Under the Ayushman Bharat scheme, financially health insurance is being provided by the Government of India to the poor and backward families of the country to overcome the major health problems. This was done in Bijapur district of Chhattisgarh on the day of Baba Bhim Rao Ambedkar Jayanti in April 2018 and has been implemented across the country on 25 September 2018 on the birthday of Pandit Deendayal Upadhyay. Under the PMJAY scheme, the central government is providing health insurance assistance of Rs 5 lakh annually to the poor families of the country. (Official website)
Pradhan Mantri Ayushman Bharat Yojana
Under this scheme, more than 10 crore poor families will be covered to provide health insurance. Ayushman Bharat Yojana is also called Pradhan Mantri Jan Arogya Yojana. Under Ayushman Bharat Yojana, free treatment facility will be provided in government/panel hospitals and private health centers. Today we are going to provide you all the information related to Pradhan Mantri Ayushman Bharat Scheme like registration, eligibility check, application process, documents etc.
Highlights Of Pradhan Mantri Ayushman Bharat Yojana 2022
| Name of the Scheme | Ayushman Bharat Yojana |
| Launched by | Mr. Narendra Modi |
| Date of introducing | 14-04-2018 |
| Application mode | Online Mode |
| Start date to apply | Available Now |
| Last date to apply | Not yet Declared |
| Beneficiary | Citizen of India |
| Objective | Rs 5 Lakh health insurance |
| Type of scheme | Central Govt. Scheme |
| Official website | https://pmjay.gov.in/ |
What is Ayushman Bharat health insurance?
Ayushman Bharat is a health protection scheme to provide health insurance to citizens. It provides insurance coverage of up to Rs.5 lakh on a family floater basis to beneficiaries every year in order to receive primary, secondary, and tertiary healthcare services. The scheme was earlier referred to as AB-NHPS as it is an initiative under the existing National Health Protection Scheme (NHPS). Currently, it is known as Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY). The government plans to distribute this scheme through national insurance companies. The scheme subsumes the existing senior citizen health insurance scheme as well as the Rashtriya Swasthya Bima Yojana.
Features and benefits of the scheme
- A cover of up to Rs.5 lakh is available for the beneficiary family every year.
- The scheme can be utilised to get primary, secondary, and tertiary healthcare services.
- The benefits of the scheme can be availed at any government hospital or empanelled private hospital.
- The eligibility of beneficiaries targeted towards the poor, deprived rural families and identified occupational category of urban workers’ families based on the Socio-Economic Caste Census (SECC) 2011 data.
- Package model will be followed to make payments. The package will be defined by the government-in-charge in terms of payment of total costs, specific services, and procedures.
- An Ayushman Bharat National Health Protection Mission will be established for effective coordination between the Central and the state governments.
- The scheme covers about 40% of the country’s population who are poor and vulnerable.
- All expenses incurred by the beneficiary from his pocket during the hospitalisation will also be covered.
- The cost incurred during the pre and post-hospitalisation period will be covered.
- The insurance provides cashless hospitalisation facility.
- Daycare treatment expenses are covered by the scheme.
- The insurance scheme covers all pre-existing health conditions. Follow-up of medical examinations upto 15 days are also covered to ensure that the patients have recovered completely.
Ayushman Bharat Yojana Eligibility criteria for rural families
There are six deprivation criteria to identify the rural families that are eligible for the benefits of the scheme. They are:
- Families that do not have an earning adult member aged between 16 and 59 years.
- Households headed by female members having no adult male members aged between 16 and 59 years.
- Households with a single room having makeshift walls and roof.
- Households belonging to the Scheduled Castes and Scheduled Tribes categories.
- Households that have disabled members with no able members offering support.
- Landless households with manual labour as their basic source of income.
In addition, the following households are automatically eligible:
- Destitute families who rely on alms.
- Families of manual scavengers.
- Households without proper shelter.
- Families of bonded labour.
- Primitive and particularly vulnerable tribal groups.
Eligibility criteria for urban families
An urban family must belong to one of the listed occupational categories to be eligible for the scheme:
- Street vendors, cobblers, and hawkers.
- Domestic workers.
- Rag pickers and beggars.
- Construction site workers, plumbers, masons, painters, welders, and security guards.
- Coolies.
- Sweepers, sanitation workers, and gardeners.
- Transport workers such as conductors, drivers, cart pullers, and others.
- Artisans, home-based workers, handicraft workers, and tailors.
- Washermen and watchmen.
- Electricians, mechanics, repair workers, and assemblers.
- Peons, helpers, shop workers, delivery assistants, attendants, and waiters.
Eligibility criteria for hospitals
Similar to setting eligibility criteria for beneficiaries, the government has framed eligibility criteria for a hospital to be empanelled. The criteria are:
- The hospital must be registered with state health agencies.
- Qualified medical and nursing staff must be available 24/7.
- The hospital must have a minimum of 10 in-patient beds.
- The medical facility must have an accessible washroom.
- An interoperable IT system should be in place to manage data.
- A complete record of Ayushman Bharat patients must be maintained and shared with the government as per the requirement.
- Ambulance and other emergency services must be available.
- A dedicated medical officer should be appointed to take care of AB-NHPS operations.
- There should be a blood bank and testing laboratory in the vicinity.
- The medical facility must have all the equipment and technical necessities.
- The hospital must have facilities such as regulated water, electricity, and bio-medical waste disposal.
How to apply for registration in Pradhan Mantri Ayushman Bharat Yojana 2022?
Beneficiaries who want to apply for registration under this scheme, read our registration process carefully and take advantage of this scheme.
- To apply under the Pradhan Mantri Ayushman Bharat Scheme, go to the Public Service Center (CSC) and submit the photocopy of all your original documents.
- After this, the agent of the Jan Seva Kendra (CSC) will verify all the documents and ensure the registration under the scheme and give you the registration.
- After this, after 10 to 15 days, you will be given golden card of Ayushman Bharat by Jan Seva Kendra. After that your registration will be successful.
Process to download ayushman bharat yojana 2022 app
- First you have to open Google Play Store.
- Now you have to enter Ayushman Bharat in the search box.
- Now a list will open in front of you, out of the list you have to click on the top app.
- After that you have to click on the install button.
- As soon as you click on the install button Ayushman Bharat App will be downloaded in your mobile phone.
Procedure for filing of Grievance
- First of all you have to go to the official website of Ayushman Bharat Scheme.
- Now the home page will open in front of you.
- On the home page, you have to click on the tab of the menu bar.
- Now you have to click on the link of Grievance Portal.
- As soon as you click on this link a new portal will open in front of you.
- You have to click on the link Register Your Grievance AB-PMJAY.
- Now a new page will open in front of you in which there will be a grievance form.
- You need to enter the following information in this form.
- Grievance by
- case type
- Enrollment information
- beneficiary details
- Grievance Detail
- upload files
- Now you have to tick on the declaration.
- After that you have to click on submit button.
- In this way you will be able to register the grievance.
Procedure to check Grievance Status
- First of all you have to click on the link given here.
- Now you have to click on the option of Track Your Grievance.
- As soon as you click on this option a new page will open in front of you.
- You have to enter your reference number on this page.
- After that you have to click on submit button.
- The Grievance Status will be displayed on your computer screen.
Procedure to find empaneled hospital
- First of all you have to go to the official website of Ayushman Bharat Scheme.
- Now the home page will open in front of you.
- On the home page, you have to click on the menu tab.
- Now you have to click on the link of Find Hospital.
- As soon as you click on this link a new page will open in front of you.
- You have to select the following category on this page.
- state
- district
- hospital type
- Specialty
- Hospital name
- Now you have to enter the captcha code.
- After that you have to click on the search button.
- The relevant information will be on your computer screen.
Procedure to find DM Panel Hospital
- First of all you have to visit the official website of National Health Authority.
- Now the home page will open in front of you.
- On the home page you have to click on the menu option.
- After this, you have to click on the option of De empaneled Hospital.
- As soon as you click on this option, the list of DM Panel Hospital will open in front of you.
Process to view health benefit package
- First of all you have to visit the official website of National Health Authority.
- Now the home page will open in front of you.
- After that you have to click on the menu option.
- Now you have to click on the option of Health Benefit Package.
- Now a new page will open in front of you.
- The list of all health benefit packages will be available in PDF format on this page.
- You have to click on the option of Health Benefit Package as per your requirement.
- Information related to the health benefit package will be displayed on your screen.
Procedure to get information related to Adjudication Claim
- First of all you have to visit the official website of National Health Authority.
- Now the home page will open in front of you.
- On the home page you have to click on the menu option.
- Now you have to click on the option of claim adjudication.
- After this a new page will open in front of you.
- Complete information related to the claim will be available on this page.
- You have to click on the option as per your requirement.
- The relevant information will be on your computer screen.
Procedure to find Jan Aushadhi Kendra
- First of all you have to go to the official website of National Health Authority.
- Now the home page will open in front of you.
- After that you have to click on the menu option.
- Now you have to click on the option of Jan Aushadhi Kendra.
- Now you have to click on the option of List of Jan Aushadhi Kendra.
- As soon as you click on this option the list of Jan Aushadhi Kendra will open on your screen.
Process to find covid-19 Vaccination Hospital
- First of all you have to visit the official website of National Health Authority.
- Now the home page will open in front of you.
- On the home page you have to click on the menu option.
- After this you have to click on the option of Covid Vaccination Hospital.
- Now you have to select your state and district.
- After that you have to search and click on the option.
- The relevant information will be on your computer screen.
Process to view Covid-19 payment details
- First of all you have to visit the official website of National Health Authority.
- Now the home page will open in front of you.
- After that you have to click on the menu option.
- Now you have to click on the option of Covid Vaccination Payment.
- After this the following options will open in front of you.
- New Payment/Generate Past Payment Acknowledgment
- You have to click on the option as per your requirement.
- After this you have to enter your CVCID and Order ID.
- After that you have to search and click on the option.
- Payment details will be displayed on your computer screen.
- If you have selected SBI Collect Form then you have to click on Proceed option.
- Now you have to select the category.
- After this you have to enter the hospital login ID.
- Now you have to click on submit option.
- The relevant information will be on your computer screen.
Dashboard view process
- First of all you have to visit the official website of National Health Authority.
- Now the home page will open in front of you.
- On the home page you have to click on the menu option.
- After this there will be two options under the option of Dashboard.
- PM-JAY Public Dashboard
- PM-JAY Hospital Performance Dashboard
- You have to click on the option as per your requirement.
- After that you have to login.
- After logging in, the dashboard related information will be displayed on your computer screen.
Feedback Process
- First of all you have to go to the official website of Ayushman Bharat Scheme.
- Now the home page will open in front of you.
- On the home page, you have to click on the menu tab.
- Now you have to click on the link of Feedback.
- As soon as you click on the Feedback link, the Feedback form will open in front of you.
- You have to enter the following information asked in this form.
- Name
- Mobile number
- Remarks
- Category
- Captcha code
- Now you have to click on submit button.
- This way you will be able to give feedback.
Helpline Number
- Toll-Free Call Center Number- 14555/1800111565
- Address: – 3rd, 7th & 9th Floor, Tower-l, Jeevan Bharati Building, Connaught Place, New Delhi – 110001