Pradhan Mantri Jan Arogya Yojana (Pradhan Mantri-Yojana) Scheme Details:
Pradhan Mantri Jan Arogya Yojana (PM-JAY) is a pioneering initiative of the Government of India that aims to accelerate India’s progress towards universal health coverage and sustainable development goals.
It is the world’s largest fully government-funded health protection scheme that seeks to cover more than 500 million people.
PM-JAY strives to ensure that poor and vulnerable families across the country are entitled to financial security and can use safe, quality hospitalization services to prevent any family suffering as a result of unhealthy poverty. Do not be pushed into
PM-JAY provides free hospitalization coverage of up to Rs. 5,00,000 per entitled family per year through a network of public and private deteriorating health care providers.
PM-JAY primarily identifies occupational categories of poor, deprived rural families and urban labor households according to the SECC (Socio-Economic Caste Census) 2011 database.
Apart from this, National Health Insurance Scheme (RSBY) active card holders can also avail PM-JAY.
There is no restriction on the size and age of the family as well as the pre-existing conditions for eligible families.
These services are free and paperless for the eligible beneficiary family. In addition, eligible beneficiaries will be able to transfer to states / UTs through national portability facility and access these services across the country.
The National Health Authority is responsible for ensuring implementation and providing monitoring for PM-JAY.
The State Health Agency / State Nodal Agency is the Program Implementing Agency at the state level, which ensures that the policies and guidelines laid down by the NHA are met with letter and spirit.
Suggested content for SMS / call to be sent to entitled beneficiary:
1. We have received your discharge request. Please note that your treatment is free. If you have been asked to make a payment, please call the State SHA Helpline or 14555 / 1800- 111-565. Please let us know if you are satisfied with the services offered at [Experienced Hospital Name]. Press 1 for Yes and 2 for (if possible).
2. Your feedback is valuable and will be processed. We request you to kindly provide feedback to PMAM on the nature and quality of services received.
3. Payment for an amount of Rs. [Specify] [Inexperienced hospital name] has been created by PMJAY for treatment from [date of admission to date of discharge]. We hope that you have found the discharge summary and follow the medications (if necessary). If you need any clarification or assistance, please reach out to PMAM.
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana Check your name in the following steps:
Go to https://www.pmjay.gov.in/ and click on ‘El Am I Qualified’?
Enter your mobile number and captcha code and click on ‘Generate OTP’
Then choose your state and search by name / HHD number / ration card number / mobile number
Based on the search results, you can verify whether your family belongs to PMJAY or not.
Modicare and UHC:
In this context, the Government of India cabinet approved the ambitious AB-PMJAY in March 2018. The scheme is commonly referred to as “ModiCare” after Indian Prime Minister Narendra Modi, which aims to create existing schemes to provide publicly funded health insurance. Covering 500,000 Indian Rupees (over US $ 7,000) per year to about 100 million families (500 million people, 40% of India’s population).