Celebrating six years of Ayushman Bharat

The Ayushman Bharat PM-Jay Jan Arogya Yojana (ABPMJ) scheme introduced by Prime Minister Narendra marked his 6th year anniversary.

About AB-PM-JAY

PM-JAY is the world’s largest health insurance scheme fully financed by the government.
Launched in 2018, it offers a sum insured of Rs.5 lakh per family for secondary care and tertiary care.
Health Benefit Packages covers surgery, medical and day care treatments, cost of medicines and diagnostics.

Beneficiaries

It is an entitlement-based scheme that targets the beneficiaries as identified by latest Socio-Economic Caste Census (SECC) data.
The National Health Authority (NHA) has provided flexibility to States/UTs to use non- Socio-Economic Caste Census (SECC) beneficiary family databases with similar socio-economic profiles for tagging against the leftover (unauthenticated) SECC families.

Funding

The funding for the scheme is shared – 60:40 for all states and UTs with their own legislature.
90:10 in Northeast states and Jammu and Kashmir, Himachal and Uttarakhand and 100% Central funding for UTs without legislature.

Nodal Agency

The National Health Authority (NHA) has been constituted as an autonomous entity under the Society Registration Act, 1860 for effective implementation of PM-JAY in alliance with state governments.
The State Health Agency (SHA) is the apex body of the State Government responsible for the implementation of AB PM-JAY in the State.

With this approval, all senior citizens of the age 70 years and above irrespective of their socio-economic status, would be eligible to avail the benefits of AB PM-JAY.
AB PM-JAY is the world’s largest publicly funded health assurance scheme, which provides health cover of Rs 5 lakh per family per year for secondary and tertiary care hospitalization to 55 crore individuals, corresponding to 12.34 crore families.
All members of the eligible families, irrespective of age, are covered under the scheme. The scheme has covered 7.37 crore hospital admissions, including 49 percent of women beneficiaries.
The public has benefitted to the extent of over Rs. 1 lakh crore under the scheme.