Universal Health Coverage (UHC) had been a long cherished dream for crores of Indians, which came true with Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) under National Health Authority (NHA), led by Dr. R S Sharma, a PhD from IIT-Delhi. AB-PMJAY is an attempt to move from sectoral and segmented approach of health service to a comprehensive need-based health care service, which aims at undertaking path breaking interventions to holistically address health at primary, secondary and tertiary level, covering prevention, promotion and ambulatory care.
25,000 hospitals are empanelled
Amid successive waves of Corona pandemic, a dream health project for Prime Minister Narendra Modi, the role of National Health Authority is increasingly becoming crucial, as this apex organisation is responsible for implementing country’s flagship public health insurance/assurance scheme – AB-PMJAY at national level. This scheme turned out to be a huge success when it comes to providing health care services and hospitalization to the needy. As of 31st January 2022, around 25,000 hospitals have already been empanelled under Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (AB-PMJAY).
2.77 crore people received hospital admissions
Similarly, as of 31st January 2022, more than 2.77 crore hospital admissions worth over Rs. 31,238 crore have been authorized for the scheme’s beneficiaries across a network of around 25,000 empanelled hospitals, proving to be a huge respite for the people coming from economically weaker section of the society. Hospital admissions under Ayushman Bharat has doubled in the last six months. The best part of this scheme is that all the eligible beneficiaries of the implementing States/UTs are fully entitled to avail benefits under the scheme since day one of the launch of the scheme with all hospital transactions under the scheme being completely cashless and paperless.
Both public & private hospitals come under its ambit
Under this scheme, hospitalization cover includes both at public hospitals and private hospitals coming under its network and covering the cost of hospitalization, pre-hospitalization, medication, and even post hospitalization expenses incurred during the treatment being applicable to almost all tertiary and secondary care procedures.
Almost all kinds of treatments available
This scheme includes almost all kinds of treatments. Among them are nearly 1,400 very expensive treatments like skull surgery, knee replacements and other such procedures, giving patients also the opportunities for follow-up treatments to ensure full recovery, which often proves to be a huge relief for the families or people already down with the pressure of being in bad health.
For both rural and urban people
Since its launch in 2018 by PM Narendra Modi, PMJAY is a very ambitious National Health Protection Scheme funded by the Government of India catering not only the poor but rural families also. That’s why it has become a hope for the poor and destitute households in both rural and urban areas.
Covering 50 crore people
PMJAY healthcare scheme was rolled out with an aim to cover more than 50 crore people with nearly 10 crore underprivileged families without any limitations like family size or age of the members. To ensure that nobody is left out, especially girl child, women, children and elderly, it was ensured that there should be no cap on family size and age in the Mission. This way it immensely helps especially the poor households in availing the best healthcare services with insurance cover of upto Rs 5 lakh for each family per year for tertiary and secondary hospitalization expenses and has won laurels from all sections of the society irrespective of caste, class and religion.