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Ayushman Bharat Yojana (PMJAY YOJANA) PDF Form Download

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PMJAY Scheme : Prime Minister Shri Narendra Modi announced the launch of (PMJAY) Ayushman Bharat Yojana in his Independence Day speech of the year 2018. Pradhan Mantri Jan Arogya Yojana (PMJAY) may be a flagship National Health Protection Scheme funded by the govt of India. 
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Ayushman Bharat Yojana subsumes the oldster insurance Scheme (SCHIS) and Rashtriya Swasthya Bima Yojna (RSBY) and is additionally referred to as the AB-PMJAY scheme. Ayushman Bharat Yojana scheme caters not only the poor but rural families too, which is why it's economically beneficial to the poor and destitute households in rural and concrete areas.

What is The Ayushman Bharat Yojana or PMJAY Scheme?

PMJAY is additionally referred to as Ayushman Bharat Pradhan Mantri Jan Arogya Yojana Scheme, one among the most important healthcare schemes that's sponsored by the govt of Inidia. Prime Minister, Narendra Modi unrolled Pradhan Mantri Jan Arogya Yojana healthcare scheme with an aim to hide quite 50 crore Indian citizens and nearly 10 Crore underprivileged families with none limitations concerning family size and age. Ayushman Bharat Yojana (PMJAY) will help these households avail the bet healthcare services with coverage up to INR 5 lakh for every family per annum for tertiary and secondary hospitalization expenses.

PM Ayushman Bharat Yojana scheme is paperless and offers cashless hospitalization cover at public hospitals and network private hospitals. Ayushman Bharat insurance covers the value of hospitalization, pre-hospitalization, medication, and post hospitalization expenses incurred during the treatment, which is applicable to most tertiary and secondary care procedures.

Moreover, Ayushman Bharat Yojana scheme includes nearly 1,400 exorbitant treatments like skull surgery, knee replacements, and therefore the likewise. and therefore the patients also can follow-up for the treatments to make sure full recovery. Read all about (PMJAY) Ayushman Bharat Yojana scheme features, eligibility criteria & application process imentioned below.

Features of PMJAY : Ayushman Bharat Yojana Scheme

  • PM-JAY is that the world’s largest health insurance/ assurance scheme fully financed by the govt .
  • It provides a canopy of Rs. 5 lakhs per family per annum for secondary and tertiary care hospitalization across public and personal empanelled hospitals in India.
  • Over 10.74 crore poor and vulnerable entitled families (approximately 50 crore beneficiaries) are eligible for these benefits.
  • PM-JAY provides cashless access to health care services for the beneficiary at the purpose of service, that is, the hospital.
  • PM-JAY envisions to assist mitigate catastrophic expenditure on medical treatment which pushes nearly 6 crore Indians into poverty annually .
  • It covers up to three days of pre-hospitalization and 15 days post-hospitalization expenses like diagnostics and medicines.
  • There is no restriction on the family size, age or gender.
  • All pre–existing conditions are covered from day one.
  • Benefits of the scheme are portable across the country i.e. a beneficiary can visit any empanelled public or private hospital in India to avail cashless treatment.
  • Services include approximately 1,393 procedures covering all the prices associated with treatment, including but not limited to drugs, supplies, diagnostic services, physician's fees, room charges, surgeon charges, OT and ICU charges etc.
  • Public hospitals are reimbursed for the healthcare services at par with the private hospitals.

Benefits of Ayushman Bharat Yojana Scheme :

Benefit cover under various Government-funded insurance schemes in India have always been structured on an upper ceiling limit starting 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 every eligible family once a year for listed secondary and tertiary care conditions. the duvet under the scheme includes all expenses incurred on the subsequent components of the treatment.
  • Medical examination, treatment and consultation
  • Pre-hospitalization
  • Medicine and medical consumables
  • Non-intensive and medical 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 fifteen days
The benefits of INR 5,00,000 are on a family floater basis which suggests that it are often employed by one or all members of the family. The RSBY had a family cap of 5 members. However, supported learnings from those schemes, PM-JAY has been designed in such how that there's no cap on family size or age of members. additionally , pre-existing diseases are covered from the very first day. this suggests that any eligible person affected by any medical condition before being covered by PM-JAY will now be ready to get treatment for all those medical conditions also under this scheme right from the day they're enrolled.

What is Covered under Ayushman Bharat Yojana Scheme?

PMJAY covers the subsequent expenses during the treatment:
  • Ayushman Bharat Yojana Scheme provides coverage for checkup , treatment and consultation fee
  • Pre-hospitalization expenses are covered under Ayushman Bharat Yojana policy
  • Post-hospitalization expenses are covered for 15 days
  • The policy also covers the value of drugs and medical consumables
  • Hospital accommodation charges also are covered
  • Non-intensive and ICU services
  • The expenses incurred on the Diagnostic procedures also are covered
  • Medical implantation services are covered where required
  • Expenses incurred on complications arising during the medical treatment
  • Food services

Eligibility Criteria for Rural and Urban People :

To avail the benefits of Ayushman Bharat Yojana health insurance scheme, it is essential for all the people to check for their names in the Socio-Economic Caste Census-2011 data. This will ensure if their family is eligible to be covered under Ayushman Yojna or not. And only those households whose name is listed in SECC database and active RSBY card holders are entitled to avail PMJAY benefits.

Pradhan Mantri Jan Arogya Yojana allows the eligible members to avail the healthcare services across India.

Eligibility Criteria for Rural :

  • Household with no adult/male/ earning member within the age group of 16-59 years
  • Families living in one room with Kuccha Kuccha walls and roof
  • Families with no members within the age group of 16-59 years
  • Household without a healthy adult member and one disabled member
  • Manual scavenger families
  • Landless households earning a major part of their family income from manual labour

Eligibility Criteria for Urban :

  • Domestic worker
  • Beggar
  • Ragpicker
  • Home-based Artisans/ Tailor Sweeper/ Handicrafts worker/ Sanitation worker/ Mali
  • Construction worker/ Labour/ Painter/ Welder/ Security guard/ Coolie
  • Washer-man/ Plumber/ Mason
  • Electrician/ Mechanic/ Assembler/ Repair worker
  • Transport worker/ Rickshaw puller/ Conductor/ Cart puller/
  • Waiter/Shop worker/ Assistant/ Peon/Delivery assistant
  • Street vendors/ hawker / Cobbler

Important Link :

(PMJAY) Ayushman Bharat Yojana list : Check your Name
Ayushman Bharat Yojana : Offocial Website
PDF Form Download : Click Here
PMJAY Hospital List : Click here

Documents Required :

  • Age & Identity Proof (Aadhaar Card/PAN Card)
  • Contact details (mobile, address, email)
  • Caste certificate
  • Income certificate (maximum annual income to be only up to Rs. 5 lakh a year)
  • Document proof the current status of the family to be covered (Joint or nuclear)

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