PM to launch Ayushman Bharat scheme today

The ambitious scheme, renamed the Pradhan Mantri Jan Arogya Abhiyan (PMJAY), aims to provide a coverage of Rs five lakh per family annually, benefiting more than 10.74 crore poor families for secondary and tertiary care hospitalisation through a network of Empanelled Health Care Providers.

PTI
New Delhi, Publish Date: Sep 22 2018 10:57PM | Updated Date: Sep 22 2018 10:57PM
PM to launch Ayushman Bharat scheme todayFile Photo

Prime Minister Narendra Modi will roll out the Centre's flagship Ayushman Bharat-National Health Protection Mission (AB-NHPM) from Jharkhand Sunday.

The ambitious scheme, renamed the Pradhan Mantri Jan Arogya Abhiyan (PMJAY), aims to provide a coverage of Rs five lakh per family annually, benefiting more than 10.74 crore poor families for secondary and tertiary care hospitalisation through a network of Empanelled Health Care Providers. 

The scheme will provide cashless and paperless access to services for the beneficiary at the point of service. It will help reduce expenditure for hospitalisations which impoverishes people and will help mitigate the financial risk arising out of catastrophic health episodes. Eligible people can avail the benefits in government and listed private hospitals.

"71st Round of National Sample Survey Organization (NSSO) has found 85.9 per cent of rural households and 82 per cent of urban households have no access to healthcare insurance/assurance. 

"More than 17 per cent of Indian population spend at least 10 per cent of household budgets for health services. Catastrophic healthcare related expenditure pushes families into debt. More than 24 per cent households in rural India and 18 per cent population in urban area have met their healthcare expenses through some sort of borrowing," an official statement said.

The scheme will target poor, deprived rural families and identified occupational category of urban workers' families, 8.03 crore in rural and 2.33 crore in urban areas, as per the latest Socio-Economic Caste Census (SECC) data. It will cover around 50 crore people. 

The entitlement is being decided on the basis of deprivation criteria in the SECC database. The beneficiaries are identified based on the deprivation categories (D1, D2, D3, D4, D5, and D7) identified under the SECC database for rural areas. For the urban areas, the 11 occupational criteria will determine entitlement. 

In case of hospitalisation, members of the beneficiary families do not need to pay anything under the scheme, provided one goes to a government or an empanelled private hospital.

"The objectives are to reduce out of pocket hospitalisation expenses, fulfil unmet needs and improve access of identified families to quality inpatient care and day care surgeries," the statement stated.

The National Health Agency (NHA), the apex body implementing the AB-NHPM, has launched a website and a helpline number to help prospective beneficiaries check if their name is there in the final list. 

One can visit mera.Pmjay.Gov.In or call up the helpline (14555) to check their enrolment. A beneficiary needs to key in his or her mobile number, which is verified through an OTP and then complete the KYC (know your customer) online without any need for human interface with other documents.

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