Table of Contents
- 1 What are the benefits of ayushman Bharat Yojana?
- 2 Who are the beneficiaries of ayushman Bharat?
- 3 What is the rule of ayushman Bharat?
- 4 How many beneficiaries are there in ayushman Bharat?
- 5 Is ayushman Bharat a success or failure?
- 6 Is ayushman Yojana successful?
- 7 Which states are not covered under Ayushman Bharat?
- 8 Is Ayushman Bharat scheme being misused by private hospitals?
What are the benefits of ayushman Bharat Yojana?
10 Benefits Cover Under PM-JAY
- Medical examination, treatment and consultation.
- Pre-hospitalization expenses.
- Post-hospitalization follow-up care up to 15 days.
- Diagnostic procedures and lab investigation charges.
- Cost of Medicine and medical consumables expenses are covered.
- Non-intensive and intensive care services.
Who are the beneficiaries of ayushman Bharat?
Beneficiary Level 5,00,000 per family per year. More than 10.74 crore poor and vulnerable families (approximately 50 crore beneficiaries) covered across the country. All families listed in the SECC database as per defined criteria will be covered. No cap on family size and age of members.
What are the drawbacks of ayushman Bharat?
Ayushman Bharat fails to recognise and compensate the indirect costs associated with hospitalisation, and these are not negligible for the poor. These include expenses on travelling to the hospital and back. Additionally, staying in a hospital or at home, after hospitalisation, implies a loss of wages.
What is the rule of ayushman Bharat?
No limit on family size and age of members. Priority is given to girl child, women and senior citizens. Free treatment can be availed at all public and empanelled private hospitals. Covers the costs associated with secondary and tertiary care hospitalization.
How many beneficiaries are there in ayushman Bharat?
Beneficiaries under Ayushman Bharat Yojana
| State/UT | E-cards Generated | Authorized Hospital Admissions (in Rs. Crore) |
|---|---|---|
| Karnataka* | 9783004 | 1461.0 |
| Kerala | 6524317 | 1262.8 |
| Lakshadweep | 1631 | 0.0 |
| Madhya Pradesh | 20280932 | 866.2 |
How beneficiaries are identified?
The beneficiaries are identified based on the deprivation categories (D1, D2, D3, D4, D5, and D7) identified under the SECC (Socio-Economic Caste Census) database for rural areas and 11 occupational criteria for urban areas. In addition, RSBY beneficiaries in states where RSBY is active are also included.
Is ayushman Bharat a success or failure?
However, amidst the crisis caused by the coronavirus, this health cover has not proved effective. A recent report by the National Health Authority notes that average weekly claims under the scheme have dipped by 51\% during the lockdown period.
Is ayushman Yojana successful?
Ayushman Bharat has completed two years. Ayushman Bharat Pradhan Mantri Jan Arogya Yojana, which provides health insurance cover of Rs. 5,00,000 to more than 53 crore poor and vulnerable citizens, achieved a landmark of 1 crore (10 million) hospitalisations in less than 20 months in May this year.
What is Ayushman Bharat Yojana?
Ayushman Bharat Yojana Ayushman Bharat or “Healthy India” is a national initiative launched by Prime Minister Narendra Modi as the part of National Health Policy 2017, in order to achieve the vision of Universal Health Coverage (UHC).
Which states are not covered under Ayushman Bharat?
Few states including Delhi, Telangana, West Bengal and Odisha are not covered. Health is a state subject, and so far these states have declined joining the central government-led scheme. Delhi government argues that it’s existing health scheme has wider coverage and is “10 times bigger than Ayushman Bharat”.
Is Ayushman Bharat scheme being misused by private hospitals?
There have been media reports of misuse of the Ayushman Bharat scheme by unscrupulous private hospitals through submission of fake medical bills. Under the Scheme, surgeries have been claimed to be performed on persons who had been discharged long ago and dialysis has been shown as performed at hospitals not having kidney transplant facility.
How will Ayushman Bharat advance equity in healthcare?
Ayushman Bharat holds the promise to advance equity both within households as well as across social groups. However, the geographical inequities characteristic of India’s healthcare provisioning need to be overhauled first for the scheme to be more equitable.