, the health insurance scheme not only promotes health and well-being but also contributes to social and economic development by reducing the financial burden on families.
 


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Frequently asked questions

What types of diseases are covered under Ayushman Bharat (PMJAY)?
Ayushman Bharat (PMJAY) covers a wide range of diseases including cardiac conditions, cancer, neurosurgery, kidney transplants, burns, congenital disorders, maternal and pediatric care, orthopedic surgeries like hip replacements, and complex procedures like bone marrow transplants.
How can I check if my disease is covered under the PMJAY scheme?
To check if your disease is covered under PMJAY, visit the official PMJAY website, contact an Ayushman Bharat Centre, consult an empaneled hospital, or check with an associated insurer for detailed information on covered conditions and treatments.
Is MRI covered by Ayushman Card?

Yes, MRI scans may be covered under the Ayushman Card when they are medically required as part of diagnosis or treatment during hospitalisation. Under the PMJAY scheme, many diagnostic services, including advanced imaging tests, are included in treatment packages. However, coverage usually depends on the specific medical condition and the package available at empanelled hospitals.

Where can I download the list of diseases covered under Ayushman Bharat in PDF?

You can download the list of diseases covered under Ayushman Bharat in PDF format from the official PMJAY or Ayushman Bharat website. The portal provides detailed documents that include treatment packages, procedures, and conditions covered under the scheme. These PDFs help beneficiaries understand the range of treatments and healthcare services available under the programme.

What types of diseases are covered under the Ayushman Card?

The Ayushman Card covers a wide range of diseases across several medical specialties. These include heart diseases, cancer treatments, kidney disorders, neurological conditions, respiratory illnesses, and orthopaedic procedures. It also covers maternity care, paediatric conditions, infectious diseases, and certain surgical treatments, ensuring comprehensive hospitalisation coverage for eligible beneficiaries.

Does Ayushman Bharat cover pre-existing diseases?

Yes, Ayushman Bharat generally covers pre-existing diseases from the very beginning of the policy for eligible beneficiaries. This means individuals can receive treatment for previously diagnosed conditions without a waiting period under the scheme. However, coverage applies only to treatments included in the PMJAY package list and provided at empanelled hospitals.

What is included in the PMJAY disease list?

The PMJAY disease list includes a large number of medical conditions and treatment packages covered under the Ayushman Bharat scheme. It typically includes surgeries, hospitalisation procedures, diagnostic services, and post-treatment care for various diseases such as cardiac disorders, cancers, kidney diseases, and orthopaedic conditions.

What surgeries are covered under PMJAY?

PMJAY covers several surgical procedures across different medical fields. These may include heart surgeries like angioplasty and bypass, cancer surgeries, kidney-related procedures, orthopaedic surgeries such as joint replacements, and gynaecological operations. Coverage depends on the treatment packages defined under the scheme and the services provided by empanelled hospitals.

What are benefits of Ayushman Bharat Scheme for disease treatment

The Ayushman Bharat scheme provides financial protection by covering hospitalisation expenses for eligible families. It helps beneficiaries access quality treatment for serious illnesses without worrying about high medical costs. The scheme offers cashless treatment at empanelled hospitals, includes a wide range of diseases and surgeries, and ensures better healthcare accessibility for economically vulnerable populations.

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