The Pradhan Mantri Jan Arogya Yojana (PMJAY) or Ayushman Bharat Yojana, was introduced in 2018 to bring healthcare to 50 crore financially deprived Indians. There are 1350 packages designed under this scheme, which include critical illness services like chemotherapy and brain surgery. The Ayushman card or e-card issued to the recipients allows them access to world-class medical services at thousands of government and commercial hospitals accredited by the policy. Therefore, knowing the PMJAY hospitals where users may use the program's benefits is essential. We went into detail about Ayushman Bharat Yojana empanelled hospital list in this article. Let’s check it out.
What is Provided by the Ayushman Bharat Health Insurance Programme?
Poor and lower-class households can receive free health insurance coverage up to INR 5 lakhs through the Pradhan Mantri Jan Arogya Scheme. This PM health insurance program gives free hospitalisation and medical care.
Who Can be Covered Under Ayushman Bharat Yojana?
Economically underprivileged segments of society are covered by this PM health insurance coverage. Using information from the Socio-economic Caste Census (SECC) conducted in 2011, it was possible to identify this division. According to the census, about 8.03 crore families have been identified as eligible in the rural sector. 2.33 crore families in urban areas have been selected as eligible for the programme. As a result, more than 10 crore people are registered for the Pradhan Mantri health insurance scheme, which covers Indian families.
The List of Hospitals Empanelled
Many hospitals are empanelled under coverage for Ayushman Bharat Yojana benefits. Every government hospital in India is affiliated with the Ayushman Bharat health insurance program, which offers covered people cashless medical care.
Administrations of different states and union territories have empanelled about 23,300 hospitals under the program. The possibility of changing the number is also great as the system changes the hospitals, as per the requirements that may arise. The detailed list of Ayushman Bharat hospitals is available on the official PMJAY website.
Also, several private hospitals hold empanelled status. If private hospitals meet the requirements listed below, they may be appointed under the programme:
- At least ten beds are available.
- They have support staff available 24 hours a day, including nurses and doctors.
- They ought to have an accessible bathroom.
- To keep the patient database up to date, they need to have a networked IT system that is also interoperable.
- The emergency treatment area and ambulance service should be available at the hospitals.
- To oversee the programme, the hospitals should hire a dedicated medical officer.
- Healthcare facilities should have the required technical tools.
- A diagnostic laboratory and blood bank must be located close to the hospitals.
- The hospitals must be accredited by state health bodies and have a current registration.
- The hospitals should handle water supply, biohazard waste disposal, etc. properly.
- The hospitals must keep a specific record of patients who receive care under the Ayushman Bharat health insurance programme. Additionally, they must be prepared to provide these details to the government upon request.
Let us help you to locate the closest hospital that is registered with the PMJAY programme in the following way:
- Visit https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew.
- Choose your district and state.
- Choose if you want public, private and for-profit, or private and non-profit hospitals.
- Choose the medical speciality that you require. General, paediatric, neurosurgery, oncology, gynaecology, etc. are a few examples.
- Enter the captcha in the space provided.
- Select "Search."
Don't forget that you can only receive treatment at the hospitals listed in the PMJAY hospital list after having your Ayushman card verified.
Register Yourself Under the Ayushman Bharat Yojana
- Follow the instructions below to register under PMJAY properly:
- Visit the PMJAY website.
- Select "am I eligible" from the menu.
- To continue, input your contact information, solve the captcha, and generate an OTP.
- Add your state, name, ration card number, residence number, or contact details.
- The system will determine your eligibility for the Ayushman Bharat Yojana along with those of your family members.
- If so, check your documentation at the closest PMJAY Kiosk.
- The representative will give you and your beneficiaries an Ayushman card if the paperwork is verified successfully.
Documents Required for Registration
If you and your family qualify for the PMJAY program, you must have each person's identity validated. The following documents are needed for the Ayushman Bharat registration process:
- Caste certificate
- Special category certifications
- Evidence of age
- Contact details
- ID Proof
- A scanned copy of the Aadhaar card
- Income certificate
Ayushman Bharat Health Insurance Coverage
The following are covered under the Prime Minister's health insurance program:
- 1400 treatment plans have received government recognition under the program.
- Insured members will be covered for all treatments included in this package.
- Pre and post-hospitalization costs up to 3 days
- Post-hospitalisation costs for up to 15 days
- OT and additional healthcare costs.
- Treatments are provided in all tiers of secondary care and the bulk of tertiary care.
- The program offers coverage for medical expenses connected to several severe conditions, including prostate cancer, skull base surgery, carotid angioplasty, pulmonary valve replacement, double valve replacement, coronary artery bypass grafting, anterior spine fixation, and tissue expanders (related to disfigurement caused by burns).
- Compared to the Central Government Health Scheme (CGHS) and the therapy rates contained within, the treatment rates of these packages are 15% to 20% lower.
Exclusions
- OPD costs
- Organ transplants
- Drug rehabilitation
- Cosmetic procedures
- Fertility procedures
- Specific diagnostics
Conclusion
Ayushman Bharat is an initiative to offer low-income families throughout the nation free healthcare services. Even if you are not qualified for the PMJAY program, you must still get a complete health insurance policy.
Read more - Cashless Treatment Under the Ayushman Bharat Scheme – Myth or Reality?
