The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) has provisioned for health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization with a target of approximately 55 Crore beneficiaries corresponding to 12.37 Crore families constituting the bottom 40% of India’s population.

On 29^th October 2024, the Government expanded Ayushman Bharat Pradhan Mantri Jan Arogya Yojana to provide free treatment benefits of up to ₹5 lakh per year to all senior citizens aged 70 years and above, irrespective of their socio-economic status. The benefit of the AB PM-JAY is available to senior citizens of the age 70 years and above irrespective of their socio-economic status. Enrolment of all eligible senior citizens aged 70 years and above is application-based process. Enrolment can be through mobile phone application (AyushmanApp), web portal (beneficiary.nha.gov.in) or at a nearby empanelled hospital or Common Service Centre. The feature of self-registration is also available in the above-mentioned application.

The free treatment benefit of Rs. 5 Lakhs per eligible beneficiary family per year for secondary and tertiary care hospitalizations corresponding to 1,961 treatment procedures across 27 specialties including General Medicine, General Surgery, Orthopaedics, Cardiology, Oncology etc. All eligible beneficiaries under AB PM-JAY can avail treatment through a network of over 30,201 empanelled healthcare providers, including 13,473 private health care providers. In addition to this, a helpline number 1800-110-770 is available for the Ayushman Vay Vandana Card beneficiaries where they may give a missed call or beneficiary may call to 24x7 call centre (14555) for any assistance/queries.

The National Health Authority (NHA) has issued Hospital Empanelment and Management (HEM) guidelines for empanelment of hospitals under AB PM-JAY. However, public health being a State subject, State Health Agencies (SHAs) which are mandated with the responsibility of empanelling hospitals under Ayushman Bharat PM-JAY have been given flexibility to change hospital empanelment criteria for deficit regions.

This information was provided by UNION MINISTER OF STATE FOR SOCIAL JUSTICE AND EMPOWERMENT, SHRI B.L. VERMA, in a written reply to a question in Rajya Sabha today.

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VM

(Rajya Sabha US Q1577)

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