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Aayushman Bharat Yojana

Ayushman Bharat Yojana is a centrally sponsored health insurance scheme launched in 2018 by the Indian government. The scheme aims to provide coverage of up to Rs. 500,000 per family per year for secondary and tertiary medical care. It consists of two components - the National Health Protection Scheme which covers 10 crore poor and vulnerable families, and establishing 1.5 lakh health and wellness centers across the country. The scheme aims to reform India's healthcare system by expanding insurance coverage and making primary care facilities more accessible.

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Rishabh Parakh
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101 views14 pages

Aayushman Bharat Yojana

Ayushman Bharat Yojana is a centrally sponsored health insurance scheme launched in 2018 by the Indian government. The scheme aims to provide coverage of up to Rs. 500,000 per family per year for secondary and tertiary medical care. It consists of two components - the National Health Protection Scheme which covers 10 crore poor and vulnerable families, and establishing 1.5 lakh health and wellness centers across the country. The scheme aims to reform India's healthcare system by expanding insurance coverage and making primary care facilities more accessible.

Uploaded by

Rishabh Parakh
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Ayushman Bharat

Yojana

It has been suggested that Rashtriya Swasthya


Bima Yojana be merged into this article.Learn
(Discuss)
more

Ayushman Bharat Yojana or Pradhan


Mantri Jan Arogya Yojana (PMJAY) or
National Health Protection Scheme [1]is a
centrally sponsored scheme launched in
2018, under the Ayushman Bharat Mission
of MoHFW in India. The scheme aims at
making interventions in primary, secondary
and tertiary care systems, covering both
preventive and promotive health, to
address healthcare holistically.[2] It is an
umbrella of two major health initiatives
namely, Health and Wellness centres and
National Health Protection Scheme
(NHPS). Indu Bhushan is the Chief
Executive Officer (CEO) and Dr Dinesh
Arora as the Deputy CEO of Ayushman
Bharat Yojana.[3]
Ayushman Bharat Yojana

Country India

Prime Minister(s) Narendra Modi

Launched 23 September 2018

Status Active

Website https://www.pmjay.gov.in/

History
The National Health Protection Scheme
(NHPS) scheme is formed by subsuming
multiple schemes including Rashtriya
Swasthya Bima Yojana, Senior citizen
health Insurance Scheme (SCHIS), Central
Government Health Scheme (CGHS),
Employees' State Insurance Scheme
(ESIS) etc. Further, the National Health
Policy, 2017 has envisioned Health and
Wellness Centres as the foundation of
India’s health system which the scheme
aims to establish.[4]

The Central Government Health Scheme


(CGHS) was started under the Indian
Ministry of Health and Family Welfare in
1954 with the objective of providing
comprehensive medical care facilities to
Central Government employees,
pensioners and their dependents residing
in CGHS covered cities. This health
scheme is now in operation with cities
such as Bhubaneswar, Bhopal, Chandigarh
and Bangalore. The dispensary is the
backbone of the Scheme. Instructions on
these various matters have been issued
from, time to time for the guidance of the
specialists and medical Officers. The
Central Government Health Scheme offers
health services through Allopathic and
Homeopathic systems as well as through
traditional Indian forms of medicine such
as Ayurveda, Unani, Yoga and Siddha.[5]

Features
Ayushman Bharat consists of two major
elements.

1. National Health Protection


Scheme

Ayushman Bharat-National Health


Protection Scheme, which will cover
over 10 crore (one hundred million) poor
and vulnerable families (approximately
50 crore (five hundred million)
beneficiaries) providing coverage up to 5
lakh rupees ($7,100) per family per year
for secondary and tertiary care
hospitalization.
Benefits of the scheme are portable
across the country and a beneficiary
covered under the scheme will be
allowed to take cashless benefits from
any public or private empaneled
hospitals across the country.
It will be an entitlement based scheme
with entitlement decided on the basis of
deprivation criteria in the SECC
database. It will target about 10.74 crore
poor, deprived rural families and
identified occupational category of
urban workers' families as per the latest
Socio-Economic Caste Census (SECC)
data covering both rural and urban.
One of the core principles of Ayushman
Bharat - National Health Protection
Mission is to co-operative federalism
and flexibility to states.
For giving policy directions and fostering
coordination between Centre and States,
it is proposed to set up Ayushman
Bharat National Health Protection
Mission Council (AB-NHPMC) at apex
level Chaired by Union Health and Family
Welfare Minister. States would need to
have State Health Agency (SHA) to
implement the scheme.
Covering almost all secondary and many
tertiary hospitalizations (except a
negative list).[6]

2. Wellness centres

Rs 1200 crore ($170 million) allocated for


1.5 lakh (150,000) health and wellness
centres,Under this 1.5 lakh centres will be
setup to provide comprehensive health
care,including for non-communicable
diseases and maternal and child health
services, apart from free essential drugs
and diagnostic services.[2] The
government will upgrade existing Public
Health Centres to Wellness Centres. The
welfare scheme has been rolled out on
August 15, 2018.[7][8] Further, Contribution
of private sector through CSR and
philanthropic institutions in adopting these
centres is also envisaged.[2] The list of
Services to be provided at Health &
Wellness Centre include:

Pregnancy care and maternal health


services
Neonatal and infant health services
Child health
Chronic communicable diseases
Non-communicable diseases
Management of mental illness
Dental care
Geriatric care emergency medicine
Progress
26 states and union territories accepted
the scheme except three states: Delhi,
Odisha, West Bengal and Telangana.[9]
More than a lakh (100,000) people have
taken benefit of the scheme till October
2018.[3] By 26th November more than
825,000 e-cards had been generated and
there was a push to recruit more private
hospitals to the scheme. Three had
already been signed up: Cygnus Sonia
Hospital in Nangloi, Dr. Shroff’s Charity Eye
Hospital and Cygnus MLS Super-Speciality
Hospital.[10]
References
1. "आयु मान भारत रा ीय वा य संर ण
(नेशनल हे थ ोटे शन) योजना - Ayushman
bharat" . Infnd. 17 June 2018.
Retrieved 28 November 2018.
2. http://www.pib.gov.in/PressReleaseIfr
amePage.aspx?PRID=1518544
3. "Ayushman Bharat off to flying start; 1
lakh beneficiaries join Modi's
insurance scheme in just 1 month" ,
Financial Express, 22 October 2018
4. "Can PM Modi's Ayushman Bharat
help healthcare startups scale?" , The
Economic Times, 25 February 2019
5. Portal of India
6. https://www.india.gov.in/spotlight/ayu
shman-bharat-national-health-
protection-mission
7. "pib.nic.in" . Press Information Bureau,
Government of India.
8. "india government website" .
9. "10 days into launch, Ayushman
Bharat caters to 23,387 claims worth
Rs 38 crore" , Business Today, 3
October 2018
10. "Ayushman Bharat: Fresh push by
National Health Agency to get
hospitals on board" . Indian Express.
26 November 2018. Retrieved
6 December 2018.
Retrieved from
"https://en.wikipedia.org/w/index.php?
title=Ayushman_Bharat_Yojana&oldid=904882029"

Last edited 18 days ago by Arjayay

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