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Health & Medicine, Schemes & Policies
Mahesh

25/08/22 06:10 AM IST

Now, Ayushman cards can be used for state schemes

In News 
  • The beneficiary card for Ayushman Bharat-–Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)   can now be used to avail benefits for any existing state health insurance schemes as well, with the National Health Authority (NHA) allowing co-branding with logos and names of both schemes on the new cards.
Features of PMJAY 
  • The world’s largest health insurance/assurance scheme fully financed by the government.
  • It provides cover of 5 lakhs per family per year, for secondary and tertiary care hospitalization across public and private empaneled hospitals in India.
  • The National Health Authority (NHA) is the nodal agency responsible for the nationwide roll-out and implementation of the AB-PMJAY scheme.
  • This scheme is a Centrally sponsored scheme with some Central sector components.
  • No restrictions on family size, age or gender.
  • All pre–existing conditions are covered from day one.
  • Covers up to 3 days of pre-hospitalization and 15 days post-hospitalization expenses such as diagnostics and medicines.
  • Benefits of the scheme are portable across the country.
  • 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.
NHA 
  • NHA is the apex body responsible for implementing India’s flagship public health insurance/assurance AB-PMJAY scheme
  • It has been entrusted with the role of:
  • designing strategy, building technological infrastructure and
  • Implementation of National Digital Health Mission to create a National Digital Health Eco-system.
  • To implement the scheme at the State level, State Health Agencies (SHAs) in the form of a society/trust have been set up by respective States.
Source- Indian Express 

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