Pradhan Mantri Jan Arogya Yojana
Pradhan Mantri Jan Arogya Yojana: Mantri Pradhan Ayushman Bharat Yojana, also referred to as Pradhan Mantri Jan Arogya Yojana, is the government of India’s flagship program. It is essentially a health insurance scheme for the general population as well as the poorer and weaker segments of society.
In the event that a medical emergency requires hospitalization, the program provides financial protection. This page provides comprehensive information about the government health insurance program, including eligibility requirements, features, benefits, and application procedures.
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Contents
Pradhan Mantri Jan Arogya Yojana:Ayushman Bharat Yojana, regarded as one of the largest healthcare programs globally, intends to provide coverage to over 50 crore Indian citizens. Particularly designed for the economically underprivileged areas of the country. Launched in September 2018, the PMJAY offers health insurance policies with a Rs. 5 lakh maximum sum insured.
The government health insurance program pays for the majority of medical treatment costs, prescription medications, diagnostic fees, and pre-hospitalization expenses. Another option is to use the Ayushman Bharat Yojana e-card for cashless hospitalization, which covers medical costs at any authorized facility across the nation. By presenting their PMJAY e-card, program participants can receive hospitalization for necessary medical care.
Name of the Scheme | Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) or Ayushman Bharat National Health Protection Scheme (NHPS) |
Type of project | Health Insurance |
Started By | Prime Minister Shri Narendra Modi |
Country | India |
Ministry | Ministry of Health and Family Welfare |
Launched | 23 September 2018; 4 years ago |
Total Number of Ayushman Cards Issued Until Now | 21,40,17,608 (as of 21st December 2022) |
Total Number of Hospital Admissions Until Now | 4,23,59,252 (as of 21st December 2022) |
Total Number of Registered Families | Over Ten Crore |
Budget | ₹8,088 crore (US$1.0 billion) (2021–22) [1] |
Status | Active |
Website | https://www.pmjay.gov.in/ |
Helpline Numbers | 1800-111-565 or 14555 |
Address | National Health Authority of India, 3rd, 7th and 9th Floor, Tower-L, Jeevan Bharati Building, Connaught Place, New Delhi – 110001 |
The PM-JAY program was introduced to assist the nation’s lowest 40% of impoverished and economically disadvantaged citizens. This was predicated on the occupational and deprivation parameters found in the 2011 Socio-Economic Caste Census for both urban and rural areas. Requirements are part of the Ayushman Bharat Yojana Eligibility framework, which ensures that the benefits of the program are limited to the most impoverished members of society.
The PM-JAY program was introduced to assist the nation’s lowest 40% of impoverished and economically disadvantaged citizens. This was predicated on the occupational and deprivation parameters found in the 2011 Socio-Economic Caste Census for both urban and rural areas. The Ayushman Bharat Yojana Eligibility is structured with prerequisites to ensure that the program’s benefits are limited to the poorest members of society.
One aspect of the Socio-Economic Caste Census 2011 (SECC 2011) is a rating of households based on socioeconomic level. Rating rural families takes into account seven deprivation criteria.The application automatically covers all six categories of deprivation: bonded laborers, alms-dependent households, poor households that scavenge by hand, and primitive tribal groupings.
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The design divides urban households into groups based on the occupation of the family members. Employees who fall into any of the 11 occupational categories below are eligible for the Ayushman Bharat Yojana Scheme:
The Ayushman Bharat Yojana Scheme aims to make secondary and tertiary hospitalization care accessible to the impoverished and needy by providing coverage of up to Rs. 5 lakh per household annually.
The following elements of AB-PMJAY’s health insurance program pay for hospitalization costs for beneficiaries:
The Ayushman Bharat Yojana Scheme includes certain exclusions, just as other kinds of health insurance plans. The proposal does not include the following elements:
The following are the salient characteristics and focal points of the PMJAY, or Ayushman Bharat Yojana scheme:
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The goal of the Pradhan Mantri JAY (PMJAY), also known as the Ayushman Bharat Yojana Scheme, is to assist the weaker and less fortunate segments of the population. The following are PMJAY’s main features and benefits:
More than 1300 medical packages at nationally affiliated public and private institutions were covered by the medical care program. Some of the serious illnesses that the Ayushman Bharat Yojana covers are listed below:
The list of individuals who are not eligible to receive healthcare services under the program is provided below:
The system, an entitlement-based program, was launched by the Indian government for the respected and disadvantaged groups in society. As a result, there is no registration process. The SECC 2011 is followed in selecting beneficiaries who are enrolled in the RSBY scheme. Do the following to see if you are eligible for the program:
Step1: Click the “Am I Eligible” button after visiting the government website for the PMJAY program, https://pmjay.gov.in/.
Step2: Enter your contact details and generate OTP.
Step3: Choose your state.
Step4: You can now search using your ration card number, name, mobile number, or HHD number.
Step5: Depending on the result, you will be notified of your eligibility for the PMJAY plan.
Ayushman Bharat Yojana customer service numbers are 1800-111-565 and 14555, respectively, and you can also get in touch with any Empanelled Health Care Provider (EHCP).
The list of documents needed to apply for the PMJAY scheme is provided below:
The Indian government developed the program to address the healthcare requirements of the population’s most vulnerable groups. The program does not have an enrollment procedure in accordance with its fundamental requirements. To submit an online application for the Ayushman Bharat Yojana, you must first determine if you qualify for the program. The procedure to ascertain your eligibility for the Ayushman Bharat Yojana Registration is as follows:
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The Indian government developed the program to address the healthcare requirements of the population’s most vulnerable groups. The program does not have an enrollment procedure in accordance with its fundamental requirements. To submit an online application for the Ayushman Bharat Yojana, you must first determine if you qualify for the program. The procedure to ascertain your eligibility for the Ayushman Bharat Yojana Registration is as follows:
The Ayushman Bharat Yojana Golden Card will be given to beneficiaries in order to guarantee cashless, paperless, and portable transactions through the PM-JAY plan. Every piece of information needed about the patient is on the PMJAY e-card. This card must be presented in order to receive treatment at the hospital that has been accredited.
To obtain this PMJAY Golden Card, go to the steps listed below:
There are various ways to find out if your name is on the PMJAY list 2020. They are as follows:
Families and individuals can get approximately 25 specialities as program beneficiaries, including:
Note that reimbursement for both medical and surgical costs cannot be received at the same time. Additionally, if there are several procedures, the most expensive procedure will be covered first. You will be paid 50% for the second, and 25% for the third. Pre-existing conditions are not taken into account by the PMJAY program because it is a part of the expansive program that the Indian government implemented.
To acquire both the Ayushman Bharat hospital list and the PMJAY hospital list, complete these procedures:
You will be taken to a list of Ayushman Bharat Yojana hospitals, complete with their address, website, and phone number. Using the aforementioned URL, you may also view the “Suspended Hospital List.”
Toll-Free Number | 14555 / 1800-111-565 |
Address | National Health Authority of India, 3rd, 7th and 9th Floor, Tower-L, Jeevan Bharati Building, Connaught Place, New Delhi – 110001 |
Grievance Portal | PMJAY Grievance |
Q: What services are offered under the Ayushman Bharat Scheme?
Ans: Medical care services such pre- and post-hospitalization, daycare procedures, newborn child services, etc. are included under the plan.
Q: Will recipients of the PMJAY Ayushman Bharat initiative receive an ID card?
Ans: Eligible families will receive a PMJAY ecard at the time of hospitalization in addition to a special ID card.
Q: What is the HHD number in PMJY?
Ans: Household identification numbers, or HHD numbers in PMJAY, are distinct 25-character codes that are used to identify households.
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