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How Aarogyasri colorectal cancer packages work | CION Cancer Clinics

Aarogyasri pays a network hospital a fixed amount, called a package, for each listed treatment. For colon cancer that usually means separate approvals for the operation and for each block of chemotherapy, given cashless to eligible Telangana families once the trust signs off. This page explains how those approvals run, what tends to sit inside and outside a package, and what to check before you travel. At CION Cancer Clinics, we explain costs in writing and help families from across Telangana and Andhra Pradesh plan treatment in Hyderabad.

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Medically reviewed by Dr. Naresh GunduConsultant Medical Oncologist · MBBS, DNB (Internal Medicine), DM (Medical Oncology, AIIMS) · last reviewed October 2026, next review due October 2027
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The short answer

What is an Aarogyasri package, and how does it work for colon cancer?

An Aarogyasri package is a fixed amount the scheme pays a network hospital for one listed treatment. If your family is eligible in Telangana, the operation or chemotherapy your doctor plans can be given cashless at a network hospital once the trust approves it. You should not be billed for anything inside that package.

One treatment, one approval

Colon cancer care is not one package. It is a chain of them. The operation is one. Each block of chemotherapy is another. Follow-up linked to a package is a third. At every step the hospital sends your reports and the plan to the trust, and the trust approves it before treatment starts.

Why the word package matters

The amount is fixed by the trust, not by the hospital. It is meant to cover the stay, the procedure, routine medicines and the tests needed during that admission. That is why a hospital should not charge you extra for things the package already covers. It is also why a treatment that is not on the list becomes a separate conversation, and usually a separate bill.

The scheme pays the hospital directly. Your job is to keep the card, the reports and each approval in order.

Step by step

How does a colon cancer admission under Aarogyasri actually run?

Carry the card and every report

Bring the white ration card or Aarogyasri health card, the patient's Aadhaar, and every report so far: colonoscopy, biopsy and CT. Missing paper is a common reason an approval waits.

Register at the Aarogyamithra desk

Every network hospital has a scheme help desk run by an Aarogyamithra, who registers the patient and explains which package applies. Go there first, before the billing counter.

The doctors confirm the plan

The treating team confirms the diagnosis and writes the plan: which operation, or which chemotherapy and for how long. If the biopsy has not yet confirmed cancer, that comes first.

The hospital asks the trust for approval

The hospital uploads the reports and the plan. This is the pre-authorisation, and planned treatment starts after it is approved. In a genuine emergency, such as a blocked bowel, the hospital can ask for urgent approval.

Treatment, discharge and the next step

Keep the discharge summary and anything you sign. For chemotherapy, the next block of cycles may need a fresh approval, so ask the desk before each one.

Across the journey

Which packages does a colon cancer journey usually touch?

Most families meet three or four separate approvals. Knowing the order helps you keep the paperwork ready.

Reaching a diagnosis

Colonoscopy, biopsy and a staging CT come first. Whether these are covered depends on where they are done and whether they lead into a listed treatment, so ask the desk before paying for any test. The page on what diagnosis and staging cost gives the self-pay picture.

The operation

Removing the affected part of the colon, called a colectomy, is the main surgical package. An emergency operation for a blocked or torn bowel goes through a faster approval. The surgical side is covered in colectomy scheme and insurance cover.

Chemotherapy after surgery

Adjuvant chemotherapy means treatment after the operation to lower the chance of the cancer returning. Standard colon regimens are on the medical oncology list, and they are usually approved in blocks of cycles rather than all at once.

Keep ready for each block

  • The latest blood report
  • The previous discharge summary
  • The earlier approval papers

Advanced or returning disease

Chemotherapy for cancer that has spread is also on the list. Newer targeted drugs and immunotherapy are listed only for narrow situations or not at all, which is explained further in bevacizumab and insurance cover. Liver surgery for spread and HIPEC need checking before anyone plans around them.

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Indicative cost

What would these steps cost without the scheme?

These are 2026 Hyderabad self-pay estimates, not package amounts. They show what the scheme stands in for, and what you would face for anything outside it.

₹6,000 – ₹15,000

Colonoscopy and biopsy

The test that finds the tumour and the sample that confirms it.

₹5,000 – ₹12,000

Staging CT

Chest, abdomen and pelvis, to see whether the cancer has spread.

₹1,80,000 – ₹3,50,000

Laparoscopic colectomy

Keyhole removal of the right, left or sigmoid colon, at a partner hospital.

₹1,80,000 – ₹4,50,000

Adjuvant chemotherapy, full course

FOLFOX or CAPOX after surgery, when the tumour board advises it.

₹35,000 – ₹1,20,000

Targeted therapy, per cycle

Cetuximab or bevacizumab for spread disease, often the part a package does not reach.

Indicative only. These are not Aarogyasri package amounts, which the trust sets and revises and this page does not quote. Under an approved package the trust pays the hospital, so what you pay is usually very different. Call the helpline to check what may fall outside your cover.

Side by side

What usually sits inside a package, and what often does not?

Usually inside the package Often outside, or a separate approval
The operation, the hospital stay and routine medicines A costlier technique the package amount does not reflect, such as robotic surgery
Standard chemotherapy on a listed regimen Newer targeted drugs and immunotherapy
Tests needed during an approved admission Tests done privately before you registered
Follow-up linked to the package Travel, lodging and lost wages for the family
Care at a hospital empanelled for that specialty Care at a hospital outside the network for it

Being straight with you

What this page cannot tell you

It cannot tell you whether your family is eligible. That depends on your ration card and the trust's current records. It cannot give you a package amount or a package code either. The trust revises its list by government order, and the only reliable figure is the one on your approval.

Whether a hospital can book your step today

Empanelment is by specialty, and it changes. A hospital may be in the network for surgery but not for chemotherapy, or the other way round. Before you travel from a district, ask the Aarogyamithra desk, or call the CION helpline and ask whether the part of care you need can be booked under your card at a CION centre or a partner hospital.

Who this page is not for

Families in Andhra Pradesh use NTR Vaidya Seva, a separate scheme with its own rules. State and central government employees usually have their own health schemes. If the cancer is in the rectum rather than the colon, the packages include radiation and differ, so start with the rectal cancer hub.

If a package is refused, or a hospital asks you to pay inside one, ask for the reason in writing before you agree to anything.

Questions we are asked

Common questions about Aarogyasri and colon cancer

Does Aarogyasri cover colon cancer treatment?

Yes, for eligible Telangana families. The operation to remove the cancer and standard chemotherapy are on the scheme's list, and are given cashless at network hospitals once the trust approves the plan. Some newer medicines and some complex operations are not listed, so check before planning around them.

Who is eligible for Aarogyasri in Telangana?

Broadly, families holding a white ration card or a food security card whose names are in the trust's records. The Aarogyamithra desk checks this using the card and Aadhaar. If a family member's name is missing from the card, sort it out at the ration card office before an admission, not during one.

Is chemotherapy covered, or only surgery?

Both. Chemotherapy is approved separately from the operation, usually in blocks of cycles, and each block may need its own sign-off. Keep the approval papers and blood reports together, and ask the desk before every block whether a fresh approval is needed, so a cycle is not delayed.

What if the hospital asks me to pay during a package admission?

Ask what the charge is for and whether it sits inside the package, and ask for it in writing. Items inside an approved package should not be billed to you. If you are not satisfied, the Aarogyamithra can raise it, and the scheme has its own grievance helpline.

Are targeted therapy and immunotherapy covered?

Often not, or only in narrow situations. These medicines are mainly used when colon cancer has spread, and they cost far more per cycle than standard chemotherapy. Ask your oncologist whether a listed option exists, and ask the helpline about manufacturer patient-assistance programmes before you decide.

We live in Andhra Pradesh. Can we use Aarogyasri in Hyderabad?

Telangana's Aarogyasri is for Telangana families. Andhra Pradesh families are covered by NTR Vaidya Seva, which has its own network, and an Ayushman Bharat card can be used across states at empanelled hospitals. Check which card applies, and which Hyderabad hospitals accept it, before you travel.

Can I get a second opinion while being treated under the scheme?

Yes. Asking for one is reasonable and common. A consultation outside a package admission is usually paid separately. CION's oncologists give second opinions at every centre. Bring the biopsy, the scans and the proposed plan, and they will tell you whether the plan fits your stage.

What should we carry to the hospital?

The white ration card or health card, the patient's Aadhaar, a phone that can receive messages, and every report in date order: colonoscopy, biopsy, CT scans and any discharge summaries. A folder kept only for scheme papers saves time at every visit and every new approval.

What moves the figure

What affects the cost

Four things change the total more than anything else.

The technique used

A shaped or image-guided delivery costs more than a conventional one, and is chosen on clinical grounds rather than preference.

How many sessions

The total is driven by the number of sittings or cycles, not by a single per-visit figure.

Supporting tests

Scans, blood work and pathology done alongside treatment are billed separately.

Your cover

Aarogyasri, CGHS, ECHS, EHS or cashless insurance usually change the out-of-pocket figure substantially.

Paying for it

Insurance, schemes and payment

What you actually pay usually differs a great deal from the sticker figure.

AarogyasriEmpanelled. Bring the card and a referral where you have one.
CGHS / ECHS / EHSAccepted at CION centres for eligible treatment.
Cashless insuranceMost major insurers are empanelled. Pre-authorisation is handled by our desk.
Self-payItemised estimate given before treatment starts. No EMI scheme exists.

Accreditation and empanelment

  • NABH
  • NABL
  • ISO 9001:2015
  • ArogyaSri empanelled
  • CGHS accepted
  • ECHS accepted
  • EHS accepted
  • Major cashless insurers
Your Specialists

Meet CION's colon cancer specialists. Bring your colonoscopy, scan or biopsy report.

Our surgical and medical oncologists plan colon cancer care together: which operation, whether chemotherapy is needed, and the follow-up that comes after.

Dr. Naresh Gundu
Medical Oncologist

Dr. Naresh Gundu

MBBS, DNB (Internal Medicine), DM (Medical Oncology)

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Dr. C. Raghavendra Reddy
Medical Oncologist

Dr. C. Raghavendra Reddy

MBBS(Gold Medal), DNB(General Medicine), DM(Medical Oncology)(Gold Medal)

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Dr. Bharati Devi Gorantla
Medical Oncologist

Dr. Bharati Devi Gorantla

MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)

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Dr. Owais Mohammed
Medical Oncologist

Dr. Owais Mohammed

MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)

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Dr. T. Raghavender Reddy
Medical Oncologist

Dr. T. Raghavender Reddy

MBBS, DM (Medical Oncology), MD (Radiation Oncology)

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Dr. N. Kiranmayee
Medical Oncologist

Dr. N. Kiranmayee

MBBS, DM (Medical Oncology), MD (Internal Medicine)

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Dr. Muralidhar Muddusetty
Surgical Oncologist

Dr. Muralidhar Muddusetty

MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)

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Dr. Mohammed  Imaduddin
Surgical Oncologist

Dr. Mohammed Imaduddin

M.B.B.S, MS (General Surgery), M.Ch (Surgical Oncology)

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Want a specific doctor for your case? Mention them when booking.

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Where to find us

Our centres in and around Hyderabad

Addressed by landmark, because that is how this city navigates. One helpline books a consultation at any of these centres, and your team will tell you where each test and operation takes place.

CION Ameerpet

Beside Blue Fox Hotel, Satyam Theatre Road

Begumpet SR Nagar Punjagutta
CION Kukatpally

Opposite Big Bazaar, Mumbai Highway

KPHB JNTU Bharat Nagar
CION L.B. Nagar

Anu Arcade, next to L.B. Nagar Metro station

Vanasthalipuram Nagole Hayathnagar
CION Tolichowki

Inside Premier Hospital, Khader Bagh Road

Mehdipatnam Attapur Rethibowli
CION Masab Tank

Mahavir Hospital, AC Guards, Lakdikapul

Lakdikapul Khairatabad Basheer Bagh
CION Banjara Hills

Road No. 12

Jubilee Hills Madhapur Film Nagar
CION Kompally

Suchitra Circle, NH-44

Suchitra Circle Alwal Dundigal
CION Balanagar

Balanagar Main Road

Balanagar Fatehnagar Moosapet
CION Siddipet

Lohith Sai Hospital, Shivaji Nagar

Gajwel Husnabad Dubbaka
CION Sangareddy

X Roads, Pothreddipalle

Narayankhed Zaheerabad Patancheru

Sources

  1. National Cancer Institute — Managing Cancer Costs and Medical Information
  2. American Cancer Society — Colon Cancer Treatment, by Stage
  3. American Cancer Society — Colon Cancer Surgery
  4. American Cancer Society — Colorectal Cancer Chemotherapy

This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.

Talk to us

Not sure whether your card covers the next step?

Tell us where you are in treatment and which scheme card your family holds. We will tell you what we can about booking that step and what to ask the hospital desk. One helpline serves every CION centre.

Call 1800 202 8726

Speak to an oncologist

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Colon Cancer Topics

Browse CION’s colon cancer guide — symptoms and screening, tests and staging, treatment decisions, diet and daily life, cost and care in Hyderabad. Tap any topic to read more.

Symptoms and early signs

Colon cancer symptoms: the complete list, and what usually causes them Early signs of colon cancer, and what usually explains them Do I have colon cancer? How to think about your symptoms Blood in stool: what it usually means, and when to get it checked Bright red or dark blood in the stool: what the colour tells you Is blood in the stool always piles? Piles vs colon cancer: how doctors tell them apart Fissure, fistula or something else: the benign causes of bleeding Blood only on the toilet paper: what it usually means Blood mixed into the stool: what it usually means and what to do Black, tarry stools: what melena means and when to act Mucus in stool: what it usually means and when it matters Change in bowel habit: when is it a warning sign? New constipation in an adult: what causes it and when to worry Diarrhoea that will not settle: could it be colon cancer? Alternating constipation and diarrhoea: what it usually means Narrow or pencil-thin stools: what they usually mean Feeling you have not emptied fully: is it tenesmus, and is it serious? Abdominal pain and colon cancer: where is it felt, and when does it matter? Bloating and gas: when they point to the colon A lump you can feel in the abdomen: what it usually is Unexplained weight loss: when is colon cancer the reason? Tiredness and iron-deficiency anaemia: could the colon be the cause? Why low haemoglobin in a man needs investigating Nausea, vomiting and bowel obstruction: what the symptoms mean When bowel symptoms are an emergency, and when they can wait How long should you wait before seeing a doctor about bowel symptoms? Which doctor should you see for bowel symptoms? What will the doctor ask and examine for a bowel symptom? Does a normal examination rule out colon cancer? Colon cancer symptoms in young adults, and why they get missed Colon cancer symptoms with no bleeding at all Can colon cancer be silent, with no symptoms at all? Symptoms that can suggest colon cancer has spread A bowel symptom diary to take to your appointment

Causes and risk factors

What causes colon cancer, and why there is rarely one answer Colon cancer risk factors you can change, and what each one is worth Colon cancer risk factors you cannot change, and what to do about them Red meat and colon cancer: how much does it really raise the risk? Does processed meat raise your risk of colon cancer? Does a low-fibre diet cause colon cancer? Alcohol and colon cancer: how much does drinking raise the risk? Smoking and colon cancer: how the risk works and what stopping changes Obesity, belly fat and colon cancer: what the link really means Does sitting all day and not exercising raise colon cancer risk? Does type 2 diabetes raise your risk of colon cancer? Inflammatory bowel disease and colon cancer risk: what it really means Colonoscopy surveillance in long-standing colitis: how often, and why Previous polyps: what they mean for your future colon cancer risk A previous cancer and your risk of a second colon cancer Age and colon cancer: how your risk changes over a lifetime Is colon cancer hereditary, and what does it mean for your family? Family history of colon cancer: what it means for your risk Gut bacteria and colon cancer: what is known and what is not Does antibiotic use raise the risk of colon cancer? Radiation to the abdomen and the risk of bowel cancer later Does the Indian diet raise or lower colorectal cancer risk? Does spicy food cause colon cancer? Does constipation cause colon cancer, or is it a warning sign? Can piles turn into colon cancer, or raise your risk? Reducing your own colon cancer risk: what actually works Does aspirin prevent colon cancer, and should you take it? Do calcium and vitamin D really prevent colon cancer?

Screening

Colon cancer screening: who needs it, when, and how it is done Why screening works for colon cancer, and who it is for At what age should colon cancer screening start? Should colon cancer screening start at 45 or 50? Colon cancer screening tests compared: which one should you choose? FIT test explained: what the home stool test can and cannot tell you How to do a FIT stool test at home, step by step A positive FIT result: what happens next A negative FIT result: what it does not rule out FOBT vs FIT: how the two stool blood tests differ, and which to choose Stool DNA testing: what it finds and whether it suits you in India Screening colonoscopy: what happens, step by step How often should you have a screening colonoscopy? Sigmoidoscopy as a screening test: what it checks and what it misses CT colonography: what a virtual colonoscopy can and cannot do Colon capsule endoscopy: the camera pill, explained Can a blood test screen for colon cancer? Is a CEA blood test a screening test for colon cancer? Average-risk vs high-risk colon cancer screening: which pathway are you on? Screening when a parent or sibling had colon cancer: when to start Screening in Lynch syndrome and polyposis families Colon cancer screening with inflammatory bowel disease When should colon cancer screening stop? What does colon cancer screening cost in Hyderabad? Is colon cancer screening covered by insurance or Aarogyasri? Why so few Indians get screened for colon cancer Overcoming embarrassment about bowel screening and colonoscopy Colon cancer screening for women and men: what is different? Health check packages: do they include bowel screening? How to convince a parent to get screened for colon cancer

Treatment by stage

Colon cancer treatment options, explained stage by stage How your colon cancer treatment plan is decided Treatment for stage 1 colon cancer: what to expect Treatment for stage 2 colon cancer: surgery first, then a careful decision Treatment for stage 3 colon cancer: surgery, then chemotherapy Treatment for stage 4 colon cancer: how the plan is decided The tumour board: who decides your colon cancer treatment? Does surgery always come first for colon cancer? When is chemotherapy given before colon cancer surgery? Do you need chemotherapy after colon cancer surgery? The stage 2 dilemma: do you need chemotherapy after surgery? Three months or six months of chemotherapy after colon cancer surgery? How soon after colon cancer surgery should chemotherapy start? ctDNA testing after colon cancer surgery: can a blood test guide chemotherapy? Which chemotherapy regimen for which situation in colon cancer? When is targeted therapy added for colon cancer? Why does tumour side change the drug choice in colon cancer? When is immunotherapy an option for colon cancer? Is radiation ever used for colon cancer? Treatment when you are not fit for colon cancer surgery Colon cancer treatment in elderly patients: why age alone does not decide Colon cancer treatment alongside diabetes, heart or kidney disease Refusing or delaying colon cancer treatment: what happens How quickly does colon cancer treatment need to start? Clinical trials for colon cancer in India: how they work and how to find one Getting a second opinion on your colon cancer treatment plan Questions to ask before starting colon cancer treatment

Metastatic and advanced disease

Metastatic colon cancer: what it means and what can still be done Colon cancer that has spread to the liver: what it means When colon cancer in the liver is curable by surgery Who is eligible for liver surgery when colon cancer has spread? Conversion chemotherapy: shrinking liver spread so surgery becomes possible Ablation for colon cancer that has spread to the liver Colon cancer that has spread to the lungs: what it means and what can be done Peritoneal spread in colon cancer: what it means Colon cancer that has spread to the bones: what it means and what is done Colon cancer that has spread to the brain In what order is stage 4 colon cancer treated? First-line, second-line and third-line treatment for colon cancer When colon cancer treatment stops working: what comes next Maintenance treatment and chemotherapy breaks in stage 4 colon cancer Chemotherapy rechallenge in colon cancer: going back to a drug that worked Managing bowel obstruction in advanced colon cancer: the options and how to choose Fluid in the abdomen with colon cancer: what ascites means Liver failure and jaundice in advanced colon cancer How pain is controlled in advanced colon cancer Living well with stage 4 colon cancer: what it looks like day to day Deciding when to stop active treatment for colon cancer Palliative care alongside colon cancer treatment: what it is and when to ask Advance care planning in colon cancer: putting your wishes on record End of life with colon cancer: what to expect and how to help
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