Ministry of Health and Family Welfare

Private Insurance Companies in Ayushman Bharat

Posted On: 16 JUL 2019 4:34PM by PIB Delhi

Under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), states have the flexibility to choose the mode of implementation. They can either implement it in insurance mode, or through a trust or in a mixed mode i.e. both the insurance and trust mode.  The States implementing scheme through Insurance mode select Insurance Company through open tendering process. The private insurance companies are allowed to bid in the open tendering process to allow level playing field. However, the decision lies with the State Government concerned and the Government has no role in the selection of Insurance company.

 

Under AB-PMJAY, 1393 procedures have been laid down for treatment of beneficiaries.  A statement indicating State-wise number of beneficiaries admitted for treatment and amount on account of hospitalization is given below:

 

Details of Hospitalization under AB-PMJAY

Sl. No.

State

No of Hospital Admissions

Amount for Hospital Admissions
  1.  

Andaman And Nicobar Islands

23

69,900
  1.  

Andhra Pradesh

147,378

4,149,416,562
  1.  

Arunachal Pradesh

709

11,894,687
  1.  

Assam

57,176

837,883,007
  1.  

Bihar

56,139

565,105,942
  1.  

Chandigarh

958

8,793,795
  1.  

Chhattisgarh

611,216

4,467,368,971
  1.  

Dadra And Nagar Haveli

13,327

84,385,920
  1.  

Daman And Diu

5,031

42,497,182
  1.  

Goa

1,415

45,784,121
  1.  

Gujarat

523,011

9,152,275,799
  1.  

Haryana

31,985

423,768,613
  1.  

Himachal Pradesh

21,621

189,594,841
  1.  

Jammu And Kashmir

23,712

143,539,076
  1.  

Jharkhand

201,369

1,553,624,781
  1.  

Karnataka

218,461

5,530,356,358
  1.  

Kerala

574,448

2,863,340,460
  1.  

Madhya Pradesh

107,718

1,505,484,559
  1.  

Maharashtra

148,753

3,866,353,985
  1.  

Manipur

3,801

61,403,820
  1.  

Meghalaya

21,581

136,463,418
  1.  

Mizoram

14,823

81,043,280
  1.  

Nagaland

1,265

12,524,639
  1.  

Sikkim

171

1,099,250
  1.  

Tamil Nadu

256,395

6,186,951,217
  1.  

Tripura

20,499

64,803,621
  1.  

Uttar Pradesh

130,721

1,434,346,595
  1.  

Uttarakhand

55,379

462,166,166
  1.  

West Bengal

17,636

170,981,470

Grand Total

3,266,721

44,053,322,035

 

The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.

 

*****

MV/LK

 



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