PMJAY-MA YOJANA | Ayushyaman Bharat Yojana | MA VATSALYA & AMRUTAM YOJANA MA NAVI CATEGORY BABAT PARIPATRA
Maa Ausman will receive 4 types of treatments in a government hospital in India. Our
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Maa Ausman will receive 4 types of treatments in a government hospital in India
The government offers up to five lakh cashless medical treatment annually to the citizens for primary, secondary, and tertiary treatment under 'Maa Card' like Chief Minister Amritam and Vatsalya as well as Ayushman Bharat. Under both the plans, the Health Commission has decided to provide cashless facilities only to government hospitals in six types of treatments.
Until now, patients admitted to private hospitals for the treatment of fever, diarrhea, and vomiting were also benefited by the government's cashless facility under the cluster of General Medicine.
Since all such facilities are in a government hospital, the Government has reserved the cashless facilities for all the procedures under the General Medicine cluster.
Similarly, in the other five procedures, patients will have to be treated in government hospitals. The government will not provide cashless facilities for such treatment in private hospitals.
Mental Disorders: Treatment of Mental Illness
Pediatrics: All diseases and surgeries touching children from zero to 5 years old.
Neonatal: All types of treatments for newborn babies.
Gynecology Spa: All kinds of gynecology, uterine operation.
Ma and Ayushman Bharat are both different. Pediatric Medical Management is undergoing a childcare scheme. The decision has been taken to double the cashless cost bills from separate schemes
Dr. HK Bhassar, Additional Director, Health Commissioner's Office
Until now, patients admitted to private hospitals for the treatment of fever, diarrhea, and vomiting were also benefited by the government's cashless facility under the cluster of General Medicine.
About Pradhan Mantri Jan Arogya Yojana (PM-JAY)
Since all such facilities are in a government hospital, the Government has reserved the cashless facilities for all the procedures under the General Medicine cluster.
Similarly, in the other five procedures, patients will have to be treated in government hospitals. The government will not provide cashless facilities for such treatment in private hospitals.
Ayushman Bharat
Ayushman Bharat, a flagship scheme of the Government of India, was launched as recommended by the National Health Policy 2017, to achieve the vision of Universal Health Coverage (UHC). This initiative has been designed to meet Sustainable Development Goals (SDGs) and its underlining commitment, which is to "leave no one behind."
Ayushman Bharat is an attempt to move from a sectoral and segmented approach of health service delivery to a comprehensive need-based health care service. This scheme aims to undertake path-breaking interventions to holistically address the healthcare system (covering prevention, promotion, and ambulatory care) at the , secondary and tertiary levels. Ayushman Bharat adopts a continuum of care approach, comprising of two inter-related components, which are -
Health and Wellness Centres (HWCs)
Pradhan Mantri Jan Arogya Yojana (PM-JAY)
1. Health and Wellness Centers (HWCs)
In February 2018, the Government of India announced the creation of 1,50,000 Health and Wellness Centres (HWCs) by transforming the existing sub-centers and Primary Health Centres. These centers are to deliver Comprehensive Primary Health Care (CPHC) bringing healthcare closer to the homes of people. They cover both, maternal and child health services and non-communicable diseases, including free essential drugs and diagnostic services.
Health and Wellness Centers are envisaged to deliver an expanded range of services to address the primary health care needs of the entire population in their area, expanding access, universality, and equity close to the community. The emphasis of health promotion and prevention is designed to bring focus on keeping people healthy by engaging and empowering individuals and communities to choose healthy behaviors and make changes that reduce the risk of developing chronic diseases and morbidities.
2. Pradhan Mantri Jan Arogya Yojana (PM-JAY)
The second component under Ayushman Bharat is the Pradhan Mantri Jan Arogya Yojna or PM-JAY as it is popularly known. This scheme was launched on 23rd September 2018 in Ranchi, Jharkhand by the Hon’ble Prime Minister of India, Shri Narendra Modi.
Ayushman Bharat PM-JAY is the largest health assurance scheme in the world which aims at providing a health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization to over 10.74 crores poor and vulnerable families (approximately 50 crore beneficiaries) that form the bottom 40% of the Indian population. The households included are based on the deprivation and occupational criteria of Socio-Economic Caste Census 2011 (SECC 2011) for rural and urban areas respectively. PM-JAY was earlier known as the National Health Protection Scheme (NHPS) before being rechristened. It subsumed the then-existing Rashtriya Swasthya Bima Yojana (RSBY) which had been launched in 2008. The coverage mentioned under PM-JAY, therefore, also includes families that were covered in RSBY but are not present in the SECC 2011 database. PM-JAY is fully funded by the Government and the cost of implementation is shared between the Central and State Governments.
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PMJAY - MA યોજનાના લાભ માટેના આવકના પ્રમાણપત્ર ત્રણ વર્ષ સુધી માન્ય રાખવા અને તલાટી કમ મંત્રીને અધિકૃત કરવા બાબત પરિપત્ર તારીખ 5-10 -2021 અહીંથી ડાઉનલોડ કરો
Key Features of PM-JAY
- PM-JAY is the world’s largest health insurance/ assurance scheme fully financed by the government.
- It provides a cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization across public and private impanelled 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 point of service, that is, the hospital.
- PM-JAY envisions to help mitigate catastrophic expenditure on medical treatment which pushes nearly 6 crore Indians into poverty each year.
- It covers up to 3 days of pre-hospitalization and 15 days post-hospitalization expenses such as 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 costs related to 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.
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.
Who is eligible for ayushman card?
In the rural areas, the PMJAY health cover is available to:
1) Those living in scheduled caste and scheduled tribe households. 2) Families with no male member aged 16 to 59 years. 3) Beggars and those surviving on alms. 4) Families with no individuals aged between 16 and 59 years.
How can I verify my Pmjay card?
You can check your name in PMJAY final beneficiary list by entering your registered mobile number/ration card number or SECC-2011 Name or RSBY URN. For enrollment confirmation, people can also call on the PMJAY helpline number at 14555.
How do you get ayushman Card 2021?
You have to log in to the official website mera.pmjay.gov.in and choose the HHD code. After this code will have to be given to Ayushman Mitra in the Common Service Center. Ayushman Mitra Common Service Center will complete the further process. Applicants will have to pay only 30 rupees for the Golden Card.
Official website of Pradhan Mantri Jan Arogya Yojana (PM-JAY), Government of India
- Website Content Managed by - PM-JAY
- Web Information Manager - Dr. Sapna Chauhan
- Lead Coordinator – Consultant, National Health Authority
- Email: webmaster-pmjay@nha.gov.in
- Postal Address: 9th Floor, Tower-l, Jeevan Bharati Building, Connaught Place, New Delhi - 110001
- Toll-Free Call Center No - 14555
These cashless treatments are now closed in a private hospital
General Medicine: Treatment for fever, diarrhea, vomiting, fall or general accident.Mental Disorders: Treatment of Mental Illness
Pediatrics: All diseases and surgeries touching children from zero to 5 years old.
Neonatal: All types of treatments for newborn babies.
Gynecology Spa: All kinds of gynecology, uterine operation.
Ma and Ayushman Bharat are both different. Pediatric Medical Management is undergoing a childcare scheme. The decision has been taken to double the cashless cost bills from separate schemes
Dr. HK Bhassar, Additional Director, Health Commissioner's Office
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Launched as a National Health Security Mission by the Ministry of Health and Family Welfare, Government of India, Ayushyaman Bharat will be managed by the National Health Agency at the national level and the State Health Agency at the state level. Ayushyaman Bharat Yojana has become the largest health scheme in the world covering the health care of 50 crore poor people of the country.
Launched as a National Health Security Mission by the Ministry of Health and Family Welfare, Government of India, Ayushyaman Bharat will be managed by the National Health Agency at the national level and the State Health Agency at the state level. Ayushyaman Bharat Yojana has become the largest health scheme in the world covering the health care of 50 crore poor people of the country.
Benefits of Ayushyaman Bharat Yojana
The Ayushyaman Bharat Yojana will provide free health services up to Rs 5 lakh per annum to 50 crore poor and deprived citizens of 10.74 crore poor and deprived families of the country.Who can benefit?
According to the socio-economic survey conducted by the Government of India in the year 2011-12, the households which have been included below the poverty line and the households which are covered by BPL. All the poor families who are cardholders will get the benefit of Ayushman Bharat Yojana. 2.25 crore citizens of more than 44 lakh poor and deprived families of Gujarat will get the benefit of treatment at 100% government cost.AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA
- Your family name could be covered in the PMJAY beneficiary list.
- To check out if you are a beneficiary, you can log in here using your mobile number.
- You do not need to enroll anywhere to claim benefits under the scheme.
- To claim benefits under the scheme you can get yourself identified at the nearest impanelled hospital or Community Service Centre (CSC)
Is there any caste-income-age limit? There is no caste limit in living India. The scheme will benefit all types of workers and the disabled, in addition to those whose annual income is low and are included in the family living below the poverty line, those who live in small as well as raw houses, are homeless. Such a family of any caste or class will all benefit from a living India. In addition, BPL card holders are directly involved in Scheduled Castes, Scheduled Tribes and Nomadic and Liberated Castes. There is no limit on the number and age of family members.
How to know whether one's name is in the list of beneficiaries or not? In Ayushman Bharat's website https://mera.pmjay.gov.in/search/login the BPL card holder has included himself by searching his mobile number, ration card number or name. Otherwise he will know. In addition, information can be easily obtained by calling the helpline numbers 14555 and 1800 111 565.
How to get the benefit? Ayushman Bharat's website which is BPL. The name of the card holder has been included in the list of beneficiaries. It is necessary to show Aadhaar card, ration card, smart card or life card at the time of hospitalization. Lifetime cards will be issued by the State Health Agency as well as by a lifelong friend.
Ayushman Mitra will help Ayushman Mitra has been appointed in all the government and private hospitals connected with Ayushman Bharat which will help in completing all the procedures from admission to discharge of the patient. In addition the hospital will act as a link between the government and the insurance company.
Which hospital will get the benefit? Ayushyaman Bharat Yojana will benefit all the government and hospitals in the country. The connection of 8000 hospitals has been completed in Ayushman Bharat Yojana and the government aims to connect 20 thousand hospitals. So that poor families living in any corner of the country can get health services close to their home. Living India will provide treatment in more than 1700 government and private hospitals in Gujarat.
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માં યોજનાનો ગુજરાતીમાં વીડિયો જોવા અહીં ક્લિક કરો
All transactions are paperless-cashless, only the amount deposited in the beneficiary's account. All transactions related to the patient will be paperless and cashless in the Lifelong India Scheme. For this, through the participation of the Policy Commission, an IT The platform will be operational. In addition, the amount received by the beneficiary will be credited directly to the account through direct debit transfer
All transactions are paperless-cashless, only the amount deposited in the beneficiary's account. All transactions related to the patient will be paperless and cashless in the Lifelong India Scheme. For this, through the participation of the Policy Commission, an IT The platform will be operational. In addition, the amount received by the beneficiary will be credited directly to the account through direct debit transfer
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