Union Health Minister JP Nadda on October 21, 2018 announced that nearly a month after the roll out of the health insurance scheme ‘Pradhan Mantri Jan Arogya Yojana (PMJAY)’ (Ayushman Bharat), one lakh people have availed of the ambitious programme.
The Pradhan Mantri Jan Arogya Yojana, considered as the world's largest health insurance programme, was launched pan-India by Prime Minister Narendra Modi from Jharkhand on September 23, 2018.
Earlier, on October 5, Indu Bhushan, CEO of the National Health Agency, announced that around 38000 people have availed of the scheme within two weeks of launch of the PMJAY.
Over 9000 hospitals have been empanelled for the scheme, and 32 states and Union territories have signed MoUs with the Centre to implement the programme.
Pradhan Mantri Jan Arogya Yojana (Ayushman Bharat or AB-NHPM)
• Ayushman Bharat, the government-sponsored health insurance scheme, will provide free coverage of up to Rs 5 lakh per family per year in any government or even empanelled private hospitals all over India.
• The Ayushman Bharat programme will be funded with 60 percent contribution from the Centre and the remaining from the states.
• The benefit cover will also include pre and post-hospitalisation expenses. All pre-existing conditions will be covered from day one of the policy.
• A defined transport allowance per hospitalisation will also be paid to the beneficiary.
• The payment for treatment will be done on package rate which will be defined by the Government in advance basis. The package rates will include all the costs associated with treatment. The States and UTs will have the flexibility to modify these rates within a limited bandwidth.
• For beneficiaries, it will be a cashless and paper less transaction.
• Launched with an aim to help the poor and the economically deprived, the scheme will be available for 10.74 crore beneficiary families and about 50 crore Indian citizens.
• This scheme will strengthen the healthcare services in India. Around 13000 hospitals in the country have been coordinated for the implementation of the scheme.
• The scheme aims to target poor and vulnerable population of the country, based on the Socio Economic and Caste Census 2011 (SECC) database. There will be no cap on family size and age in the scheme.
• The scheme allows the beneficiary to take cashless benefits from any public or private empanelled hospitals across the country.
• The scheme will work in partnership with NITI Aayog to operationalise a robust, modular and interoperable IT platform which will involve a paperless and cashless transaction.
• The National Health Agency (NHA), the apex body implementing the scheme, has launched a website (mera.pmjay.gov.in).
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