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Ayushman Bharat

Topics Covered: Issues related to Health.

Ayushman Bharat

What to study?

For Prelims: Overview and key features of the scheme.

For Mains: Significance and issues surrounding its implementation.

 Context: In a change of stance, the Aam Aadmi Party (AAP) government has announced that it would be implementing the Central government’s Ayushman Bharat — Pradhan Mantri Jan Arogya Yojana to provide ₹5 lakh health insurance cover to families per year, after having opposed it for several months.

About Ayushman Bharat:

Launched as recommended by the National Health Policy 2017, to achieve the vision of Universal Health Coverage (UHC).

This initiative has been designed to meet Sustainable Development Goals (SDGs) and its underlining commitment, which is to “leave no one behind.”

Ayushman Bharat adopts a continuum of care approach, comprising of two inter-related components, which are:

  1. Health and Wellness Centres (HWCs).
  2. Pradhan Mantri Jan Arogya Yojana (PM-JAY).

Pradhan Mantri Jan Arogya Yojana (PM-JAY):

It is the largest health assurance scheme in the world which aims at providing a health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization.

  • It aims to over 10.74 crores poor and vulnerable families (approximately 50 crore beneficiaries) that form the bottom 40% of the Indian population.
  • The households included are based on the deprivation and occupational criteria of Socio-Economic Caste Census 2011 (SECC 2011) for rural and urban areas respectively.
  • PM-JAY was earlier known as the National Health Protection Scheme (NHPS) before being rechristened. It subsumed the then existing Rashtriya Swasthya Bima Yojana (RSBY) which had been launched in 2008.
  • PM-JAY is fully funded by the Government and cost of implementation is shared between the Central and State Governments.
  • It covers up to 3 days of pre-hospitalization and 15 days post-hospitalization expenses such as diagnostics and medicines.
  • There is no restriction on the family size, age or gender.
  • Benefits of the scheme are portable across the countrye. a beneficiary can visit any empanelled public or private hospital in India to avail cashless treatment.

Insta Link:

Prelims Link:

  1. Difference between HWCs and PM- JAY.
  2. Coverage of private hospitals.
  3. Fund sharing and implementation.
  4. Services covered.
  5. Eligibility criteria.
  6. Pre and post hospitalization coverage.

Mains Link:

Discuss the significance of Ayushman Bharat — Pradhan Mantri Jan Arogya Yojana.

Sources: the Hindu.