Pradhan Mantri Jan Arogya Yojana (PM-JAY) Ayushman Bharat - Mera PMJAY Details:
-%20%20Ayushman%20Bharat%20Yojana%20or%20Pradhan%20Mantri%20Jan%20Arogya%20Yojana.png)
Pradhan Mantri Jan Arogya Yojana | Ayushman Bharat - Mera PMJAY - PMJAY प्रधानमंत्री आयुष्मान भारत योजना 2022 : The Pradhan Mantri Jan Arogya Yojana (PM-JAY) may be a pioneering initiative of the govt of India which aims to accelerate India’s progress towards Universal Health Coverage and Sustainable Development Goals. it's the world’s largest fully government financed health protection scheme that seeks to hide quite 500 million people. PM-JAY seeks to make sure that entitled poor and vulnerable households across the country have financial protection and may access safe, quality hospitalization services in order that no family is pushed into poverty as a consequence of ill-health.
Key Features and Benefits of PM-JAY:
PM-JAY provides free hospitalization coverage up to Rs. 5,00,000 per entitled family per annum through a network of public and personal impaneled health care providers. PM-JAY primarily targets the poor, deprived rural families and identified occupational categories of urban workers families as per the SECC (Socio-Economic Caste Census) 2011 database. additionally , Rashtriya Swasthya Bima Yojana (RSBY) active card holders also can avail PM-JAY benefits. there's no cap on family size and age also as no restriction on pre-existing conditions for entitled families. These services are free and paperless for the entitled beneficiary family. Further, entitled beneficiaries are going to be ready to move across states/UTs and access these services throughout the country through the feature of national portability. The National Health Authority is liable for ensuring implementation and providing oversight for PM-JAY. The State Health Agency/State Nodal Agency is that the programme implementing agency at the state level, ensuring that policies and guidelines set by NHA are administered in letter and spirit.
Suggested Content for SMS/Call to be sent to entitled beneficiary:
1. [Name of beneficiary] we've received your discharge request. Please note that your treatment is freed from cost. Please call State SHA Helpline or 14555/1800- 111-565 if you've got been asked to form any payment. Kindly allow us to know if you were satisfied with the services provided at [name of empanelled hospital]. Press 1 for Yes and a couple of for No (if possible).
2. [Name of beneficiary] Your feedback is effective and can be acted upon. We request you to kindly provide feedback to the PMAM on the character and quality of services received.
3. [Name of beneficiary] Payment for amount of Rs. [specify] for treatment incurred from [date of admission so far of discharge] has been made by PMJAY to [name of empanelled hospital] on your behalf. We hope that you simply have received the discharge summary and follow up medicines (if required). Please reach bent the PMAM if you would like any clarification or assistance.
Check Your Name within the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana Below Steps:
- Visit https://www.pmjay.gov.in/ and click on on ‘Am I Eligible’
- Enter your mobile number and therefore the CAPTCHA code and click on on ‘Generate OTP’
- Then select your state and search by name/ HHD number/ card number/ mobile number
- Based on the search results you'll verify if your family is roofed under PMJAY
Check Your Name within the Ayushman Bharat PMJAY
प्रधानमंत्री जन आरोग्य योजना के अंतर्गत 10 करोड़ से अधिक परिवारों को लाभ मिलेगा|
अपने मोबाइल नम्बर से लॉगिन कर पता करें आपका परिवार प्रधानमंत्री जन आरोग्य योजना में सम्मिलित है या नहीं|
प्रधानमंत्री जन आरोग्य योजना का लाभ लेने के लिए आपको कोई आवेदन करने की ज़रूरत नहीं है|
अगर आपका परिवार प्रधानमंत्री जन आरोग्य योजना लिस्ट में सम्मिलित है तो आप चिकित्सा उपचार के लिए किसी भी सूचिबद्ध अस्पताल में प्रति वर्ष 5 लाख रुपये तक का लाभ उठा सकते हैं|
Modicare and UHC:
In this context, the cupboard of the Indian government approved the ambitious AB-PMJAY in March, 2018. The scheme, colloquially mentioned as “Modicare” after Indian Prime Minister Narendra Modi, aims to create on existing schemes to supply publicly funded insurance cover of up to 500,000 Indian rupees (over US$7,000) per family per annum to about 100 million families (500 million people, 40% of India’s population).
Benefit Cover Under PM-JAY :
Benefit cover under various Government-funded health insurance schemes in India have always been structured on an upper ceiling limit ranging from an annual cover of INR30,000 to INR3,00,000 per family across various States which created a fragmented system. PM-JAY provides cashless cover of up to INR5,00,000 to each eligible family per annum for listed secondary and tertiary care conditions. The cover under the scheme includes all expenses incurred on the following components of the treatment.
- Medical examination, treatment and consultation
- Pre-hospitalization
- Medicine and medical consumables
- Non-intensive and intensive care services
- Diagnostic and laboratory investigations
- Medical implantation services (where necessary)
- Accommodation benefits
- Food services
- Complications arising during treatment
- Post-hospitalization follow-up care up to 15 days
The benefits of INR 5,00,000 are on a family floater basis which means that it can be used by one or all members of the family. The RSBY had a family cap of five members. However, based on learnings from those schemes, PM-JAY has been designed in such a way that there is no cap on family size or age of members. In addition, pre-existing diseases are covered from the very first day. This means that any eligible person suffering from any medical condition before being covered by PM-JAY will now be able to get treatment for all those medical conditions as well under this scheme right from the day they are enrolled.
