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How to get the benefit of Ayushman Bharat Scheme?

How to get the benefit of Ayushman Bharat Scheme?

Modi Government has started the Ayushman Bharat Scheme (ABY). ABY is also called the Prime Minister Jan Arogya Yojana (PMJAY). This scheme, popularly known as ModiCare, is actually a health insurance scheme for the poor people of the country. Under PMJAY, 100 million households of the country are getting health insurance of Rs 5 lakh annually.

 What is the goal of Ayushman Bharat Scheme (ABY)?

Prime Minister Narendra Modi has announced the ‘Prime Minister Jan Swasthya Yojana’ scheme (Ayushman Bharat Scheme i.e. ABY). It has been implemented in the country since September 25 on the birth anniversary of Pandit Deen Dayal Upadhyaya.

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 50 million people will come within the purview of PM-JAY.

In Ayushman Bharat Yojana (ABY), every family is getting medical insurance of five lakh rupees annually. The National Health Insurance Scheme (NHBY) launched by the UPA Government in the year 2008 has also been merged with the Ayushman Bharat Scheme (PM-JAY).

Who is getting coverage in ABY?

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 Ayushman Bharat Scheme (ABY).

Cashless / paperless treatment of beneficiaries of Ayushman Bharat Yojana (ABY) will be done in the government hospital and the hospital included in the panel.

How is ABY’s eligibility determined?

According to the data of SECC, people are getting Medical Insurance in Ayushman Bharat Scheme (ABY). According to the data of SECC, people of D1, D2, D3, D4, D5 and D7 categories of rural area population have been included in the Ayushman Bharat Scheme (ABY).

People can join the Ayushman Bharat Scheme (ABY) according to the 11 pre-determined profession / work in urban areas. Those who have already joined the National Health Insurance Scheme in the States themselves have joined the AYUSHAN Bharat Scheme (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 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 landless person / daily wage laborer

Apart from this, homeless people of rural areas, destitute, donated or begging, tribals and free of legal freedom will be included in the Ayushmann Bharat scheme themselves.

ABY Eligibility for Urban Areas

These qualifications are largely for joining the Ayushman Bharat Scheme (ABY): Beggars, garbage-takers, domestic workers, Rehdi-track shopkeepers, cobbles, ferries, and others working on the road. Workers, plumbers, masons, laborers, painters, welders, security guards, porter and other working people carrying loads on construction site

People working in sweepers, cleaning workers, household workers, handicraft workers, teller, 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 for getting admission in the hospital. All expenses incurred from hospitalization to treatment will be covered in this scheme.

Benefits of Ayushman Bharat Scheme (ABY) will be covered before and after the hospitalization will be covered.

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 of documents, enrollment in the scheme.

The person involved in Ayushman Bharat Scheme will be able to take treatment in any government / panel of private hospitals in the country.

 What are included in ABY?

Ayushman Bharat Scheme (ABY) covers the cost of admission to medical and hospital for almost every disease. The Ministry of Health has included 1354 packages in the Ayushman Bharat Scheme (ABY). This includes treatments such as coronary bypass, knee replacement and stunting.

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 ABY beneficiary?

There is no formal procedure for availing the Ayushman Bharat Scheme (ABY). Once you become eligible, you can get treatment directly. People from families identified by the government can join ABY.

The Central Government will share the knowledgeable family information of ABY with all state government and other related agencies of the area. After that these families will get a family identification number. Only people in the list can avail the benefits of the Ayushman Bharat Scheme (ABY).

Which hospital will treat the beneficiary of ABY?

Beneficiaries of Ayushman Bharat Scheme (ABY) can get treatment in all government hospitals. At the same time, the beneficiaries of ABY can also get treatment in the Government Private Hospital.

To join the panel, there should be at least 10 beds in the private hospital and the capacity to increase it.

The Beneficiary can also call the Government Helpline number issued for ABY: 14555

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