Frequently Asked Question
Is cancer treated under PMJAY?
Last Updated 7 years ago
- Yes, however the type and duration of treatment is different for all cancers. Cancer care treatments need to undergo a whole treatment plan approval similar to a ‘tumour board concept’ on the best course of patient management.
- A clinical treatment approval process is mandated for cancer care, since it involves a multi-modal approach covering surgical, chemotherapy and radiation treatments and appropriate supportive care that could assess to determine the best course of patient management for such conditions.
- Pre-authorization is mandatory for all packages involving cancer treatment.
- There would be 2-step approach for Pre-auth
- Pre-auth for the complete course of treatment mentioning the various stages of treatment and the detailed Oncology Treatment Plan Approval form has to be filled, signed & uploaded (Annexure 1) as part of Pre-auth
- Pre-auth has to be sought at each pre-defined stage / selecting package