Ayushman Bharat – Pradhan
Mantri Jan Aarogya Yojana (AB-PMJAY) is launched by Prime Minister Narendra
Modi On September 23, 2018. With Ayushman Bharat – Pradhan Mantri Jan Aarogya
Yojana, the government is taking healthcare protection to a new aspirational
level. In this post, let’s take a look at the features and details of Ayushman
Bharat – Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY).
Ayushman Bharat – Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY)
Ayushman Bharat Scheme is
new initiative under National Health Protection Mission. Pradhan Mantri Jan
Aarogya Yojana is implemented under the vision of Ayushman Bharat so that each
and every citizen receives his due share of health care. With the
implementation of Ayushman Bharat Scheme, the central government offers
financial assistance for common people. It is a good step towards providing
better medical facilities to the poor people of India.
Features of Ayushman Bharat - Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY)
Key features and benefits of
Ayushman Bharat Scheme - Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY) are given
below.
1. Ayushman Bharat Yojana is
the world’s largest government funded healthcare program.
2. Government provides
health insurance coverage of up to Rs. 5 lakh per year per family.
3. The Ayushman Bharat Scheme
provides health insurance to more than 10.74 crore poor and vulnerable families
(approximately 50 crore beneficiaries) across the country.
4. All members of families
listed in the SECC database as per defined criteria are automatically covered.
No restriction on number of family members and age of members.
5. The scheme is entitlement
based. No formal enrolment process is required.
6. Priority will be given to
girl child, women and senior citizens.
7. You will get free
treatment at public hospitals and empanelled private hospitals across the
country in times of need.
8. The scheme will covers
secondary and tertiary care hospitalization.
9. PMJAY provides cashless
and paperless access to quality health care services for the beneficiary at the
point of service.
10. 1,350 medical packages
are included in this scheme covering surgery, medical and day care treatments,
cost of medicines and diagnostics.
11. All pre-existing
diseases are covered from day one of the policy. Hospitals cannot deny
treatment.
12. Hospitals will not
charge any additional money from beneficiaries for the treatment.
13. Eligible beneficiaries
can avail services across the country, offering benefit of national portability.
14. All empanelled hospital will
have “Ayushman Mitra Help Desk” for assistance.
15. You need to carry any
prescribed ID to receive treatment at the hospital.
16. You can reach out for
information, assistance, complaints and grievances to a 24X7 helpline number –
14555.
Eligibility of Ayushman Bharat Scheme
PMJAY will be offered to poor,
deprived rural families and identified occupational category of urban workers’
families as per data collected under Socio-Economic Caste Census (SECC) 2011,
both rural and urban. There is no restriction on family size and age of
members. The scheme is entitlement based. No formal enrolment process is
required. You are required to carry any prescribed Id to receive treatment at
the hospital.
Who is eligible for Ayushman Bharat – Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY)?
The categories in rural and
urban areas that are covered under PMJAY are given as follows:
For Rural
1. Households with only one
room with kucha walls and kucha roof.
2. Household with no adult
member between age 16 to 59.
3. Household with disabled
member and no able-bodied adult member.
4. Female headed households
with no adult male member between age 16 to 59.
5. Landless households
deriving income from manual casual labour.
6. SC/ST households
7. Households without
shelter
8. Primitive tribal groups
9. Destitute/ living on alms
10. Manual scavenger
families
11. Legally released bonded
labour
For Urban
1. Rag picker
2. Domestic worker
3. Beggar
4. Cobbler / hawker / Street
vendor/ Other service provider working on streets
5. Coolie and another
head-load worker
6. Construction worker / Plumber
/ Mason / Labour / Painter / Welder / Security guard
7. Tailor / Home-based
worker / Handicrafts worker / Artisan
8. Sweeper/ Sanitation
worker / Mali
9. Transport worker/ Driver/
Conductor / Helper to drivers and conductors / Cart puller / Rickshaw puller
10. Electrician / Mechanic /
Assembler / Repair worker
11. Shop worker / Assistant /
Peon in small establishment / Helper / Delivery assistant / Attendant / Waiter
12. Chokidar / Washer-man
How to check eligibility for Ayushman Bharat – Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY)?
Online process
Follow the step by step process
given below to check your eligibility for Ayushman Bharat Yojana – Pradhan
Mantri Jan Aarogya Yojana (AB-PMJAY) online.
2. Here you need to enter your
active mobile number (to
receive an OTP) and enter the Captcha code and click on the “Generate
OTP” tab. You will receive an OTP. Enter the OTP and click on “Verify
OTP”
tab which directs to a page to
enter the details for search.
3. On this page, you can search whether you
are eligible beneficiary for
PMJAY
using
(a) Mobile number / Ration
Card Number collected during Additional Data Collection Drive.
(b) SECC Name or
(c) RSBY URN
Mobile number/Ration Card Number
An Additional Data Collection Drive was
conducted on April 30, 2018 at Gram
Sabha’s across the country to capture active mobile number and ration card
number of a family of the SECC database. If you got your
Mobile number or Ration
card number captured during this drive, only then it will show results. If you got your details captured during
the ADCD drive and still no results are displayed, then the “SECC Name” option
should be used for searching.
SECC Name
You can search if you
are eligible for PMJAY using your
details as per the SECC
database such as Name, Father’s Name, Gender, State etc. Even now, if no
results are displayed, then you should contact a nearby Ayushman Mitra.
RSBY URN
All active families that are enrolled under RSBY till March 31, 2018 that do not feature in the
targeted groups as per SECC data will be included as well and can identify if
they are eligible for Ayushman Bharat – Pradhan Mantri Jan Aarogya Yojana
(AB-PMJAY) using
RSBY URN.
4. If the search is
successful, you have an option to receive a text message with the HHID number/RSBY URN for
future purposes on your phone by clicking the “Get SMS” button and entering
the mobile number. Note that this mobile number can be different from the mobile
number used in the first step for OTP Generation.
Offline process
You can also check your eligibility
for Ayushman Bharat - Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY) by using offline
method. You need to call helpline number at 14555 to know your eligibility.
Customer Care Helpline Numbers
Toll Free Contact Number- 1800111565/14555
Also read: Pradhan Mantri Suraksha Bima Yojana (PMSBY)
Also read: Pradhan Mantri Jeevan Jyoti Yojana (PMJJY)
Also read: Mediclaim Policy | Health Insurance Policy
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