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Ayushman Bharat Yojna (आयुष्मान भारत योजना)

Mirus Critical Care Centre

Ayushman Bharat Yojana, also known as Pradhan Mantri Jan Arogya Yojana (PMJAY), is a groundbreaking healthcare scheme launched by the Government of India in September 2018. As one of the world's largest government-funded healthcare programs, it aims to provide comprehensive health coverage to the economically disadvantaged sections of society. Through Ayushman Bharat Yojana, millions of Indians now have access to quality healthcare services without the burden of exorbitant medical expenses.

TIt is one of the world's largest government-funded healthcare programs aimed at providing comprehensive health coverage to the economically disadvantaged sections of society.

The scheme primarily targets beneficiaries based on the Socio-Economic Caste Census (SECC) database. Families living below the poverty line and identified as deprived and vulnerable are eligible for the benefits of Ayushman Bharat Yojana. Additionally, specific categories of individuals, such as farmers, rural workers, and laborers, are also included in the program.

Ayushman Bharat Yojana, the ambitious healthcare scheme by the Government of India, is transforming the healthcare landscape in the country. With its comprehensive health insurance cover of Rs 5 lacs to each Indian family who is eligible, cashless treatment options, and emphasis on preventive healthcare, the scheme ensures that every Indian has access to affordable healthcare services. By including the underprivileged and vulnerable sections of society, Ayushman Bharat Yojana is making great strides in improving the overall health and well-being of the nation.

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Key Features of Ayushman Bharat PM-JAY(आयुष्मान भारत योजना)

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) is a comprehensive healthcare scheme that aims to provide financial protection and access to quality healthcare services to the economically disadvantaged sections of society in India. Here are the key features of Ayushman Bharat PM-JAY:

  • The scheme provides health insurance coverage of up to INR 5 lakh per family per year, ensuring that beneficiaries have access to a wide range of medical treatments, including surgeries, diagnostics, medicines, and follow-up care.
  • The identification of beneficiaries is based on the Socio-Economic Caste Census (SECC) database, which identifies eligible families living below the poverty line and vulnerable occupational categories. This ensures that the benefits reach those who need them the most.
  • Ayushman Bharat PM-JAY(आयुष्मान भारत योजना​​) offers cashless treatment to beneficiaries at empanelled hospitals and healthcare facilities across India. This eliminates the need for upfront payment and reduces the financial burden on families seeking medical care.
  • The scheme provides portability, allowing beneficiaries to avail treatment at any empanelled hospital across the country. This is particularly beneficial for those who are away from their home state and require medical assistance.
  • Ayushman Bharat PM-JAY(आयुष्मान भारत योजना​​) has a vast network of empanelled hospitals and healthcare facilities. These institutions are chosen based on stringent quality criteria, ensuring that beneficiaries receive quality healthcare services.
  • Ayushman Bharat PM-JAY(आयुष्मान भारत योजना​​) utilizes technology extensively for seamless implementation. The scheme operates through a robust IT infrastructure, including the Ayushman Bharat PM-JAY IT platform, which enables efficient beneficiary identification, verification, and reimbursement processes.
  • Ayushman Bharat PM-JAY(आयुष्मान भारत योजना​​) gives special attention to the healthcare needs of women, especially during pregnancy and childbirth. It also covers neonatal and pediatric care, ensuring comprehensive healthcare for children.

These key features of Ayushman Bharat PM-JAY collectively contribute to improving healthcare accessibility, reducing financial burdens, and promoting the overall well-being of the economically disadvantaged sections of society in India.

10 Benefits Cover under Ayushman Bharat PM-JAY(आयुष्मान भारत योजना​)

Under the Pradhan Mantri Jan Arogya Yojana (PM-JAY) or Ayushman Bharat scheme, eligible beneficiaries are entitled to several benefits. Here are 10 key benefits covered under PM-JAY:

  • Medical examination, treatment and consultation
  • Pre-hospitalization expenses
  • Post-hospitalization follow-up care up to 15 days
  • Diagnostic procedures and lab investigation charges
  • Cost of Medicine and medical consumables expenses are covered
  • Non-intensive and intensive care services
  • Accommodation benefits
  • Medical implantation services (where necessary)
  • Food services
  • Treatment resulting in complications

These key features of Ayushman Bharat PM-JAY collectively contribute to improving healthcare accessibility, reducing financial burdens, and promoting the overall well-being of the economically disadvantaged sections of society in India.

List of Critical Diseases covered under Ayushman Bharat Health Scheme(आयुष्मान भारत योजना​)

Some of the Critical illnesses that the policy covers are as follows:

  • Double valve replacement
  • Prostate cancer
  • Coronary ABG
  • Carotid angioplasty with stent
  • Anterior spine fixation
  • Pulmonary valve replacement
  • Skull base surgery
  • Laryngopharyngectomy
  • Tissue expander for disfigurement in case of burns

These key features of Ayushman Bharat PM-JAY collectively contribute to improving healthcare accessibility, reducing financial burdens, and promoting the overall well-being of the economically disadvantaged sections of society in India.

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