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Ayushman Bharat PM-JAY
West Bengal becomes the 36th State/UT to implement Ayushman Bharat PM-JAY. Ayushman Bharat PM-JAY is a government-funded health assurance scheme implemented nationally through designated authorities.
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY):
| Dimension | Key Details |
|---|---|
| Launch Year | Ayushman Bharat PM-JAY is launched in 2018. |
| Nodal Ministry | Ayushman Bharat PM-JAY is governed by the Ministry of Health and Family Welfare (MoHFW). |
| Financial Cover | The scheme provides for health cover up to ₹5 lakh per eligible family per year. |
| No Restriction Clause | The scheme provides for no cap on family size, age, or gender. |
| Coverage Scope | The scheme comprises pre- and post-hospitalization expenses, medicines, diagnostics, and pre-existing diseases from Day 1. |
| Comprehensive Care Components | The scheme comprises medical consultations, medicines, diagnostics, pre- and post-hospitalization expenses (including oncology and cardiology), ICU charges, surgery, and food or lodging. |
| Cashless Treatment Provision | Beneficiaries can access care free of charge at any public or empaneled private hospital across the country. |
| Top-Up Coverage | Senior citizens above 70 within families already covered by AB PM-JAY receive an additional top-up cover of up to ₹5 lakh per year. |
| Eligibility Basis | The scheme is entitlement-based and targets approximately the bottom 40% of the vulnerable population based on Socio-Economic Caste Census (SECC) data. |
| Implementing Agencies | The scheme is implemented nationally by the National Health Authority (NHA) and locally by State Health Agencies (SHAs). |
| Funding Pattern | As a centrally sponsored scheme, funding is provided as 60:40 for general States and Union Territories with legislatures, 90:10 for North-Eastern and Himalayan States, and 100% Central funding for Union Territories without legislatures. |