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DETAILS OF AYUSHMAN BHARAT YOJNA

The National Health Authority (NHA) is pursuing a two-pronged strategy to expand the scope and scale of Ayushman Bharat PMJAY. Beneficiary identification and hospital utilization are examples of these. The NHA is relaunching Aapke Dwar Ayushman with zeal.

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DETAILS OF AYUSHMAN BHARAT YOJNA

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  1. AYUSHMAN BHARAT YOJNA VINOD K AGRAWAL & ASSOCIATES, CA

  2. INTRODUCTION • On September 23, 2018, Prime Minister of India Shri Narendra Modi launched the National Health Protection Scheme, dubbed Ayushman Bharat Yojana. • The 'Ayushman Bharat Yojana' was launched in response to the National Health Policy 2017 recommendation, primarily to achieve the vision of Universal Health Coverage.

  3. AMAZING FACT • Originally known as the 'Ayushman Bharat Yojana,' it has now been renamed the 'Pradhan Mantri Jan Arogya Yojana.’

  4. FEATURES OF THE AYUSHMAN BHARAT YOJNA • It is the world's largest government-funded health insurance scheme. • It aims to cover more than 50 million Indian citizens, including over 10 million underprivileged families. • It intends to provide a health insurance coverage of INR 5 lakhs per family per year for tertiary and secondary hospitalization expenses. • It is a paperless plan. • It provides cashless hospitalization insurance. Such coverage is available at both public and network private hospitals.

  5. It pays for the following costs, which apply to all tertiary and secondary care procedures: • The cost of hospitalization • The cost of medication • The cost of three days of pre-hospitalization • The cost of fifteen days of post-hospitalization expenses.

  6. It covers approximately 1400 treatments, some of which are listed below: • Knee replacements • Skull surgery • Prostate cancer • Double valve replacement surgery • Anterior spine fixation

  7. ELIGIBILITY • The person's name appears in the 'Socio Economic Caste Census 2011' data • They must have an active RSBY (RashtriyaSwasthyaBima Yojana) card.

  8. Once the basic eligibility is met, further eligibility is determined by whether the applicant lives in a rural or urban area. The same is highlighted below.

  9. Persons who are not eligible to receive benefits under the Ayushman Bharat Yojana include: • All government employees • Any individual with a monthly income of more than INR 10,000, • Anyone who owns a vehicle such as a two-wheeler, three-wheeler, car, etc. • Any individual who owns a motorized fishing boat. • A person who owns more than five acres of agricultural land. • A person who owns agricultural machinery and/or equipment. • Kisan card holder • A person who owns a refrigerator and/or a landline phone. • A person who lives in a properly constructed house.

  10. Online procedures for determining eligibility for the Ayushman Bharat Yojana- • STEP 1 – Visit https://pmjay.gov.in/ • STEP 2 – Click ‘Am I Eligible’ • STEP 3 – Enter Mobile Number and captcha • STEP 4 – Click Generate OTP • STEP 5 – Enter the 6-digit OTP received on the entered mobile number • STEP 6 – Select State and category (i.e. Search by Name or HHD number or Ration card number or mobile number) from the drop-down list • STEP 7 – Provide additional details, based on the category selected at STEP 6 above • STEP 8 – Click Search

  11. Documents required to apply for Ayushman Bharat Yojana- • Identification and age proof (Aadhaar card or PAN card) • Address proof • Caste certificate • Income certificate • Ration book • Document describing the current status of the family (joint or nuclear) that will be covered by the scheme

  12. THANKYOU VINOD K AGRAWAL & ASSOCIATES, CA

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