More than 12 lakh people have received treatment under Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (PM-JAY) since its launch in 2018, according to the health ministry.
PM-JAY was inaugurated by the Prime Minister Narendra Modi at Ranchi, the capital city of the northern Indian state of Jharkhand, Considered the world’s biggest health insurance scheme, PM-JAY aims to provide protection to 10.74 crore poor, deprived rural families and identified occupational categories of urban workers’ families. It offers a benefit cover of Rs 5 lakh per family per year.
Two-thirds of the total hospital admission amount of more than Rs. 1,600 crores has been utilized towards tertiary care procedures or treatment for serious illnesses, stated Jagat Prakash Nadda, Union Minister of Health and Family Welfare, in a press statement.
“Cardiology and cardio-thoracic and vascular procedures such as CAG (coronary angiography), PTCA – double and single stent (medicated, inclusive of diagnostic angiogram), coronary balloon angioplasty and orthopedics procedure such as external fixation – long bone are the top five packages of PM-JAY worth more than Rs. 592 crores and accounted for 37 percent of the total admission amount,” he added.
PM-JAY claims to cover medical and hospitalization expenses for almost all secondary care and most of the tertiary care procedures and has defined 1,350 medical packages covering surgery, medical and daycare treatments including medicines, diagnostics and transport.
More than 1.7 crore beneficiary e-cards have been generated facilitating access to quality healthcare under the scheme. Currently, 14,856 hospitals have been empaneled under PM-JAY. Out of these, around 7244 or 49 percent are private hospitals.
1.3 lakh village level entrepreneurs across more than 65,500 Common Service Centres (CSCs), a network of single-window service providers, run by village level entrepreneurs (VLEs), that are a part of the government’s rural outreach programme for delivery of digital services, have been engaged for verification of Ayushman Bharat beneficiaries through generation of PM-JAY e-cards across 13 states.