About Ayushman Bharat Pradhan Mantri Jan Arogya Yojana
The Ayushman Bharat Yojana, newly called the Pradhan Mantri Jan Arogya Yojana (PMJAY), is a scheme that aims to give medical care to the economically underprivileged group of society. It is one of the most extensive healthcare programmes supported by the Indian government. Prime Minister Narendra Modi launched this programme to provide more than 50 crore Indians comprehensive healthcare. As per the statistics dated September 2019, more than 18000 hospitals are empanelled, and over 44 lacs beneficiaries are admitted under the scheme.
AB-PMJAY assists these households in obtaining the best healthcare treatments, including insurance coverage for pre and post-hospitalisation costs of up to INR 5 lakh for each family each year.
The programme aims to give cashless treatment under secondary and tertiary healthcare for the weaker section of society. The PMJAY beneficiaries receive an e-card that can be used to access services at any accredited public or private hospital in the nation.
Overview of PMJAY Hospitals and Treatment List
With the Ayushman Bharat Golden Card, you can obtain the schemes benefits in PMJAY-enlisted hospitals across India. As of July 20, 2021, approximately 23,300 hospitals have been empanelled under the scheme by the governments of various states and Union Territories. If you are a beneficiary under the scheme, you and your family will not be required to pay any charges for the hospitalisation expenses. The Ayushman Bharat card will help you avail the cashless treatment, and the centre and state governments will share the cost in the ratio of 60:40, respectively.
However, please note that if there are multiple surgeries, the surgery with the highest cost will be paid entirely. For the second surgery, you will receive 50% insurance, and for the third, you will receive 25% insurance. There is no waiting period for pre-existing diseases under the scheme. Following are the benefits noted under the scheme:
- Free medical and surgical coverage of 5 lacs per family,
- Coverage for all- no capping on age and family size. Priority is given to the girl child, women and senior citizens
- Cashless treatment available
- Examination, treatment, and consultation
- Pre-hospitalisation costs
- Follow-up care after hospitalisation for up to 15 days
- Costs associated with diagnostic procedures and lab analysis
- Expenses for medicine and medical supplies are covered
- Services for both non-intensive and intensive care
- Services for medical implantation (where necessary)
- Complication-post medical treatment
How to Find Network Hospitals Under Ayushman Bharat
1. Download the List from Ayushman Bharats Official Website
The complete Ayushman Bharat hospitals list can be found on the official PMJAY website. However, to find the nearest registered hospital under the PMJAY scheme, here’s what you need to do.
- Step 1: Visit the PMJAY website, https://pmjay.gov.in/, to get the Ayushman Bharat Hospital List. Click onFind Hospital on the upper left bar
- Step 2: Enter the requested details, i.e. State, District, Hospital Type, Speciality, Hospital Name and Empanelment Type
- Step 3: Once the request details are entered, enter ‘captcha code’ and click the button ‘Search’
- Step 4: Ayushman Bharat Hospital list is ready to download.
2. Check Hospitals List from HexaHealth website
You can also check the list of all empannelled hospitals under Ayushman Bharat Yojana at our website by following the steps mentioned below:
- Step 1: Visit HexaHealth website.
- Step 2: Click onAyushman Bharat Hospitals Under Insurance Section.
- Step 3: Select your state and district and click the View Hospitalsbutton.
- Step 4: The List will be available for your reference.
You will be navigated to the Ayushman Bharat hospital list along with the information about their website, address and contact number. Furthermore, you can also check the list of de-empanelled hospitals at the link above.
You may contact us at + 91 8860688606 for free online assistance.
How to Check Empanelled/ De-Empanelled / Suspended Hospitals List
The updated state-wise empanelled and suspended hospitals under Ayushman Bharat Yojana Scheme is provided on the official website. You can download the list of De-Empanelled / Suspended Hospitals in PDF format by following the steps mentioned below:
- Step 1: Visit the PMJAY website (shared above), to know the status of the suspended or de-empanelled hospitals. Click on ‘Find Hospital’ on the upper left bar
- Step 2: Click on ‘Suspended Hospitals List’ given on the left corner of the screen.
- Step 3: The following dialogue box will open
- Step 4: If you know the respective Hospital ID, enter in the given field. To know the state-wise list, enter the State in the field provided.
- Enter the district that you are looking for.
- Select the application status from the drop-down provided
- Suspension
- Continuation of Suspension
- DE-list
- DE-Empanelment of Hospital
- Step 5: Lastly, enter the captcha code provided and click on ‘Search’.
- Step 6: Your Ayushman Bharat Suspended Hospital list is available.
Benefits of PMJAY Empanelled Hospital List
Ayushman Bharat Yojana is a government health programme that pays for around 1,400 treatments, pre-hospitalisation costs for up to three days, post-hospitalisation costs for up to fifteen days, OT costs, and other associated costs. The benefits of the beneficiaries of PMJAY Empanelled Hospitals are that this plan reimburses all expenses for the subsequent medical procedures:
- Free medical and surgical coverage of 5 lacs per family
- Coverage for all; there is no capping on age and family size. Priority is given to the girl child, women and senior citizens
- All Pre-existing diseases are covered
- Cashless treatment available at any empanelled facility
- Examination, treatment, and consultation
- Pre-hospitalisation costs
- Follow-up care after hospitalisation for up to 15 days
- Costs associated with diagnostic procedures and lab analysis
- Expenses for medicine and medical supplies are covered
- Services for both non-intensive and intensive care
- Services for medical implantation (where necessary)
- Complication-post medical treatment
How to Register for the PMJAY Scheme
The PMJAY scheme registration process is easy. It applies to every beneficiary listed on the SECC 2011 list and those covered by the RSBY programme. However, to register for PMJAY online, follow the steps below:
- Visit the PMJAY official government website.
- Click the ‘Am I Eligible?‘ tab when you locate it.
- Enter your mobile number and the CAPTCHA code
- Click on the button ‘Generate OTP’
- Enter the OTP, clicking on the check box Terms and Conditions and Submit
- Enter your State and select the search category: By name, HHD Number, Ration Card Number or Mobile Number.
- Enter the requested details and click Search
- Your name will appear if you are eligible.
Documents Required for the PMJAY Scheme Registration
The documents that are required for registration of the PMJAY Scheme are:
- Document to verify the identity and the age (Aadhaar card or PAN)
- Contact information (mobile, address, email)
- Certificate of caste
- Income statement (maximum annual income to be only up to Rs. 5 lakh a year)
- Evidence of the familys current status in documents (Joint or nuclear)
Contact details should be mentioned accurately as it is the only way of contacting the policyholder.
For further assistance, contact HexaHealth at 8860688606.
Rural Families Covered Under the Scheme
According to the National Sample Survey Organisation, before PMJAY, a whopping 85.9% of the rural population had no healthcare insurance. Furthermore, approximately 13% of rural households obtained healthcare services by borrowing money, leading to debt traps. To solve this problem and cater to these households’ healthcare needs, the Ayushman Bharat Yojana provides annual assistance of up to Rs 5 lakh to underprivileged families as per the Socio-Economic and Caste Census (SECC 2011).
The following families can access PMJAY health cover in rural areas:-
- Households without shelter
- Scheduled Caste (SC)/ Scheduled Tribe (ST) households
- Particularly vulnerable tribal groups
- Legally released bonded labourers
- Families working as manual scavengers
- Beggars or people living on alms
- Families without adults between 16 to 59 years
- Families without an adult male between 16 to 59 years
- Households with at least one disabled family member and no non-disabled adult member
- Landless households that earn a significant part of their income working as casual manual labourers
- Families living in one-room houses with kutcha roofs and walls
Urban Families Covered Under the Scheme
According to the National Sample Survey Organisation, before PMJAY, 80.9% of urban Indians had no healthcare insurance. Furthermore, approximately 9% of the urban population borrowed money to pay for healthcare expenditures. In urban areas, families eligible to receive annual funding of up to Rs 5 lakh include
- Ragpickers
- Domestic workers
- Beggars
- Washerman, chowkidar, mechanic, electrician, repair worker, assembler
- Sweeper, sanitation workers, gardener
- Cobblers, hawkers, street vendors, and other service providers on the streets
- Tailors, handicraft workers, artisans, home-based workers
- Plumbers, masons, porters, welders, construction workers, painters, security guards, coolies, and other head-load workers
- Peons in small establishments, shop workers, helpers, assistants, delivery assistants, waiters, attendants
- Drivers, conductors, transport workers, cart pullers, rickshaw pullers
Who is not entitled to health coverage under PM-JAY?
Those Households who hold /own any of the following are excluded under Pradhan Mantri Jan Aarogya Yojana
- A two, three or four-wheeler motorised vehicle
- A mechanised agricultural equipment
- A refrigerator and a landline phone
- 5 acres or more of agricultural land
- Have Kissan Card with a credit limit of more than 50,000/-
- Are employed by the Government
- Work in Government managed Non-Agricultural Enterprise
- Any member earning more than 10,000/- per month
- Paying income and professional Tax
- Live in a house with 3 or more rooms with pucca walls and roof
Diseases Covered in Ayushman Bharat Empanelled Hospitals
There are 1,393 treatment packages under the Health Benefits Package category (HBP 1.0), of which 1,083 are surgical, 309 are medical, and one is undetermined. HBP 2.0, on the other hand, consists of 872 treatment plans and 1,578 procedures inclusive of the last category. The scheme covers medical and surgical expenses under 25 critical specialities, namely Cardiology, Neurosurgery, Paediatrics, Oncology, Orthopaedics, etc.
Some of the critical illnesses that are covered under the scheme include
- Prostate Cancer
- Coronary Artery Bypass Grafting
- Double Valve Replacement
- Carotid Angioplasty with Stent
- Pulmonary Valve Replacement
- Skull Base Surgery
- Anterior Spine Fixation,
- Tissue Expander for Disfigurement following burns.
Few exclusions under PMJAY:
- OPD
- Drug Rehabilitation Programme
- Cosmetic Related Procedures
- Organ Transplant
- Fertility Related Procedures
- Individual Diagnostics for evaluation.
To know the diseases covered in Ayushman Bharat Empanelled Hospitals, click on the following link:
Download Disease Covered in Ayushman Bharat Hospitals PDF
You may contact HexaHealth at 8860688606 for updated and relevant information on disease coverage.
Ayushman Bharat Hospital List PDF Download
You can download the state-by-state Ayushman Bharat Hospital list in PDF format by following the steps detailed below:
Download the list from Ayushman Bharats official website.
The complete Ayushman Bharat hospital list can be found on the official PMJAY website. However, to find the nearest registered hospital under the PMJAY scheme, here’s what you need to do.
- Step 1: Visit the PMJAY website, to get the Ayushman Bharat Hospital List. Click on ‘Find Hospital’ on the upper left bar
- Step 2: Enter the requested details, i.e. State, District, Hospital Type, Speciality, Hospital Name and Empanelment Type
- Step 3: Once the request details are entered, enter ‘captcha code’ and click the button ‘Search’.
- Step 4: Ayushman Bharat Hospital list is ready to download. To print the list in PDF format, press CTR+P on your keyboard.
For more details, you may contact HexaHealth at 8860688606 or connect our medical experts at HexaHealth.
