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Mohan FoundationKidney care guidance · Chennai

Ayushman Bharat and Tamil Nadu Schemes for Kidney Care

Government schemes can substantially reduce the cost of kidney care. Ayushman Bharat (PM-JAY) provides up to ₹5 lakh per family per year for hospitalisation, including dialysis and kidney transplant, for eligible households at empanelled hospitals. Tamil Nadu adds its own support through state schemes and the TRANSTAN framework for transplant coordination. Eligibility varies by scheme and by income category, so the practical step is to ask a hospital's scheme-help desk to verify your eligibility rather than assuming you do or do not qualify.

Ayushman Bharat (PM-JAY)

PM-JAY is a national scheme offering cashless cover of up to ₹5 lakh per family per year at empanelled hospitals. It covers dialysis sessions and kidney transplant for eligible families. A common gap to plan for is that outpatient anti-rejection medicines after transplant are generally not covered.

Tamil Nadu support

Tamil Nadu administers transplantation through TRANSTAN, which maintains the waiting list and coordinates allocation for deceased-donor kidneys. State-level schemes supplement Ayushman Bharat for some groups. Confirm current entitlements with your hospital, since scheme details change periodically.

How to check eligibility

  1. Visit a PM-JAY empanelled hospital and ask for the Ayushman help desk.
  2. Carry Aadhaar and any existing scheme card.
  3. Ask specifically whether dialysis and transplant are covered for your case, and what is excluded.
  4. Ask about lifelong medicine costs after transplant, which are a separate and often uncovered expense.

Common questions

Does Ayushman Bharat cover kidney transplant?

Yes, for eligible families at empanelled hospitals, up to ₹5 lakh per family per year. Post-transplant outpatient medicines are a common exclusion.

How do I find out if I qualify?

Check the PM-JAY portal or app, or ask at the Ayushman help desk of any empanelled hospital with your Aadhaar.

Sources

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