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All about Pradhan Mantri Ayushman Bharat Yojana

[ecis2016.org] Mentioned in this article is all about Pradhan Mantri Ayushman Bharat Yojana including eligibility, features and benefits

Ayushman Bharat Yojana, government of India’s flagship National Health Protection Scheme was announced by Prime Minister Narendra Modi. Also known as the AB-PMJAY plan since it combines the Senior Citizen Health Insurance Scheme (SCHIS) and the Rashtriya Swasthya Bima Yojana (RSBY). The Ayushman Bharat Yojana plan benefits rural families and impoverished and needy households in rural and urban regions. 

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What is Pradhan Mantri Ayushman Bharat Yojana 

Ayushman Bharat card online intends to address health comprehensively, including prevention, promotion, and ambulatory care at the primary, secondary, and tertiary levels. Ayushman Bharat consists of 2 interdependent components:

  • Health and Wellness centre

The first part of the plan is to create 1,50,000 new Health and Wellness centres to provide medical treatment closer to people’s homes and places of work. Health care services for pregnant women and children and non-communicable illnesses, will be provided at these centres, including free necessary medications and diagnostic services.

  • Pradhan Mantri Jan Arogya Yojana (PM-JAY) 

PM JAY yojana is a step forward pursuing Universal Health Coverage (UHC) and the fulfilment of Sustainable Development Goal – 3. (SDG3). Its goal is to give health protection coverage to poor and vulnerable families to safeguard them from financial risk resulting from catastrophic health events.

The Pradhan Mantri Ayushman Yojana programme is paperless and provides cashless hospitalisation coverage at public and networked private health care institutions. More than 10 million households are now insured for 5 lakhs under the PMJAY plan.  There is no limit to the treatments covered by Ayushman Bharat online health insurance, including hospitalisation, prehospitalisation and prescription costs, and posthospitalization fees. In addition, the Ayushman Bharat Yojana programme covers roughly 1,400 expensive procedures, such as cranial surgery and knee replacements. Patients can keep track of their progress to ensure they get the maximum benefit from the scheme. 

What is covered under Ayushman Bharat Yojana Scheme?

What is covered under Ayushman Bharat Yojana Scheme?

Ayushman Bharat online apply covers the following expenses during the treatment:

  • The Ayushman Bharat Yojana covers medical examinations, treatment and consultation fees.
  • Ayushman Bharat Yojana insurance covers pre-hospitalisation fees.
  • Hospitalisation expenses are covered.
  • 15 days of coverage for post-hospitalization charges
  • Medications and other medical supplies are also covered under the plan.
  • Non-critical and ICU critical care services are covered 
  • The costs of diagnostic procedures are also covered by the insurance policy.
  • Those who need medical implant treatments are covered by insurance.
  • Expenses spent as a result of difficulties during medical treatment.

List of critical illnesses covered by Ayushman Bharat Yojana

PMJAY provides almost 1,350 medical packages at all private network hospitals and all state institutions. Some critical illnesses covered by Ayushman Yojna:

  • Skull base surgery
  • Prostate cancer
  • Carotid angioplasty with stent
  • Coronary artery bypass grafting
  • Double valve replacement surgery
  • Tissue expander for disfigurement following burns
  • Pulmonary valve surgery
  • Anterior spine fixation

COVID-19 treatment 

Ayushman Bharat Yojana protects against the global pandemic COVID-19. There will be no charges for medical tests at any participating facility, according to a statement by the National Health Authority (NHA). Additionally, the Ayushman Bharat plan covers quarantine and isolation costs.

Under this regulation, all empanelled hospitals are equipped to conduct Coronavirus testing, treatment, and quarantine facilities, as do all other hospitals. It is an admirable endeavour to save impoverished and vulnerable families from the nasty COVID-19 virus.

Ayushman CAPF health insurance scheme

Ayushman CAPF health insurance programme will be available to all members of the police force, no matter their rank. The CAPF, Assam Rifle, and National Security Guard officers and their families are covered under this programme. Health insurance for 10 lakhs of soldiers and 50 lakhs of officers’ families is available via the Ayushman CAPF programme. All of these eligible applicants will be able to get free care in 24000 hospitals around the nation.

Ayushman Bharat: PM Jan Arogya Yojana is the name of this scheme. On this occasion, the Home Minister handed out Ayushman health cards to the employees of seven centrally-empowered police units. The Home Minister also thanked the police for their efforts in the battle against the Coronavirus on this particular occasion. Some soldiers were afflicted and died from the illness, according to him. On behalf of all the troops, he expressed gratitude for their contribution to this battle’s outcome. 

Ayushman Bharat Yojana: Features and benefits 

  • Each year, the recipient family is eligible for a cover of up to Rs 5 lakh. The plan can get primary, secondary or tertiary care.
  • The scheme’s benefits are available at any government or accredited private hospital.
  • Beneficiaries’ eligibility was focused on poor, impoverished rural households and determined occupational category for urban workers’ families using 2011 Socio-Economic Caste Census (SECC) data.
  • Payments will be made via the package model. The government-in-charge will specify the package for payment for overall expenditures, specified services, and processes.
  • A national health protection mission called Ayushman Bharat would be developed to ensure efficient coordination between the central and state governments.
  • The plan benefits around 40% of the country’s impoverished and vulnerable people.
  • All out-of-pocket expenditures made by the recipient during his hospitalisation will also be reimbursed.
  • Costs spent before and during hospitalisation will be reimbursed.
  • The insurance covers hospitalisation without the need for cash.
  • The plan covers the costs of daycare treatment.
  • All pre-existing medical conditions are covered under the insurance plan. Medical checkups are also provided for 15 days to confirm that patients have fully healed.

 

Ayushman Bharat Yojana: Rural families eligibility criteria

To determine which rural households are qualified for the benefits of the programme, there are six criteria. They are as follows:

  • Families without a working adult member aged 16 to 59 years.
  • Female-headed households with no adult male members aged 16 to 59 years.
  • Households consist of a single room with improvised walls and a roof.
  • Households are classified as Scheduled Castes or Scheduled Tribes.
  • Households with impaired individuals and no non-disabled relatives to assist.
  • Landless households rely on manual labour as their primary source of income.

Ayushman Bharat Yojana: Urban families eligibility criteria

To be eligible for the plan, an urban household must fall into one of the following occupational categories:

  • Construction site workers, plumbers, masons, painters, welders, and watchmen. 
  • Peons, helpers, shop workers, delivery assistants, attendants, and waiters.
  • Transport workers such as conductors, drivers, cart pullers, and others.
  • Artisans, home-based workers, handicraft workers, and tailors.
  • Electricians, mechanics, repair workers, and assemblers. 
  • Sweepers, sanitation workers, and gardeners.
  • Street vendors, cobblers, and hawkers.
  • Domestic servants.

Ayushman Bharat Yojana registration online 2022

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Ayushman card registration in 2022 is similar to the ayushman bharat registration online 2021. For ayushman bharat yojana registration online follow the steps below-

Step 1 

Visit the official website to begin the ayushman bharat registration online procedure. 

Step 2 

Following that, you’ll input your cell number and the Captcha Code. Then, choose the ‘Generate OTP’ option.

Step 3 

A one-time password (OTP) is provided to your cell phone, enabling you to enter the website and finish the verification procedure. You will be redirected to the PMJAY login page. 

Step 4 

Additionally, you must indicate which state you are applying for the Pradhanmantri Ayushman Yojana. You will then select your eligibility criteria in whatever manner you like.  

  • Name 
  • Mobile Number
  • Ration Card Number
  • RSBY URN number

 Your name will appear on the right-hand side of the website if you are qualified for the Pradhan Mantri Ayushman Bharat Yojana. Additionally, you can view beneficiary information by selecting the ‘Family Members’ option. This is how ayushman bharat online registration works.

Ayushman Bharat Yojana Card online: How to download?

PM jan arogya yojana online apply is crucial since it includes a unique family identifying number. Every home receiving assistance receives AB-NHPM. To apply for ayushman bharat card and download your Ayushman card online, follow these steps: 

Step 1

Visit the official Ayushman Bharat Yojana website.

Step 2 

Login with your email address and create a password.

Step 3 

Proceed by entering your Aadhaar number.

Step 4 

Select the selection for an authorised beneficiary.

Step 5 

It will be sent to their support centre.

Step 6 

Now, in CSC, input your password and the PIN.

Step 7 

The home page will appear.

Step 8 

You will find a download option for your Ayushman Bharat golden card.

Ayushman Bharat Yojana: Steps to find an empanelled hospital 

  • To begin, you must go to the Ayushman Bharat Scheme’s official website.
  • Now you’re on the home page.
  • You must first click on the navigation option on the main page.
  • Now, you must click on the Find Hospital link.

Ayushman Bharat Yojana: Steps to find an empanelled hospital 

  • When you click on this link, a new page will appear. On this page, you must pick the appropriate category.
    • State
    • District
    • Hospital type
    • Speciality
    • Hospital name
  • You are now required to input the captcha code.
  • Following that, you must click the search button.
  • Your computer screen will display pertinent information.

Ayushman Bharat Yojana: Steps to find de-empanel hospital

  • To begin, you must go to the National Health Authority’s official website.
  • You must first click on the menu option on the main page.
  • Following that, you must choose the De-empanel Hospital.
  • Once you click on this option, a list of De empanel Hospitals will appear.

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Ayushman Bharat Yojana: Steps to find de-empanel hospital

Ayushman Bharat Yojana: Steps to view health benefit package 

  • To begin, you must go to the National Health Authority’s official website.
  • Following that, you must click on the menu item.
  • Now, you must choose the Health Benefits Package option.
  • Now, a new page will load in your browser.
  • This page will provide a PDF listing of all health benefits packages.

Ayushman Bharat Yojana: Steps to view health benefit package 

  • You must choose the appropriate Health Benefits Package.
  • To begin, you must go to the National Health Authority’s official website.
  • You must first click on the menu option on the main page.
  • Now you must choose the claim adjudication option.
  • Following that, a new page will load in front of you.

Ayushman Bharat Yojana: Steps to get information related to adjudication claim 

  • This page will include all pertinent information on the claim.
  • You must choose the appropriate option.
  • Your computer screen will display pertinent information.

Ayushman Bharat Yojana: Steps to find Jan Aushadhi Kendra

  • To begin, you must go to the National Health Authority’s official website.
  • Following that, you must click on the menu option.
  • Now, you must choose the Jan Aushadhi Kendra option.
  • Now, you select the pdf file of Jan Aushadhi Kendra.
  • After selecting this option, a list of Jan Aushadhi Kendras will appear on your screen.

Steps to find Jan Aushadhi Kendra

Ayushman Bharat Yojana: Steps to find Covid-19 vaccination hospital

  • To begin, you must go to the National Health Authority’s official website.
  • You must first click on the menu option on the main page.
  • Following that, you must choose the covid vaccination Hospital option.
  • Now you must select your state and congressional district.
  • Following that, you must look for and choose the appropriate choice.
  • Your computer screen will display relevant data.

Steps to find Covid-19 vaccination hospital

Steps to download the ayushman bharat yojana 2022 app

  • To begin, you must go to the Google Play Store on your phone. 
  • Now, in the search box, type Ayushman Bharat.
  • From the list, click on the top app.
  • Following that, click the install button.
  • The Ayushman Bharat App will be downloaded to your mobile phone when you click the install button.

Ayushman Bharat Yojana: Steps for filing of grievance

To begin, you must go to the Ayushman Bharat Scheme’s official website. 

  • To access the home page, click on the tab in the navigation bar.
  • Now, you must click on the Grievance Portal link.
  • Clicking on this link, a new portal will appear.
  • You must click on the link Register Your AB-PMJAY Grievance.

Ayushman Bharat Yojana: Steps for filing of grievance

  • A new page will now appear before you, including a grievance form.

Ayushman Bharat Yojana: Steps for filing of grievance

  • This form requires the following information.
    • Grievance by
    • Case type
    • Enrollment information
    • Beneficiary details
    • Grievance Detail
    • Upload files
  • You must now tick the declaration and click the submit button.
  • This way, you will be able to file a complaint.

Ayushman Bharat Yojana: Steps to check grievance status

  • To begin, click on the link provided here.
  • Now, you must select the Track Your Grievance option.
  • When you choose this option, a new page will appear.
  • This page requires you to input your reference number.

Ayushman Bharat Yojana: Steps to check grievance status

  • Following that, you must click the submit button.
  • Your computer’s screen will show the Grievance Status.

Collect Form: SBI

Collect Form: SBI

  • Go to the SBI Link
  • Following that, you must input your CVCID and Order ID.

Collect Form: SBI

  • Look for and choose the appropriate choice.
  • Your computer’s screen will show payment information.
  • If you’ve chosen SBI Collect Form, you’ll need to click the Proceed option.
  • Now you must choose a category.
  • Following that, you must provide the hospital’s login ID.
  • Now you must select the submit option.
  • Your computer screen will display pertinent information.

Ayushman Bharat Yojana dashboard: View steps 

  • To begin, you must go to the National Health Authority’s official website.
  • You must first click on the menu option on the main page.
  • Following that, there will be two choices under the Dashboard option.
    • Public Dashboard for PM-JAY
    • Dashboard for Hospital Performance at PM-JAY
  • You must choose the appropriate option.
  • Following that, you must log in.
  • After signing in, the dashboard information will be presented on your computer screen.

Ayushman Bharat Yojana: Steps for feedback 

  • To begin, you must go to the Ayushman Bharat Scheme’s official website.
  • You must first click on the navigation option on the main page.
  • Now, you must click on the Feedback link.
  • The Feedback form will appear in front of you as soon as you click on the Feedback link.

Ayushman Bharat Yojana: Steps for feedback 

  • You must complete the following fields in this form.
    • Name
    • E-mail
    • Mobile phone number
    • Remarks 
    • Category
    • Captcha Code 
  • You must now click the submit button.
  • This way, you may provide feedback.

Ayushman Bharat Yojana: Contact details 

Address: 7th and 9th Floor, Tower-L, Jeevan Bharati Building, Connaught Place, New Delhi – 110001 

Toll-Free Contact Number:  14555/ 1800111565

Email: abdm@nha.gov.in.

Source: https://ecis2016.org/.
Copyright belongs to: ecis2016.org

Source: https://ecis2016.org
Category: Must Knows

Debora Berti

Università degli Studi di Firenze, IT

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