The About Ayushman Bharat Card 2024 (PMJAY), https://pmjay.gov.in/ formerly known as the Ayushman Bharat Yojana, is a government initiative that provides healthcare to those from economically disadvantaged backgrounds. It is among the largest healthcare initiatives that the Indian government funds. With the commencement of this plan, Prime Minister Narendra Modi aims to offer comprehensive healthcare to over 50 crore Indians. According to September 2019 figures, the programme admits over 44 lac clients and has more than 18000 hospitals under its patronage.
In addition to helping these households get the best medical care, AB-PMJAY provides insurance coverage for pre- and post-hospitalization expenses up to INR 5 lakh per family annually.
The program’s goal is to provide the underprivileged segments of society with cashless secondary and tertiary healthcare. An e-card that may be used to access services at any recognised public or private hospital in the country is given to PMJAY beneficiaries.
Overview of PMJAY Hospitals and Treatment List– About Ayushman Bharat Card 2024 – Registration, Eligibility
In hospitals across India that are enrolled in PMJAY, you can receive the benefits of the scheme with the Ayushman Bharat Golden Card. By July 20, 2021, the governments of several states and Union Territories have empanelled about 23,300 hospitals under the programme. Should you and your family be eligible for the programme, there won’t be any fees associated with your hospital stay. You can receive cashless treatment using the Ayushman Bharat card, and the federal and state governments will split the costs 60:40, respectively.
Please be aware, nevertheless, that in the event of several procedures, full payment will be made for the procedure with the greatest cost. You will receive 25% insurance for the third procedure and 50% insurance for the second. Under the programme, there is no waiting period for pre-existing conditions. The benefits listed under the system are as follows:
- No age or family size restrictions apply, and everyone is covered for free up to 5 lakh in medical and surgical expenses. Senior citizens, women, and girls are given priority.
- Cashless services offered
- Inspection, medical care, and advice
- Prehospitalization Expenses
- after-hospital follow-up care for a maximum of fifteen days
- The expenses linked to diagnostic tests and laboratory analysis
- The cost of prescription drugs and medical supplies is paid.
- Both non-intensive and intensive care services
- Medical implantation services (when necessary)
- Complication following medical intervention
How to Find Network Hospitals Under Ayushman Bharat
1. Download the List from Ayushman Bharats Official Website
The official PMJAY website has a list of all Ayushman Bharat hospitals. Nevertheless, you must follow these steps in order to locate the closest hospital that is registered with the PMJAY programme.
Step 1: To obtain the Ayushman Bharat Hospital List, go to the PMJAY website at https://pmjay.gov.in/. On the upper left bar, select “Find Hospital.”
Step 2: Provide the necessary information, such as the hospital’s name, specialty, type, state, district, and empanelment type.
Step 3: After entering the request information, type the “captcha code” and press the “Search” button.
Step 4: You can now get the list of Ayushman Bharat Hospitals.
2. Look up hospitals on the HexaHealth website.
You can also use our website to view the list of all hospitals that have been accredited under the
Ayushman Bharat Yojana by following the instructions listed below:
First, go to the HexaHealth website.
Step 2: Go to the Insurance Section and click on Ayushman Bharat Hospitals.
Step 3: Click the “View Hospitals” option after choosing your state and district.
Step 4: You can consult the List at that point.
The Ayushman Bharat hospital list will be displayed to you, along with details about their website, address, and phone number. Additionally, you can click the above link to view the list of hospitals that have been de-paneled.
3.How to View the List of Empaneled, De-Empaneled, and Suspended Hospitals
On the official website, you may see the most recent list of hospitals under the Ayushman Bharat Yojana Scheme that are suspended and accredited by state. The following instructions will allow you to get the list of de-empanelled and suspended hospitals in PDF format:
Step 1: To find out the status of the hospitals that have been suspended or de-panelled, go to the PMJAY website (mentioned above). Select the ‘Find Hospital’ option from the top left menu.
Step 2: Select the “Suspended Hospitals List” option located in the screen’s left corner.
Step 3: The dialogue box that follows will appear.
Step 4: Fill in the designated field if you are aware of the corresponding Hospital ID. Enter the state in the designated field to view the state-by-state list.
- Go into the neighbourhood that you are trying to find.
- Choose the application status from the given drop-down menu: DE-list DE-Empanelment of Hospital Suspension Continuation of Suspension
- Step 5: Finally, click “Search” after entering the given captcha code.
- Step 6: You can access your list of Ayushman Bharat Suspended Hospitals.
Advantages of the Hospital List Empaneled by PMJAY
Ayushman Bharat Yojana is a government health initiative that covers about 1,400 treatments, as well as out-of-pocket expenses for up to fifteen days following hospitalisation, up to three days prior to hospitalisation, OT fees, and other related expenditures. Benefits for PMJAY Empanelled Hospitals recipients include full reimbursement of all costs associated with any follow-up medical procedures:
- Five lacs in free medical and surgical care for each family
- coverage for everyone; family size and age are not limited. Senior citizens, women, and girls are given priority.
- Every pre-existing condition is protected
- Cashless services are offered at all embanelled locations.
- Inspection, medical care, and advice
- Prehospitalization Expensesafter-hospital follow-up care for a maximum of fifteen days
- The expenses linked to diagnostic tests and laboratory analysis
- The cost of prescription drugs and medical supplies is paid.
- Both non-intensive and intensive care services
- Medical implantation services (when necessary)
- Complication following medical intervention
How to Sign Up for the PMJAY Programme– About Ayushman Bharat Card 2024
The registration process for the PMJAY scheme is simple. It is applicable to all beneficiaries covered by the RSBY scheme as well as those named on the SECC 2011 list. Nonetheless, take the following actions to register for PMJAY online:
- Go to the official PMJAY government website.
- When you see the “Am I Eligible?” tab, click it.
- Enter the CAPTCHA code and your mobile number.
- Press the “Generate OTP” button.
- Enter the OTP, select Terms and Conditions by checking the box, then Send in
- Choose your search category and enter your state: by phone number, name, Ration Card Number, or HHD Number.
- After providing the necessary information, click Look for
- If you are qualified, your name will show.
How to Register for the PMJAY Scheme Using the Required Documents
The following paperwork is needed in order to register for the PMJAY Scheme:
- Documentation (PAN or Adhaar card) proving age and identity
- Contact details (email, address, and mobile)
- Caste certificate
- Income statement (the highest amount of income allowed annually is Rs. 5 lakh)
- Document proof of the family’s existing status (nuclear or joint)
- Since this is the only method of getting in touch with the policyholder, the contact details should be provided precisely.
Rural Families Served by the Programme
A staggering 85.9% of rural residents lacked health insurance prior to PMJAY, according to the National Sample Survey Organisation. Moreover, 13% of rural households borrowed money to pay for healthcare services, which resulted in debt traps. According to the Socio-Economic and Caste Census (SECC 2011), the Ayushman Bharat Yojana offers disadvantaged families yearly support of up to Rs 5 lakh to address this issue and meet their healthcare needs.
In rural locations, the following households are eligible for PMJAY health coverage:
- Families without a place to live
- homes belonging to Scheduled Tribes (ST) and Scheduled Castes (SC)
- especially susceptible indigenous communities
- Released from bond labour legally
- Families engaged in manual scavenging labour
- Those who live in poverty or on alms
- Families without adults in the age range of 16 to 59
- Families with no male adult child between the ages of 16 and 59
- households without an adult member who is not disabled and with a minimum of one disabled family member
- Families without land that rely heavily on their earnings from irregular manual labour
- families residing in one-room homes with walls and roofs made of kutcha
Urban Families Served by the Programme
Eighty-nine percent of Indian urban residents did not have health insurance before to PMJAY, according to the National Sample Survey Organisation. In addition, almost 9% of people living in cities took out loans to cover their medical expenses. Families in metropolitan areas that qualify for yearly financing of up to Rs 5 lakh include
- Angry Pickers
- household employees
- Beggars
- Worker types: assembler, mechanic, electrician, chowkidar, repairman, and washerman
- Gardener, cleaners, and sweepers
- Street vendors, hawkers, cobblers, and other service providers
- Home-based workers, craftsmen, handcraft workers, and tailors
- Workers with a high headload include plumbers, masons, porters, welders, construction workers, painters, security guards, and coolies.
- Small business peons, store employees, delivery assistants, attendants, helpers, and assistants
- Transport workers, conductors, drivers, cart pullers, and rickshaw pullers
Who is not eligible for PM-JAY health coverage?
The Pradhan Mantri Jan Aarogya Yojana excludes households that possess any of the following.
- motorised two-, three-, or four-wheel vehicles
- A piece of agricultural machinery that is mechanised
- A landline phone with a refrigerator
- five acres or more in a farming area
- Possess a Kissan Card with a credit limit over $50,000 and work for the government
- Work in a non-agricultural enterprise under government management
- Any participant making more than $10,000 a month
- Making professional and income tax payments
- Reside in a home with three or more rooms and pucca roof and walls.
illnesses treated in hospitals affiliated with Ayushman Bharat
Under the Health Benefits Package category (HBP 1.0), there are 1,393 treatment packages, of which 1,083 are surgical, 309 are medical, and one is not specified. In contrast, HBP 2.0 includes 1,578 operations and 872 treatment regimens, including the last category. Under 25 essential specialties, such as cardiology, neurosurgery, paediatrics, oncology, orthopaedics, etc., the plan pays for medical and surgical costs.
The following are a few of the critical ailments that the programme covers:
- Cancer of the Prostate
- Grafting Coronary Artery Bypass
- Replacement of Two Valve
- Stent-assisted carotid angioplasty with replacement of the pulmonary valve
- Tissue expanders for burn disfigurement and anterior spine fixation are two procedures related to skull base surgery.
Several exclusions from PMJAY:
OPD
- Cosmetic-Related Procedures Drug Rehabilitation Programme
- Procedures Related to Fertility in Organ Transplantation
- Diagnostics tailored to each individual for assessment.
- Click the following link to learn about the ailments that Ayushman Bharat Empanelled Hospitals cover:
FAQ
- How do I access the list of Ayushman Bharat hospitals?
Use the instructions below to visit the official PMJAY website and view the Ayushman Bharat hospital list.
Go to https://pmjay.gov.in to access the PMJAY website.
Refer to the list of Ayushman Bharat hospitals. On the upper left bar, select “Find Hospital.”
Input the following details: State, District, Hospital Name, Hospital Type, Specialty, and Empanelment Type.
The next action is to input the “captcha code” and press the “Search” button.
The Ayushman Bharat Network hospital list is currently accessible.
2. Which medical facility takes the Ayushman Bharat card?
The Ayushman Bharat card is accepted at both public and private hospitals that are accredited under the government’s programme. Go to the PMJAY official website to view the hospitals’ state-by-state list.
3. How Can I Find My Name in the PMJAY Scheme List?
Here are few ways to see if your name appears in the list of PMJAY scheme participants:
Online Method: Go to the official website and verify your eligibility to see if your name is on the list of recipients of the PMJAY scheme.
Through CSC, the Common Service Centre: To find out if the Ayushman Bharat Yojana is applicable to you, you can also go to the closest CSC or hospital that has been accredited.
Call the Helpline Number: You can also verify your eligibility for Ayushman Bharat by calling 1800 111 565 or 14555, which are the helpline numbers.
