AROGYA YOJANA (AB PM-JAY) WAS LAUNCHED ON SEPTEMBER 23, 2018

Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PM-JAY) provides a cover of up to Rs. 5 lakhs per family per year, for secondary and tertiary care hospitalization. Over 10.74 crore poor and vulnerable entitled families (approximately 50 crore beneficiaries) are eligible for these 

Benefits

Pradhan Pradhan Mantri Jan Arogya Yojana (PM-JAY) beneficiaries are entitled to following health care benefits:

  1. Health cover of up to Rs. 5 lakhs per family per year, for secondary and tertiary care hospitalization through a network of empaneled public and private providers
  2. No restrictions on family size, age or gender
  3. Cashless access to services for the beneficiary at the hospital
  4. All pre−existing conditions are covered from day one. Covers up to 3 days of pre-hospitalisation and post-hospitalisation expenses such as diagnostics and medicines
  5. Benefits of the scheme are portable across the country where a beneficiary can visit any empaneled public or private hospital for cashless treatment
  6. Services include 1393 procedures covering all the costs related to treatment, including but not limited to drugs, supplies, diagnostics services, physician's, room charges etc.

Eligibility Criteria:

  1. The 10.74 crore entitled beneficiary families have been identified based on Socio Economic Caste Census (SECC) data by applying deprivation and occupation criteria for rural and urban areas respectively. In addition, such families that were already covered under Rashtriya Swasthya Bima Yojana (RSBY) but are not part of SECC are also covered.

Where to Apply and How to Apply:

  1. Personalized letter with unique family code are in process of being sent to the identified families in the Additional Data Collective Drive(ADCD). This will drive awareness amongst the beneficiaries and further ease the identification process when they visit point of CARE of CSC center.
  2. Common service Centres (CSC) will help citizens and will utilize over 3 lakhs village level entrepreneurs for identifying beneficiaries basis SECC list.

Documents required:

  1. Eligibility under PM-JAY may be checked by visiting nearest Common Service Center or PM-JAY empanelled hospital with individual (Voter id, Adhaar) and family id (Ration card) proof

For more information:

  1. For more information, assistance, questions and complaints contact 24X7 helpline number − 14555/ 1800 111 565
  2. Visit: www.pmjay.gov.in
  3. Check Eligibility: www.mera.pmjay.gov.in
  4. Twitter: AyushmanNHA
  5. Facebook: AyushmanBharatGOI
  6. Download Ayushman Bharat PM-JAY android app


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