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In a country with 1.2 billion people, providing quality healthcare to everyone is a challenge. Healthcare infrastructure gets a major chunk of the annual budget. In spite of that, thousands of citizens from rural India lack basic healthcare facilities. Timely medical care is a right for all citizens and the government should strive constantly to make it available for all its citizens.
Ayushman Bharat (also known as Pradhan Mantri Jan Arogya Yojana), a landmark scheme by the Government of India, has been initiated, as proposed by the National Health Policy 2017, to attain Universal Health Coverage (UHC) in India. This program was planned to achieve the Sustainable Development Goals (SDGs) and to reinforce its pledge to 'Leave No One Behind.'
Ayushman Bharat aims at moving from a sectoral and segmented approach to the provision of health services to an integrated, need-based national healthcare system. This scheme adopts pioneering interventions to address the health care system holistically (covering prevention, promotion and outpatient care) at primary, secondary and tertiary levels. Ayushman Bharat adopts a range of healthcare approaches, consisting of two inter-dependent concepts, which are-
About Ayushman Bharat Scheme
In February 2018, the Government of India declared the establishment of 1,50,000 Health and Wellness Centres (HWCs) by converting established Sub-Centres and Primary Health Centres. Such centres are built to provide Integrated Primary Health Care (CPHC) taking health services closer to people's homes. Which provide all maternal and infant safety care and non-communicable disorders, including free prescription medicines and medical facilities.
Health and Wellness Centres are expected to provide a broader variety of resources to meet the primary health care needs of the local population in their region, through availability, universality and community-based equity. The aim of health promotion and prevention is to concentrate on maintaining citizens healthier by educating and encouraging individuals and families to adopt healthier lifestyles and to make improvements that decrease the likelihood of contracting chronic diseases and morbidities.
On 23rd September 2018, our Hon’ble Prime Minister of India, Shri Narendra Modi launched this largest health assurance scheme in the world, Pradhan Mantri Jan Arogya Yojana (PMJAY), in Ranchi Jharkhand.
Pradhan Mantri Jan Arogya Yojana offers insurance benefits of Rs.5 lakhs per family each year for secondary and tertiary treatment with hospitalization. This program protects more than 10.74 crores of deprived and vulnerable households. That is around bottom 40% of the entire population, which approximates to about 50 crore people. The scheme is fully funded by the Government and the cost of implementation is shared between the state and central governments.
The beneficiaries of the PMJAY scheme can avail cashless cover of Rs.5 lakhs to avail treatment at empanelled hospitals for the following healthcare procedures:
Ayushman Bharat Yojana covers treatment for various critical illnesses too. Here is the list:
PMJAY is similar to other insurance schemes. It too does not cover a few specific components of the treatment or expenses incurred. The below aspects are not covered under the scheme:
There are 2 segments under the PMJAY Scheme; PMJAY Rural and PMJAY Urban.
The Socio-Economic Caste Census 2011 (SECC 2011) ranked rural households on the basis of their socio-economic standing. These households were rated based on 7 poverty standards on the basis of their status. As such, the program extends to those applicants that fall into at least one the following six deprivation category which generally covers destitutes, manual scavenger households, beggars, primitive tribal communities and bonded labourers:
Under the program, urban households are classified on the basis of occupation. Below are 11 job groups of employees qualifying for the Ayushman Bharat Yojana scheme:
Patients need to submit the following documents:
You can check if you are eligible for the scheme by logging on to the PMJAY official portal.
1. How to enroll for the PMJAY Scheme?
This scheme does not have a separate enrolment process. Persons requiring medical treatment can approach their nearest empanelled hospital and avail the necessary treatment. They can submit their income document and identity document to get cashless treatment. The hospital will later get a reimbursement from the government.
2. What are the health services available under PMJAY?
The PMJAY scheme provides for hospitalization costs, day-treatment, follow-up care, pre-and post-hospital expenditures and unborn child / child services. A complete selection of programs can be found on the official website.
3. Where can beneficiaries avail of services under PMJAY?
Treatment under the scheme will be provided in both public hospitals and private health facilities. Registration of hospitals under PMJAY will be carried out through the state government's online platform. Data on registered hospitals should be made accessible via a variety of means, such as the government website and smartphone apps. Beneficiaries can also call the helpline number at 145555. Regular notifications will also be given via ASHAs, ANMs and other unique touch points.
4. Are beneficiaries required to pay anything to get treatment under this scheme?
No. All eligible recipients may use free secondary and tertiary hospital care services for identified PMJAY packages in public hospitals and covered private hospitals. Beneficiaries will have access to PMJAY health services without cash or documents.
5. How do I get enrolled under the scheme?
PMJAY is a scheme based on entitlement. There is no registration procedure. Families defined by the State on the basis of poverty and occupational requirements, using the SECC database, in both rural and urban areas, are qualified for PMJAY.
A strong healthcare system is the backbone of any country. India has taken this mammoth initiative to make sure that it’s citizens are able to avail high class medical care without any cost or hassles.
Ayushman Bharat Yojana Launched in the Union Territory of Jammu & Kashmir21 Jan 2021
Prime Minister Narendra Modi launched his flagship Ayushman Bharat Pradhan Mantri Jan Arogya Yojana in Jammu and Kashmir. Nearly 225 government hospitals and 35 private hospitals in the union territory are covered under the scheme. As per this scheme...
Prime Minister Narendra Modi launched his flagship Ayushman Bharat Pradhan Mantri Jan Arogya Yojana in Jammu and Kashmir. Nearly 225 government hospitals and 35 private hospitals in the union territory are covered under the scheme. As per this scheme, eligible citizens of Jammu and Kashmir can enjoy free healthcare facilities up to Rs. 5 lakhs. This is a universal free healthcare scheme that helps to provide medical care for people belonging to the economically weaker sections of the society.
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