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PMJAY Ayushman Bharat Yojana Application Process



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 PMJAY Ayushman Bharat Yojana Application Process



Ayushman Bharat is an attempt to move from sectoral and segmented approach of health service delivery to a comprehensive need-based health care service. This scheme aims to undertake path breaking interventions to holistically address the healthcare system (covering prevention, promotion and ambulatory care) at the primary, secondary and tertiary level. Ayushman Bharat adopts a continuum of care approach, comprising of two inter-related components, which are:

Health and Wellness Centres (HWCs)

Pradhan Mantri Jan Arogya Yojana (PM-JAY)

WHAT’S COVERAGE UNDER PMJAY AYUSHMAN BHARAT YOJANA?

Thus, PM-JAY has been rolled out for the bottom 40 per cent of poor and vulnerable population. In absolute numbers, this is close to 10.74 crore (100.74 million) households. The inclusion of households is based on the deprivation and occupational criteria of the Socio-Economic Caste Census 2011 (SECC 2011) for rural and urban areas, respectively. This number also includes families that were covered in the RSBY but were not present in the SECC 2011 database.

Rural Beneficiaries:



Out of the total seven deprivation criteria for rural areas, PM-JAY covered all such families who fall into at least one of the following six deprivation criteria (D1 to D5 and D7) and automatic inclusion(Destitute/ living on alms, manual scavenger households, primitive tribal group, legally released bonded labour) criteria:

D1- Only one room with kucha walls and kucha roof

D2- No adult member between ages 16 to 59

D3- Households with no adult male member between ages 16 to 59

D4- Disabled member and no able-bodied adult member

D5- SC/ST households

D7- Landless households deriving a major part of their income from manual casual labour

Urban Beneficiaries:

For urban areas, the following 11 occupational categories of workers are eligible for the scheme:

Ragpicker

Beggar

Domestic worker

Street vendor/ Cobbler/hawker / other service provider working on streets

Construction worker/ Plumber/ Mason/ Labour/ Painter/ Welder/ Security guard/ Coolie and other head-load worker

Sweeper/ Sanitation worker/ Mali

Home-based worker/ Artisan/ Handicrafts worker/ Tailor

Transport worker/ Driver/ Conductor/ Helper to drivers and conductors/ Cart puller/ Rickshaw puller

Shop worker/ Assistant/ Peon in small establishment/ Helper/Delivery assistant / Attendant/ Waiter

Electrician/ Mechanic/ Assembler/ Repair worker

Washer-man/ Chowkidar

WHICH PEOPLE ARE NOT ENTITLED FOR THE HEALTH COVER UNDER PMJAY AYUSHMAN BHARAT YOJANA?



The individuals who claim a two, three or four-wheeler or a mechanized angling pontoon

The individuals who claim motorized cultivating gear

The individuals who have Kisan cards with a credit breaking point of Rs.50000

Those utilized by the legislature

The individuals who work in government-oversaw non-horticultural undertakings

Those acquiring a month to month salary above Rs.10000

Those owning fridges and landlines

Those with tolerable, decidedly constructed houses

Those owning 5 sections of land or a greater amount of rural land




WHERE CAN PEOPLE GO AND GET THEIR TREATMENT IN PMJAY AYUSHMAN BHARAT YOJANA?

There will be a total of 1350 types of surgeries, screenings and procedures in India. Every poor citizen of the country will get free benefits from major illnesses and major operations as well as hospitalization. The operation included bypass surgery, cataract, corneal grafting, orthoplasty, chest fracture, urological surgery, cesarean delivery, dialysis, spine surgery, brain tumor surgery and various cancer surgeries.




IN WHICH HOSPITAL WILL PEOPLE GET BENEFITS UNDER PMJAY AYUSHMAN BHARAT YOJANA?

All the government and hospitals in the country connected with Ayushman Bharat Yojana will get benefit of Ayushman Bharat Yojana. The connection of 8,000 hospitals has been completed in Ayushman Bharat Yojana and the Government aims to connect 20,000 hospitals. So that the poorest family living in any corner of the country can access health services near their home. In India, more than 1700 government and private hospitals will provide medical treatment under aging India.

Check the Hospital Name:- View Here

HOW TO APPLY PMJAY AYUSHMAN BHARAT YOJANA?

There is no special Ayushman Bharat registration procedure pertaining to PMJAY. This is because PMJAY applies to all beneficiaries as identified by the SECC 2011 and those who are already part of the RSBY scheme. However, here’s how you can check if you are eligible to be a beneficiary of PMJAY.

1. Visit https://www.pmjay.gov.in/ and click on ‘Am I Eligible’

2. Enter your mobile number and the CAPTCHA code and click on ‘Generate OTP’

3. Then select your state and search by name/ HHD number/ ration card number/ mobile number

4. Based on the search results you can verify if your family is covered under PMJAY

Alternatively, to know if you are eligible for PMJAY you can approach any Empanelled Health Care Provider (EHCP) or dial the Ayushman Bharat Yojana call centre number: 14555 or 1800-111-565




WHICH CRITICAL DISEASES COVERED UNDER PMJAY AYUSHMAN BHARAT YOJANA?

PMJAY helps households access secondary and tertiary care via funding of up to Rs. 5 lakh per family, per year. This assistance is valid for day care procedures and even applies to pre-existing conditions. PMJAY extends coverage for over 1,350 medical packages at empanelled public and private hospitals.

Some of the Critical illnesses that are covered are as follows.

Prostate cancer

Coronary artery bypass grafting

Double valve replacement

Carotid angioplasty with stent

Pulmonary valve replacement

Skull base surgery

Laryngopharyngectomy with gastric pull-up

Anterior spine fixation

Tissue expander for disfigurement following burns

PMJAY has a minimal list of exclusions. They are as follows:

OPD

Drug rehabilitation programme

Cosmetic related procedures

Fertility related procedures

Organ transplants

Individual diagnostics (for evaluation)

PM-JAY is completely funded by the Government and costs are shared between Central and State Governments. The Government of India decides a national ceiling amount per family that is used to determine the maximum limit of the central share of the contribution. The actual premium discovered through open tendering process or the maximum ceiling of the estimated premium decided by Government of India for the implementation of PM-JAY, whichever is less, would be shared between Central Government and States/UTs in the ratio as per the extant directives issued by Ministry of Finance, from time to time. In addition, administrative cost for implementing the scheme at the State level is also provided under the scheme and shared between Centre and State in the same sharing pattern.

Important Links:

Official Website - Click Here

Check Your Name - Click Here

Check Hospital Name - Click Here

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