The government has started the Ayushman Bharat Scheme (ABY). This scheme is also called the Prime Minister Jan Swasthya Yojana (PM-JAY). This is really a health insurance scheme. Under the PM-JAY, 10 million families of the country annually Health insurance of lakh rupees will be available.
What is the goal of Ayushman Bharat Scheme (ABY)?
Prime Minister Narendra Modi has announced the 'Prime Minister Jan Swasthya Yojana' (Ayushman Bharat Scheme i.e. ABY). It has been implemented in the country since September 25, on the birth anniversary of Pandit Deen Dayal Upadhyay.
The government wants to provide health insurance to poor, neglected families and families of urban poor people through ABY.
According to the socio-economic caste census 2011 (2011), 8.03 crore rural families and 2.33 crore households in urban areas will be covered under the Ayushmann Bharat Scheme (ABY). In this way 500 million people will come within the purview of PM-JAY.
Every family in Ayushman Bharat Scheme (ABY) will get medical insurance of Rs five lakh annually.In the year 2008, the National Health Insurance Scheme launched by the UPA Government will be merged with the Ayushman Bharat Scheme (PM-JAY).
Who will get coverage?
The attempt of the Modi Government is to include women, children and senior citizen specially in ABY. There is no restriction on the size and age of the family to join the Amyushman Bharat Scheme (ABY).
A cashless / paperless treatment of beneficiaries of Ayushman Bharat Scheme (ABY) will be available in the government hospital and the panel included in the panel.
How will the eligibility of ABY be determined?
People of D1, D2, D3, D4, D5 and D7 categories in the rural area population according to the data of SECC according to the data of SECC, Ayushman Bharat Scheme (ABY) will get medical insurance. Will be included in.
People will be able to join the Ayushman Bharat Scheme (ABY) according to 11 pre-determined profession / work in urban areas. Those already in the national health insurance scheme in the states themselves will be included in the Ayushman Bharat Plan (ABY).
ABY eligibility for rural areas
These qualifications are largely due to join the Ayushman Bharat Scheme (ABY):
In the rural area- the kutcha house, no adult being in the family (16-59 years), the head of the family should be a woman, there should be a diva in the family, belong to the Scheduled Caste / tribe and the landless person / daily wage laborer
Apart from this, homeless people of rural areas, destitute, donated or begging, Tribal and legally free bonded persons will join themselves in the Ayushman Bharat Scheme (ABY).
ABY Eligibility for Urban Areas
These qualifications are largely due to join the Ayushman Bharat Scheme:
Beggars, garbage collectors, domestic workers, rehearsals, shopkeepers, corsets, ferries, and others working on the road.
Workers, plumber, masons, laborers, painters, welders, security guards, porter and other working people carrying loads on construction site
Sweepers, cleaning workers, household workers, handicraft workers, tellers, drivers, rickshaw pullers, shopkeepers will be involved in the Ayushman Bharat Scheme (ABY).
Hospital recruitment process in ABY
The beneficiary of Ayushman Bharat Scheme (ABY) will not pay any charges to get admission in the hospital. All the expenses incurred from hospital to treatment till treatment will be covered in this scheme.
Benefits of Ayushman Bharat Scheme (ABY) will be covered before and after the hospital admission.
Every hospital included in the panel will have an Ayushman friend. He will help the patient and help him get hospital facilities.
There will also be a help desk in the hospital, which will help in Verification to check the document, enrollment in the scheme.
The person involved in Ayushman Bharat Yojana will be able to take treatment in any government / panel of private hospitals in the country.
What are included in ABY?
In Ayushman Bharat Scheme (ABY), the cost of admission to medical and hospital cover for almost every illness is covered.The Health Ministry has included 1354 packages in the Ayushman Bharat Scheme (ABY). This includes the treatment of coronary bypass, knee replacement and stunting. Are included.
The cost of treatment in Ayushman Bharat Scheme (ABY) is 15-20% less than the Central Government Health Scheme (CGHS).
What is the eligibility of the beneficiary?
There is no formal procedure for taking advantage of Ayushman Bharat Scheme (ABY). Once qualified, you can get treatment directly. People of the families marked by the government can join this scheme.
The central government will share the information of the qualified family with all the state government and other related agencies of the area. After these families, they will get a family identification number. Loogs included in the list can only benefit from the Ayushman Bharat Scheme.
Those who have the card of National Health Insurance Scheme till 28th February 2018, they can also take advantage of Ayushman Bharat Scheme.
Which hospital will be treated?
Beneficiaries of Ayushman Bharat Scheme (ABY) can get treatment in all government hospitals. At the same time, treatment can also be done at Shamil Private Hospital in the government's panel.
To join the panel, there should be at least 10 beds in the private hospital and the capacity to increase it.
Beneficiaries can also call the government helpline number for ABY: 14555
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