‘Ayushman Bharat Pradhan Mantri Jan-Arogya Yojana’ Completes Six Years

Six Years of Ayushman Bharat Pradhan Mantri Jan-Arogya Yojana (PM-JAY)

Inauguration Details

Inauguration Date: September 23, 2018

Location: Ranchi, Jharkhand

Key Personality: Prime Minister Narendra Modi

Key Objectives

• Access to Healthcare: To make available the highest level of medical facilities to the most deprived people.
• Democratic Healthcare: To ensure access to healthcare services to every citizen.

Key Features

• Financial Security: Provision of cashless treatment up to ₹5 lakh annually.
• Beneficiaries: People from poor and vulnerable sections, especially residents of rural areas.
• Special Benefits for the Elderly: Decision to provide benefits to all elderly people above the age of 70 years.

Additional Information

• Aadhaar: The basis of the scheme is based on the Socio-Economic Caste Census (SECC) 2011.
• Ministry of Health and Welfare: The implementation and monitoring of the scheme is done by the Ministry of Health and Welfare.
• Ecosystem: It covers both government and private hospitals.

Ayushman Bharat-PMJAY: Key Points

Introduction

• World's largest health insurance scheme.
• Launched in 2018.
• Sum insured ₹5 lakh per family.
• Covers surgeries, medical, daycare treatments, medicines, and diagnostic costs.

Beneficiaries

• Eligibility-based scheme: Targeted beneficiaries identified from SECC data.
• NHA flexibility: Gives flexibility to states in identifying SECC families.

Funding

• Funding Ratio: 60:40 between Centre and States (General States).
• 90:10 for North Eastern States.
• 100% Central funding for Union Territories.

Nodal Agency

• NHA: Autonomous body formed for effective implementation of PMJAY.
• SHA: Body responsible for implementation of ABPMJAY in the State.