Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna

 

The State of Himachal Pradesh has launched the Ayushman Bharat- Pradhan Mantri Jan Arogya Yojna in Himachal Pradesh on 23rd September, 2018 for providing cashless treatment to the tune of Rs. 5.00 Lakh per year per family for secondary and tertiary care hospitalization.

Ayushman Bharat- PMJAY is an entitlement based scheme with entitlement decided on the basis of deprivation criteria in the SECC, 2011 database and RSBY families. This will help in improving the affordability component of Universal Health Coverage. This scheme is leading to timely treatments, improvements in Health outcomes, patient satisfaction, improvement in productivity and efficiency.

This scheme has subsumed Rashtriya Swasthya Bima Yojna (RSBY). As per database, 483643 RSBY families enrolled in 2014-15 are eligible under Ayushman Bharat and 278245 families are eligible as per Socio Economic Cast Census 2011, but due to overlapping in both the database, around 5.00 Lakh poor and vulnerable families in Himachal Pradesh are eligible to avail the cashless treatment benefit under this vibrant scheme. Under this scheme all the members of a family are covered. The detail of SECC deprivation criteria is as under:-

D1.

Households with one or less room, kuccha walls and kuccha roof

D2.

No adult member in household between age 18 and 59

D3.

Female headed household with no adult male member between 16 and 59

D4.

Households with differently able member with no other able bodied adult member

D5.

SC/ST Households

D7.

Landless households deriving a major part of their income from manual labour

 

 Benefits of the Scheme are portable across the country and a beneficiary covered under the scheme is allowed to take cashless benefits from any public/ private empanelled hospitals across the country.