Ayushman Bharat Yojana | Registration | Card Download | Hospital List | CSC | AB PMJAY Scheme

This article is about to know how to check Ayushman Bharat pradhan mantri jan arogya yojana Eligibility Criteria and all about this scheme. AB-PMJAY short form of Ayushman Bharat Yojana is a program which aims to provide a service to create a healthy, capable and content new India. Presently it is running as a pilot project in Uttar Pradesh from 4 September 2018.

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What is Ayushman Bharat Yojana or PMJAY Scheme?

The primary aim of PMJAY scheme is to provide health coverage to approximately 50 crore citizens of India. Moreover, Ayushman Bharat Scheme offers beneficiaries with an average coverage amount of Rs. 5 Lakh. This covers a majority of diagnostics, medicines, pre-hospitalization costs, and medical treatment expenses.

In addition to this, the cashless, as well as paperless services, work in the favor of the nominees at any given point of time in their lives. PMJAY Scheme makes quality healthcare accessible to the poorest of poor families in India. Hence, the benefits offered by this ayushman bharat yojna health plan are massive.

How to do Ayushman Bharat Registration ?

One can follow below steps for Ayushman Bharat Registration Online.

  • Generate a patient verification card for your beneficiaries. For card generation, the patient is directed to the PMJAY kiosk.
  • Inform yourselves about all the valid charges and payments associated with the PMJAY Scheme.
  • Confirm any prevailing sickness or diseases from the provided doctors.
  • Obtain a medical treatment or a prescription of medication from the doctors in the case of any severity. If hospitalization is recommended, avail medical facility from Empanelled Healthcare Providers (EHCP) or Public Hospitals.
  • After the completion of treatments, receive a discharge certificate/bills/invoices from the hospital.

Submission of essential documents plays a vital role. Providing all the necessary paperwork quickens the procedure. Here’s a closer look at all the required documents for availing the Ayushman Bharat Yojana.

What Documents Are Required for Ayushman Bharat Registration

  • Age proof
  • A valid age proof is required to opt for the Ayushman Bharat Yojana.
  • Identification
  • Provide your identification proof like PAN card or Aadhar Card.
  • Contact

Submit your current contact details like your mobile number, email ID, residential address. Contact details should be mentioned accurately as it is the sole source of contacting the policyholder.

Required Certificates

One must submit two different certificates while opting for the Ayushman Bharat Yojana. The required certificates are as follows:

  • Income certificate
  • Caste certificate
  • Family Structure

During the Ayushman Bharat registration and application process, one must specify their family structure. For instance, an individual must mention whether he lives in a nuclear family or a joint family.How to Apply for Ayushman Bharat Yojana?

How to Apply for Ayushman Bharat Yojana?

Follow these steps to apply for Ayushman Bharat Yojana-

  • Visit the empanelled hospital and look for Ayushman Mitras who will assist you in admission
  • They will confirm whether you are eligible under the PMJAY scheme
  • Next, they will authenticate your identity (either through Aadhaar card or ration card)
  • The hospital that you are seeking treatment in will check the balance
  • You will be requested to submit necessary evidence for the treatment
  • The claim will be settled post hospitalization, after you submit discharge summary and post treatment evidence

Once the eligibility is confirmed, the beneficiary is directed to the PMJAY Kiosk where the Pradhan Mantri Arogya Mitra (PMAM) will verify the beneficiary’s identity and eligibility using the Beneficiary Identification System (BIS). Once this is cleared, the beneficiaries are issued an e-card.

How to Download Ayushman Bharat Card ?

The PMJAY beneficiaries can avail cashless healthcare services at any of the empanelled hospitals by simply using the Ayushman Bharat Yojana card. The beneficiaries are issued a card at the time of registration. This card contains all your necessary information and is mandatory to provide it when availing the treatments under the scheme.

To get the Ayushman Bharat Card Download, follow the below steps:

  1. Visit the official PMJAY website
  2. Do Ayushman bharat login with your registered contact number
  3. Enter the captcha code and generate the OTP (One-Time-Password)
  4. Opt for the HHD code
  5. Provide the correct HHD code to the Common Service Centre (CSC)
  6. They will check and verify the details provided
  7. The CSC representative (also known as Ayushman Mitra) will complete the remaining process
  8. You will have to pay INR 30 to get the Ayushman Bharat Yojana Card

Which are Ayushman Bharat CSC ?

There are so many Common Service Center for this scheme. The ayushman bharat CSC are the same, you used to visit for other services. You can get yourself registered at any CSC near you.

Ayushman Bharat Hospital List

These are the hospital where you can get benefits of Pradhan Mantri Jan Arogya Ayushman Bharat Scheme. The complete Ayushman Bharat Hospital List can be checked on official website. Since the implementation of the Ayushman Bharat Yojana scheme, a whopping number of hospitals have been empaneled.

Current estimates say that over 15,000 hospitals are currently part of this scheme. 50% of the empaneled hospitals are estimated to be private hospitals. The complete list of hospitals can be found on the government’s official PMJAY website. Here’s how you can find a hospital in your jurisdiction.

Step 1: Visit the following link https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew

Step 2: Select your state and your district

Step 3: Select the type of hospital you’re looking for (public, private and for profit, private and not for profit)

Step 4: Select the medical specialty you need. For example, general, pediatric, neurosurgery, cancer, gynecology, etc.

Step 5: A captcha will appear. Type it in the box below.

Step 6: Click on search.

Ayushman Bharat States List

We have given list of all states with other important data. Note: Data updated as on 13-07-2020

State/UT NameName of Scheme in the State/UTName of the State Health Agency Mode of ImplementationDate of Roll-OutName of Insurance CompanyName of ISA/TPAInsurance Premium DiscoveredTotal Number of  HouseholdsSource of Data for ‘Total Number of Households’Number of Eligible Families under PM-JAY Non PM-JAY Families (Covered under the State Scheme beyond 5 Lakhs)Number of Hospitals Empaneled (NABH Accredited)Health Benefit Packages 1.0Health Benefit Packages 2.0
As per SECC/RSBY databaseAdditional Families (Covered by State upto 5 Lakh)TotalPublicPrivateTotalTotal PackagesReserved for Public HospitalsTotal PackagesReserved for Public Hospitals
Andaman and Nicobar IslandsAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY);
Andaman and Nicobar Islands Scheme for health Insurance (ANISHI)
State Health Agency, Andaman and Nicobar IslandsTrust23/9/2018 Good Health TPA Services Ltd. 92,717SECC 201121,398 21,39856,3223(0)0(0)3(0)1,39319  
Andhra PradeshAyushman Bharat-Dr. YSR Arogyasri Healthcare SchemeDr. YSR Arogyashri Healthcare Trust (Dr YSRAHCT)Trust01/01/2019   1,63,06,552Current Civil Supplies Department54,67,51588,76,2851,43,43,800 253(9)928(39)1,181(48)1,864133  
Arunachal PradeshAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY);
Chief Minister Arogya Arunachal Yojna
Chief Minister’s Arogya Arunachal SocietyTrust23/9/2018 MD India Healthcare Service (TPA) Pvt. Ltd. 2,60,217SECC 201188,6111,82,0002,60,217* 20(0)1(0)21(0)1,39419  
AssamAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY);
Atal Amrit Abhiyan
Atal Amrit Abhiyan SocietyTrust23/9/2018 Family Health Plan Insurance TPA Limited 64,27,614SECC 201126,96,996 26,96,99633,26,531211(0)182(12)393(12)1,39319  
BiharAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)Bihar Swasthaya Suraksha SamitiTrust23/9/2018 Med Save Health Insurance TPA Ltd. 2,00,74,242SECC 20111,08,11,015 1,08,11,015 607(1)264(5)871(6)1,39319  
ChandigarhAyushman Bharat
Pradhan Mantri Jan Arogya Yojana (PM-JAY)
State Health Agency, ChandigarhTrust23/9/2018 Good Health TPA Services Ltd. 3,00,000Census Department of UT, Statistical Department69,282 69,282 8(0)14(3)22(3)  87230
ChhattisgarhAyushman Bharat PM-JAY Dr. Khubchand Baghel Swasthya Bima YojanaState Health AgencyTrust15/9/2018 MediAssist – Claim Processing MD India – Medical Audit Vidal Health TPA – Medical Audit 65,20,725Food, Civil Supplies & Consumer Protection Department (As on 05-03-2020)36,50,47519,20,55555,71,0308,71,143714(5)348(10)1062(15)1,730191  
DNH and DDAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)State Health Agency, Dadra and Nagar Haveli and Daman and DiuInsurance23/9/2018The Oriental Insurance Company Ltd.Health India Insurance TPA Service Pvt. Ltd.Rs. 1712.13 Per SECC Beneficiary Family1,82,586General Survey RGI (Registrar General of India) – 201942,80535,60878,413 7(0)0(0)7(0)1,4093  
GoaAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) Deen Dayal Swasthaya Seva YojanaState Health Agency, GoaTrust23/9/2018 MD India Healthcare Service (TPA) Pvt. Ltd. 2,62,459AB PM-JAY and DDSSY families36,43136,4312,25,48512(0)13(7)25(7)1,6341,064  
GujaratAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY); Mukhyamantri Amrutam & Mukhyamantri Vatsalya Gujarat State Health Protection SocietyHybrid23/9/2018The Oriental Insurance Company Ltd.MD India Healthcare Service (TPA) Pvt. Ltd.Rs. 361 Per Family1,22,48,428Census 201143,83,94832,04,58975,88,537 1837(2)870(49)2707(51)1,912561  
HaryanaAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY); Haryana Health Protection MissionHaryana Health Protection  AuthorityTrust15/8/201846,30,959SECC 201115,46,003 15,46,003 168(1)371(115)539(116)1,394146  
Himachal PradeshAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)Himachal Pradesh Swasthya Bima Yojana SocietyTrust23/9/2018 Med Save Health Insurance TPA Ltd. 14,83,280Statistical Outline Report of HP 2017-20184,78,985 4,78,9855,50,000152(5)62(1)214(7)  87221
Jammu And KashmirAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)State Health Agency Jammu and KashmirInsurance01/12/2018Bajaj Allianz General Insurance Company LimitedMD India Healthcare Service (TPA) Pvt. Ltd.Rs. 720 Per SECC Beneficiary Family20,94,081SECC 20115,97,801 5,97,801 197(1)34(1)231(2)  87221
JharkhandAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) Mukhyamantri Swasthya Bima Yojana(MSBY)Jharkhand State Arogya SocietyHybrid23/9/2018National Insurance CompanyMD India, Medi Assist and Safe wayRs. 900 Per Family57,10,933PDS database27,79,86729,05,18056,85,047 200(1)482(6)682(7)1,39319  
KarnatakaAB-ArK (Ayushman Bharat-Arogya Karnataka)Suvarna Arogya Suraksha Trust (SAST)Trust31/10/2018   1,73,86,486Census 201161,83,50252,90,9271,14,74,429 2876(3)533(20)3409(23)1,650443  
KeralaPradhan Mantri Jan Arogya Yojana – Karunya Arogya Suraksha Paddhati (PMJAY-KASP)State Health Agency, KeralaTrust01/04/2019 Health India TPA 87,06,546Current Civil Supplies Department21,49,01919,40,39340,89,412 188(19)218(37)406(56)  1635421
LadakhAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)State Health Society (NHM)Insurance01/12/2018Bajaj Allianz General Insurance Company LimitedMD India Healthcare Service (TPA) Pvt. Ltd.Rs. 720 Per SECC Beneficiary Family39,615SECC 201110,924 10,924 9(0)0(0)9(0)  87221
LakshadweepAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)State Health Agency, LakshadweepTrust  Good Health Insurance TPA services Ltd. 17,908Ministry of Food & Civil Supplies 20191,465 1,46511,7841(0)0(0)1(0)1,39330  
Madhya PradeshAyushman Bharat-Madhya Pradesh ‘Niramayam’ YojanaDeen Dayal Swasthya Suraksha ParishadTrust23/9/2018 Vidal Health Insurance TPA Pvt. Ltd. 1,47,23,864SECC 201183,57,25733,18,2181,16,75,475 422(13)157(147)579(160)1,631875 
MaharashtraAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY); Mahatma Jyotiba Phule Jan Arogya Yojana (MPJAY)State Health Assurance AgencyHybrid23/9/2018United India Insurance Company LimitedMD India, Medi Assist and Paramount Health Services and Insurance TPA Pvt. Ltd.Rs. 797 Per Family2,69,36,170Census 201182,57,913 82,57,9131,39,17,739159(0)651(54)810(54)1,913460  
ManipurAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)State Health Agency (SHA), ManipurTrust23/9/2018 Medi Assist India TPA Pvt. Ltd. 5,78,939SECC 20112,73,2502,73,25060,00050(0)8(1)58(1)2,73437212,214
MeghalayaMegha Health Insurance Scheme (MHIS) Pradhan Mantri Jan Arogya Yojana (PM-JAY)State Nodal Agency MeghalayaInsurance23/9/2018Reliance General Insurance Company Ltd.Paramount Health Services & Insurance TPA Pvt. Ltd.Rs. 1630 SECC Per Family5,54,131SECC 20113,47,0134,41,243554,131* 163(0)16(3)179(3)2,886  
MizoramAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)Mizoram State Health Care SocietyTrust23/9/2018 Medi Assist India TPA Pvt. Ltd. 2,26,147SECC 20111,94,859 1,94,859 88(0)13(0)101(0)1,61146  
NagalandAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)SHA (AB-PMJAY), NagalandInsurance23/9/2018The Oriental Insurance Company Ltd.Raksha TPA Pvt. Ltd.Rs. 669.53 per SECC Family3,79,164SECC 20112,33,328 2,33,328 84(0)17(1)101(1)  87221
PuducherryAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)State Health Agency, PuducherryInsurance23/9/2018Star Health and Allied InsuranceStar Health and Allied InsuranceRs. 432 per SECC Beneficiary Family2,79,857SECC 20111,03,434 1,03,43474,62112(0)12(8)24(8)1,39330  
PunjabAyushman Bharat Sarbat Sehat Bima YojanaState Health Agency PunjabInsurance20/8/2019IFFKO TokyoFamily Health Plan Insurance TPA Limited & Vidal Health Insurance TPA Services LimitedRs. 597 Per Family55,13,071SECC 2011, NFSA, Traders, J Farmers, BOCW, Journalist.14,76,92430,98,87345,75,797 241 (1)527 (133)768(134)1,392115  
RajasthanAyushman Bharat-Mahatma Gandhi Rajasthan Swasthya Bima YojanaRajasthan State Health Assurance Agency Trust01/09/2019 Health India Insurance TPA Services Pvt. Lmt. 1,80,70,963Census 201158,95,36350,28,5041,09,23,867 596(0)1498(25)2094(25)2,07734  
SikkimAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)State Health Agency ,SikkimTrust23/9/2018 Good Health Insurance TPA services Ltd. 1,20,014SECC 201139,738 39,738 11(0)1(0)12(0)1,3931921872
Tamil NaduPradhan Mantri Jan Arogya Yojana-Chief Minister’s Comprehensive Health Insurance Scheme (PMJAY-CMCHIS)Tamil Nadu Health System Project (TNHSP)Hybrid23/9/2018United India Insurance Ltd.MD India, Medi Assist and Vidal Health TPA Ltd.Rs. 699 Per Family2,06,53,494Civil Supplies Corporation74,89,38169,29,0721,44,18,453 1220(0)1112(28)2332(28)3,707681  
TripuraAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)State Health Agency TripuraTrust23/9/2018 Heritage Health Insurance TPA Pvt. Ltd. 8,75,621SECC 20114,79,371 4,79,371 102(0)2(0)104(0)  87221
Uttar PradeshAyushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) and Mukhiya Mantri Jan Arogya Abhiyan (MMJAA)State Agency for Comprehensive Health and Integrated Services (SACHIS)Trust23/9/2018 Health India Ltd., Heritage Health Ltd., MD India and Vidal health India Ltd. 3,24,75,784SECC 20111,16,84,4538,43,8761,25,28,3291103(31)1572(104)2675(135)  87239
UttarakhandAtal Ayushman Uttarakhand YojanaAtal Ayushman Uttarakhand Yojana SocietyTrust23/9/2018 Family Health Plan Insurance TPA limited 25,39,653NFSA+SECC 20115,23,53610,45,93215,69,468 125(0)73(4)198(4)  87213
Total       22,66,72,220 8,63,71,8624,50,61,25513,11,88,598*1,90,93,62511,839(92)9,979(813)21,818(905)    

Ayushman Bharat health and Wellness Center

Ayushman Bharat (AB) is an attempt to move from a selective approach to health care to deliver comprehensive range of services spanning preventive, promotive, curative, rehabilitative and palliative care. It has two components which are complementary to each other.

Under its first component, 1,50,000 Health & Wellness Centres (HWCs) will be created to deliver Comprehensive Primary Health Care, that is universal and free to users, with a focus on wellness and the delivery of an expanded range of services closer to the community.

The second component is the Pradhan Mantri Jan Arogya Yojana (PM-JAY) which provides health insurance cover of Rs. 5 lakhs per year to over 10 crore poor and vulnerable families for seeking secondary and tertiary care.

What are the Ayushman Bharat eligibility?

We have listed all the eligibility requirement criteria for all Rural and Urban peoples. You can check it below.

Eligibility Criteria for Rural and Urban People under PMJAY Scheme

Like we know, over 10 crore families across the country will be provided basic health care under the PMJAY scheme. This facility is mainly for the poor and the families with lower middle income. The health coverage provided is of INR 5 lakh per family.

Among the 10 crore families, almost 8 crore families belong to the rural areas while the remaining are from the urban areas. If we break the statistics even further, the scheme will be beneficial to over 50 crore individuals.

Now, just like any other health plan, PMJAY scheme too has certain pre-conditions. Depending on these pre-conditions, it picks who can avail the health coverage benefits. When it comes to rural areas, the eligibility criteria mainly depends on the individuals’ living conditions, income, and other deprivations. Whereas for the urban areas, it is based on each individual’s occupation.

PMJAY Rural

According to the 71st round of the National Sample Survey Organisation, over 85.9% of people in rural areas do not have access to basic healthcare plans. Moreover, 24% of the rural population seeks healthcare facilities by borrowing money.

This is where PMJAY scheme comes in handy. It helps these people avoid getting into a debt trap and avail health facilities. This scheme is economically beneficial to underprivileged households. Also, the families enrolled under the Rashtriya Swasthya Bima Yojana (RSBY) will be covered under the PMJAY scheme.

In the rural areas, the PMJAY health facility is available to –

  • People belonging to scheduled caste and scheduled tribe families
  • Households with no male member between the age of 16 years and 59 years
  • Beggars and those surviving on alms
  • Families with no individual between the age of 16 years and 59 years
  • Households with at least one physically challenged member and no healthy adult individual
  • Landless families who make a living by working as casual manual labourers
  • Primitive tribal communities
  • Legally released bonded labourers
  • People living in one-room makeshift houses with no proper walls or roof
  • Manual scavenger families

PMJAY Urban

Much like the rural areas and as per the 71st round of the National Sample Survey Organisation, over 82% of urban families do not have access to adequate healthcare insurance. Furthermore, over 18% of the urban population avails health facilities by borrowing money in one form or another.

With the PMJAY scheme, these people can avail healthcare services, as the funding provided is of INR 5 lakh per family. According to the Socio-Economic Caste Census 2011, PMJAY in the urban areas is beneficial to workers’ families. Also, the families enrolled under the Rashtriya Swasthya Bima Yojana (RSBY) will be covered under the PMJAY scheme.

In the urban areas, PMJAY scheme can be availed mainly by –

  • Washerman/ Chowkidars
  • Rag Pickers
  • Mechanics, electricians, and repair workers
  • Domestic help
  • Sanitation workers, gardeners, and sweepers
  • Home-based artisans and handicraft workers
  • Tailors
  • Cobblers, hawkers, and people providing services by working on streets or pavements
  • Plumbers, masons, construction workers, porters, welders, painters, and security guards
  • Transport workers such as drivers, conductors, helpers, cart, or rickshaw pullers
  • Assistants, peons of a small organization, delivery men, shopkeepers and waiters

How to Check Ayushman Bharat Yojana Eligibility?

1) On the landing page of AM I Eligible Portal, the user has to enter an active mobile number (to receive an OTP) and enter the Captcha letters displaying on the screen and click on the “Generate OTP” button. After this, the user will receive an OTP as a text message on the mobile number entered. The user has to enter this OTP and click on “Verify OTP” which directs to a page to enter the details for search.

Ayushman Bharat Yojana Eligibility, AB-PMJAY Eligibility, Modicare Eligibility

2) An individual can search whether he/she is an eligible beneficiary for Pradhan Mantri Jan Arogya Yojna (PMJAY) using a) Mobile number/Ration Card Number (collected during ADCD drive), b) SECC Name or c) RSBY URN.

a) Mobile number/Ration Card Number: An Additional Data Collection Drive (ADCD) was conducted on 30th April 2018 at Gram Sabha’s across India to capture active mobile number and ration card number of a family of the Socio-Economic Caste Census (SECC) database. If the individual got his/her Mobile number or Ration card number captured during this drive, only then it will show results on the portal. If the individual got his details captured during the ADCD drive and still no results are displayed, then the “SECC Name” option should be used for searching.

b) SECC Name: An individual can search if he/she is eligible for PMJAY using his details as per the SECC database such as Name, Father’s Name, Gender, State etc. Even now, if no results are displayed, then the user should contact a nearby Ayushmaan Mitra.

c) RSBY URN : Additionally, all active families that are enrolled under RSBY (till 31st March, 2018) that do not feature in the targeted groups as per SECC data will be included as well and can identify if they are eligible for PMJAY using RSBY URN.

3) If the search is successful, the individual has an option to receive a text message with the HHID number/RSBY URN for future purposes on his/her phone by clicking the “Get SMS” button and entering the mobile number. Note: This mobile number can be different from the mobile number used in the first step for OTP Generation.

What is Covered Under Ayushman Bharat Yojana Scheme?

With the intention to provide accessible healthcare to the poor and needy, the Ayushman Bharat Yojana Scheme offers coverage of up to Rs.5 lakh per family per year for secondary and tertiary hospitalisation care.

The health insurance under AB-PMJAY includes hospitalization costs of beneficiaries and includes the below components:

  • Medical examination, consultation and treatment.
  • Pre-hospitalisation.
  • Non-intensive and intensive care services.
  • Medicine and medical consumables.
  • Diagnostic and laboratory services.
  • Accommodation.
  • Medical implant services, wherever possible.
  • Food services.
  • Complication arising during treatment.
  • Post-hospitalisation expenses for up to 15 days.
  • COVID-19 (Coronavirus) treatment.

What is Not Covered Under Ayushman Bharat Yojana Scheme?

Similar to other types of health insurance policies, the Ayushman Bharat Yojana Scheme has some exclusions. Below components are not covered under the scheme:

  • Out-Patient Department (OPD) expenses.
  • Drug rehabilitation.
  • Cosmetic surgeries.
  • Fertility treatments.
  • Individual diagnostics.
  • Organ transplant.

Features of Ayushman Bharat Yojana Scheme:

Below are some of the key features of the PMJAY scheme:

  • It is one of the world’s largest health insurance schemes financed by the government of India.
  • Coverage of Rs.5 lakh per family per annum for secondary and tertiary care across public and private hospitals.
  • Approximately 50 crore beneficiaries (over 10 crore poor and vulnerable entitled families) are eligible for the scheme.
  • Cashless hospitalisation.
  • Covers up to 3 days of pre-hospitalisation expenses such as medicines and diagnostics.
  • Covers up to 15 days of post-hospitalisation expenses which include medicines and diagnostics.
  • No restriction on the family size, gender or age.
  • Can avail services across the country at any of the empanelled public and private hospitals.
  • All pre-existing conditions covered from day one.
  • The scheme includes 1,393 medical procedures.
  • Includes costs for diagnostic services, drugs, room charges, physician’s fees, surgeon charges, supplies, ICU and OT charges.
  • Public hospitals are reimbursed at par with private hospitals.

Benefits of Ayushman Bharat Yojana Scheme:

The scheme is targeted at the vulnerable and underprivileged sections of the society. To cater to them, below are the benefits of the PMJAY:

  • It covers all hospitalisation expenses with cashless transactions to beneficiaries.
  • Accommodation during hospitalisation.
  • Pre and post-hospitalisation costs.
  • Any complications arising during the treatment.
  • Can be used by all family members.
  • No cap on family size, age or gender.
  • Pre-existing conditions are included from day one.

List of Critical Diseases or Illnesses Covered Under Ayushman Bharat Yojana Scheme:

The medical care scheme extended coverage for more than 1300 medical packages at empanelled public and private hospitals in the country. Below are some of the critical illnesses covered under the Ayushman Bharat Yojana:

  • Prostate cancer.
  • Double valve replacement.
  • Coronary artery bypass graft.
  • COVID-19.
  • Pulmonary valve replacement.
  • Skull base surgery.
  • Anterior spine fixation.
  • Laryngopharyngectomy with gastric pull-up
  • Tissue expander for disfigurement following burns.
  • Carotid angioplasty with stent.

Ayushman Bharat Scheme FAQs

What is the aim of Ayushman Bharat Yojana ?

It has two goals, one, creating a network of health and wellness infrastructure across the nation to deliver comprehensive primary healthcare services, and another is to provide insurance cover to at least 40 per cent of India’s population which is majorly deprived of secondary and tertiary care services.

Who is the CEO of Ayushman Bharat Yojana | AB-PMJAY ?

Indu Bhushan appointed as a Chief Executive Officer (CEO)

When Ayushman Bharat Yojana | AB-PMJAY was launched ?

Ayushman Bharat Yojana will be launched on 25 September 2018.

What are the Features of Ayushman Bharat – Pradhan Mantri Jan Aarogya Yojana ?

Ayushman Bharat – Pradhan Mantri Jan Aarogya Yojana has mainly two features:

  1. National Health Protection Scheme – to provide cashless treatment to patients
  2. Health and Wellness centres (HWC) – to provide primary care to the patients

What are the Benefits under Ayushman Bharat – Pradhan Mantri Jan Aarogya Yojana ?

  1. Cashless Treatment at Public/Private Healthcare Providers
  2. Secondary and Tertiary care hospitalization treatments coverage
  3. 5 Lakhs cover per family
  4. No cap on size of family or age of family members
  5. Pre-existing diseases covered from Day 1 of enrollment of the scheme
  6. Portable across India at all em-paneled healthcare Providers
  7. Fixed Transportation Allowance payable from place of residence to hospital
  8. AYUSH  (Alternative Medicine Systems other than Allopathic ) covered

Ayushman Bharat Scheme Package List

1,350 packages under 23 medical specialties will be provided under the Ayushman Bharat scheme. 253 packages offered under general surgery while 161 packages offered under Urology. The Package cost includes Room and bed charges, nursing care, procedure cost and physician fee, consultation and diagnostics pre-hospitalization, two-week medicine, stitch removal and follow-up consultancy for two weeks after discharge.

Where was Ayushman Bharat Yojana is not launched ?

  • Telangana
  • Odisha
  • Delhi
  • Kerala and
  • Punjab

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