Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)

Date : 23/09/2018 - |

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), also known as the National Health Protection Mission, is a government-funded health insurance scheme in India that aims to provide free access to healthcare services for vulnerable families. It offers a health cover of up to ₹5,00,000 per family per year for secondary and tertiary care hospitalization, covering approximately 50 crore beneficiaries.

Ayushman Bharat is an attempt to move from a sectoral and segmented approach to health service delivery to a comprehensive need-based health care service. This scheme aims to undertake path-breaking interventions to holistically address the healthcare system (covering prevention, promotion, and ambulatory care) at the primary, secondary, and tertiary levels. Ayushman Bharat adopts a continuum of care approach, comprising two inter-related components, which are –

1. Health and Wellness Centres (HWCs)

2. Pradhan Mantri Jan Arogya Yojana (PM-JAY)

Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) was launched on 23rd September 2018 in Ranchi, Jharkhand by the Hon’ble Prime Minister of India, Shri Narendra Modi.

Documents Required

1. Age & Identity Proof (Aadhaar Card / PAN Card).

2. Proof of Address.

3. Contact details (Mobile, e-mail).

4. Caste Certificate.

5. Income Certificate.

6. Document Proof of the Current Status of the Family (Joint or Nuclear).

7. Aadhaar Card.

Beneficiary:

Rural Beneficiaries Out of the total seven deprivation criteria for rural areas, PM-JAY covered all such families who fall into at least one of the following six deprivation criteria and automatic inclusion(Destitute/ living on alms, manual scavenger households, primitive tribal group, legally released bonded labour) criteria: Only one room with kucha walls and kucha roofNo adult member between ages 16 to 59Households with no adult male member between ages 16 to 59Disabled member and no able-bodied adult memberSC/ST householdsLandless households deriving a major part of their income from manual casual labour Urban Beneficiaries For urban areas, the following 11 occupational categories of workers are eligible for the scheme: RagpickerBeggarDomestic workerStreet vendor/ Cobbler/hawker / other service provider working on streetsConstruction worker/ Plumber/ Mason/ Labour/ Painter/ Welder/ Security guard/ Coolie and other head-load workerSweeper/ Sanitation worker/ MaliHome-based worker/ Artisan/ Handicrafts worker/ TailorTransport worker/ Driver/ Conductor/ Helper to drivers and conductors/ Cart puller/ Rickshaw pullerShop worker/ Assistant/ Peon in small establishment/ Helper/Delivery assistant / Attendant/ WaiterElectrician/ Mechanic/ Assembler/ Repair workerWasher-man/ Chowkidar

Benefits:

Medical examination, treatment, and consultationPre-hospitalizationMedicine and medical consumablesNon-intensive and intensive care servicesDiagnostic and laboratory investigationsMedical implantation services (where necessary)Accommodation benefitsFood servicesComplications arising during treatmentPost-hospitalization follow-up care up to 15 days

How To Apply

https://nhpr.abdm.gov.in/home