Ayushman Bharat Yojana Eligibility Criteria
- Rural Sector Of India
- Urban Sector of India
What is Ayushman Bharat Yojana or PMJAY Scheme?
Ayushman Bharat Yojana is introduced to provide health coverage to approximately 50 crore citizens in India and the average amount to the beneficiary is INR 5 lakhs. The scheme covers the majority of diagnostics, medicines, pre-hospitalization costs, and medical treatment expenses. It provides healthcare facilities accessible to the poorest of poor families residing in India. Hence, the benefits offered below in this scheme are massive:
Ayushman Bharat Yojana Benefits
- Provides cashless facility to its beneficiaries
- Covers day-care expenses within the insurance package
- Handles all the uncovered hospital expenses with ease
- Covers the transport allowances during pre and post hospitalization period
- Covers pre-existing ailments of the beneficiary
- Take care of the follow-up treatments of the patient included in the plan
Ayushman Bharat Yojana Eligibility Criteria
The eligibility criteria are divided between the rural and urban sectors of India. Find out below:
Rural Sector Of India
In the rural areas, the health facility is available to:
- Schedule castes and Scheduled tribe families
- Beggars and those surviving on alms
- Tribal Communities
- Households with no male member between the age of 16 years – 59 years
- Households with no individual between the age of 16 years – 59 years
- Households with at least one physically challenged member and no healthy individual
- Manual Scavenger families
- Landless families who make a living by working as casual manual labours
- Legally released bonded labourers
- Families living in one-room under no proper walls or roof
Urban Sector of India
In the urban areas, the scheme can be availed mainly by:
- Domestic help
- Rag pickers
- Washerman/Chowkidars
- Mechanics, electricians, and repair workers
- Tailors
- Home-based artisans and handicraft workers
- Sanitation workers, gardeners, and sweepers
- Cobblers, hawkers
- Plumbers, masons, construction workers, porters, welders, painters, etc
- Transport workers such as drivers, conductors, helpers, rickshaw pullers, etc
- Assistants, peons of a small organization, delivery men, shopkeepers, waiters
Ayushman Bharat Yojana Non-Eligibility
People who are not entitled to health coverage under Ayushman Bharat Yojana:
- Employed by the Government
- Owning a refrigerators and landlines
- Owning a two, three or four – wheeler or motorized fishing boat
- Have a mechanized farming equipment
- Have a kisan card with a credit limit of INR 50,000
- With a decently built houses
- Earning a monthly income above INR 10,000
- Working in government managed non agricultural enterprises
- Owning a 5 acres or more of agricultural land
Ayushman Bharat Yojana Medical Packages
Following are the medical packages covered under this scheme:
- Individuals or families can utilize the health coverage of INR 5 lakhs
- Amount covers treatments in 25 specialties including cardiology, neurology, oncology, paediatrics, and orthopaedics.
- In case of multiple surgeries, the surgery with the highest cost is paid in the first instance; then a 50% waiver is offered for the second surgery; and a 25% discount on the third.
- Moreover, this scheme provides cashless treatment and hospitalization, primarily because of the 60:40 cost-sharing agreement between the Center and States.
Ayushman Bharat Yojana Hospitalization Process
Find the list of impaneled hospitals by following the steps below:
- Visit the official website;
- Select your state and district area;
- Choose the type of hospital you’re looking for;
- Choose the kind of medical guidance you need
- Enter the captcha mode
- Click on search
Ayushman Bharat Yojana Card
To get the Ayushman Bharat Yojana Card, follow the below steps:
- Visit the official PMJAY website
- Login with your registered number
- Enter the captcha code and generate the OTP
- Opt for the HHD code
- Provide the correct HHD code to the Common Service Center (CSC)
- They will check and verify the details provided
- The CSC representative will complete the remaining process
- You will have to pay INR 30 to get the Ayushman Bharat Yojana Golden Card
Ayushman Bharat Yojana Illness Coverage
Some of the critical ailments covered under the plan are as follows:
- Prostate Cancer
- Double valve replacement
- Skull base surgery
- Carotid angioplasty with stent
- Pulmonary valve replacement
- Drug rehabilitation program
- Anterior spine fixation
- Organ transplant, etc
Ayushman Bharat Yojana Documents Required
Documents required to apply for the Ayushman Bharat Yojana scheme:
- A certified document confirming your age and identification
- Existing contact details of the buyer
- Income certificate
- Caste certificate
- A document stating the current family status
Ayushman Bharat Yojana Lodging of Complaint or Grievance
You can lodge a complaint or grievance online on the CGRMS portal of the scheme on the official website of CGRMS.
In case you want to complain offline, you can do so by –
- Contacting the helpline center of the scheme operated by your State/NHA
- Send a letter, email, or fax to the official addresses of the SHA/NHA
- Directly meeting with the district grievance nodal officer (DGNO) of your district
Ayushman Bharat Yojana Contact Information
The Ayushman Bharat Yojana scheme and mailing information is as follows:
Contact Number – 14555 or 1800-111-565 (both toll free)
Mailing Address – National Health Authority of India
3rd, 7th, and 9th floor,
Jeevan Bharati Building,
New Delhi – 110001
FAQs
What is the purpose of Ayushman Bharat Cards?
Every impoverished person in the nation will benefit from the availability of the Ayushman Bharat Golden Card, which will only be distributed to individuals whose names appear on the Ayushman Bharat Beneficiary List.
What documents are required to avail Ayushman Bharat Cards?
Aadhaar Card, ration card and family identity cards are some of the documents that are required by the citizens of India.
Can I apply for a Ayushman Bharat Card online?
Yes, Ayushman Bharat Card 2023 applications are accepted online at pmjay.gov.in.
The government of India is keen on providing its citizens with better healthcare services to battle medical contingencies. The government schemes are a great initiative to develop the country and the citizens. With the great implementation of all these schemes, India’s economy and different sectors will be a great achievement. For more such awesome content, follow Leverage Edu. For any doubts or queries, feel free to drop a comment!
