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Hospitals to Avail the Benefits of Ayushman Bharat Scheme: A trail to Improve the Quality of Health

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Medically Reviewed by Dr. Aman Priya Khanna
Written by Sangeeta Sharma, last updated on 17 February 2023| min read
Hospitals to Avail the Benefits of Ayushman Bharat Scheme: A trail to Improve the Quality of Health

Quick Summary

  • India has the lowest public spending on healthcare facilities in the world.
  • The Indian healthcare system has significant limitations related to the infrastructure, workforce, and quality of service.
  • The Ayushman Bharat scheme is a step towards Universal Health Coverage (UHC) and aims to achieve universal health care for all individuals and communities by 2030.

In India, the public spending on healthcare facilities is just above 1% of GDP, making it the lowest healthcare expenditure in the world. The Indian healthcare system has significant limitations related to the infrastructure, workforce, and quality of service. To combat these issues, the Government of India launched the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in September 2018. The Ayushman Bharat scheme is a step towards Universal Health Coverage (UHC). 

What is UHC?UHC involves ensuring that all individuals receive quality health services without suffering from a financial burden. It includes health services such as prevention, promotion, treatment, rehabilitation, and palliation (relief from symptoms). India aims to achieve universal health care for all individuals and communities by 2030. To achieve this goal, the Ayushman Bharat scheme provides Rs 5 lakh insurance cover per family to the poorest 40 percent of the Indian population. The beneficiaries of the scheme can get cashless treatments in any private and public empanelled hospital enlisted by PMJAY.

Current Status of Hospitalisation Under Ayushman Bharat Scheme

As of 16th June 2022, there have been 3,38,91,610 hospital admissions under the PMJAY scheme. Moreover, 18,30,71,138 Ayushman Bharat cards have been issued since the scheme's launch in 2018. 

Furthermore, under the Ayushman Bharat Health and Wellness Centre, the Indian government committed to transforming 1.5 lakh primary health centres and sub-centres into Health and Wellness Centres (HWCs). These centres will provide a comprehensive range of services, including diagnosing and treating non-communicable and chronic communicable diseases. The PMJAY-enlisted private and public hospitals have helped the underprivileged section of the society avail the benefits of the Ayushman Bharat scheme, which include:-

  1. All the pre-hospitalisation costs of up to 3 days and post-hospitalisation costs of up to 15 days are covered
  2. Offers accommodation during hospitalisation
  3. Provides coverage for any complications arising during the treatment
  4. No restriction on the family size, gender, or age
  5. Every family member can use it
  6. Covers pre-existing conditions

How to Get Registered for Ayushman Bharat Yojana?

To get registered for Ayushman Bharat Yojana, all you need is to check your eligibility and produce the following documents for verification at a PMJAY kiosk:-

  1. Caste certificate
  2. Special category certificate
  3. Income certificate
  4. Age proof
  5. ID proof
  6. Contact information
  7. Scanned copy of Aadhaar card

Once your documents are approved, you will be issued an Ayushman Bharat card. 

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Hospitalisation Process Under Ayushman Bharat Scheme

With the Ayushman Bharat Golden Card, you can obtain the benefits in PMJAY-enlisted hospitals across India. The Ayushman Bharat card will help you avail of the cashless treatment. However, please note that if there are multiple surgeries, the surgery with the highest cost will be paid for completely. For the second surgery, you will receive 50% insurance, and for the third, you will receive 25% insurance.

Ayushman Bharat Hospital List of States/UTs

To know the latest updates on the empanelment and de-empanelment of public and private hospitals under PMJAY, you can visit the official website of PMJAY. 

  1. Go to the hospital list section on the website
  2. Select your state and district
  3. Select the type of hospital - public/ private (for profit)/ private (not for profit)
  4. Select the specialty (burns management, general medicine, cardiology, etc)
  5. Select the hospital name and empanelment type
  6. Enter the Captcha code and click on search
  7. You will be redirected to the Ayushman Bharat hospital list along with their website, address, and contact information

The image below shows the coverage of empanelled hospitals in various states of India. 

Hospitalisation Process Under Ayushman Bharat Scheme || image

Takeaway

With the implementation of the Ayushman Bharat scheme, the government has enabled the economically backward population to access quality healthcare at various private and public hospitals anywhere in India. This is a major step toward improving the quality of health in the country. So, if you are eligible, register yourself under the Ayushman Bharat Yojana TODAY! 

For further queries about the scheme, you can contact a HexaHealth expert by logging in on HexaHealth or call the Ayushman Bharat helpline number - 14555.

Frequently Asked Questions on availing the benefits of Ayushman Bharat

Q. What is an Ayushman Card?
A. Ayushman card is issued to underprivileged families to avail services at empanelled private and government hospitals.

Q. Who is eligible for the Ayushman Bharat Card?
A. Poor, vulnerable rural families and identified occupational categories of the families of urban workers who are identified by the Socio-Economic Caste Census (SECC) are eligible for the Ayushman Bharat card.

Q. What information is required to create a Health ID?
A. Name, mobile number, ration card number or HHD number are required to create a Health ID.

Q. How can I access my ABHA if I forget my password?
A. You can log on to your ABHA number via mobile OTP or Aadhaar linked mobile OTP and set a new password.

Q. What is the toll-free number for ABHA Digital Health Card department?
A. The toll-free number for the ABHA Digital Health Card department is 1800-11-4477/14477.

Last Updated on: 17 February 2023

Disclaimer: The information provided here is for educational and learning purposes only. It doesn't cover every medical condition and might not be relevant to your personal situation. This information isn't medical advice, isn't meant for diagnosing any condition, and shouldn't replace talking to a certified medical or healthcare professional.

Reviewer

Dr. Aman Priya Khanna

Dr. Aman Priya Khanna

MBBS, DNB General Surgery, Fellowship in Minimal Access Surgery, FIAGES

12 Years Experience

Dr Aman Priya Khanna is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic, Health First Multispecialty Clinic in Delhi. He has 12 years of experience in General Surgery and worke...View More

Author

Sangeeta Sharma

Sangeeta Sharma

BSc. Biochemistry I MSc. Biochemistry (Oxford College Bangalore)

6 Years Experience

She has extensive experience in content and regulatory writing with reputed organisations like Sun Pharmaceuticals and Innodata. Skilled in SEO and passionate about creating informative and engaging medical conten...View More

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