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 what an why ..we must know this programme it is important for all doctors and nurses and others...very important for MBBS students also
The National Health Mission (NHM) encompasses
its two Sub-Missions, the National Rural Health
Mission (NRHM) and the National Urban Health
Mission (NUHM). The main programmatic
components include Health system strengthening
in rural and urban areas, ReproductiveMaternal-Neonatal-Child and Adolescent Health
(RMNCH+A) and Communicable and NonCommunicable Diseases. The NHM envisages
achievement of universal access to equitable,
affordable & quality healthcare services that are
accountable and responsive to people’s needs.
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 what an why ..we must know this programme it is important for all doctors and nurses and others...very important for MBBS students also
The National Health Mission (NHM) encompasses
its two Sub-Missions, the National Rural Health
Mission (NRHM) and the National Urban Health
Mission (NUHM). The main programmatic
components include Health system strengthening
in rural and urban areas, ReproductiveMaternal-Neonatal-Child and Adolescent Health
(RMNCH+A) and Communicable and NonCommunicable Diseases. The NHM envisages
achievement of universal access to equitable,
affordable & quality healthcare services that are
accountable and responsive to people’s needs.
The presentation aim to explain Pradhan Mantri Jan-Arogya Yojana (Ayushman Bharat) to everyone. In terms of how what where, so that public can get benefit of it.
This ppt contains all the information about Health system in India / Health Administration. It is useful for students of medical field learning Preventive and social medicine, Swasthavritta (Ayurved) and everyone who is interested in in knowing about it.
This ppt gives you the details about the NRHM scheme. The SWOT analysis has been done which helps you to know the strength and weakness part of the NRHM program.
BY: Dr.Pavithra R (M.H.A)
Role & responsibilities of mid level healthcare providersHarsh Rastogi
Role & responsibilities of mid level healthcare providers
Mid-level health providers (MLHPs) are health workers trained at a higher education institution for at least 2-3 years.
MLHP is a health provider who:
Who is trained, authorized and regulated to work autonomously,
Who receives pre-service training at a higher education institution for at least 2-3 years, and
Whose scope of practice includes (but is not restricted to) being able to diagnose, manage and treat illness, disease and impairments (including perform surgery, where appropriately trained), prescribe medicines, as well as engage in preventive and promotive care.
The presentation aim to explain Pradhan Mantri Jan-Arogya Yojana (Ayushman Bharat) to everyone. In terms of how what where, so that public can get benefit of it.
This ppt contains all the information about Health system in India / Health Administration. It is useful for students of medical field learning Preventive and social medicine, Swasthavritta (Ayurved) and everyone who is interested in in knowing about it.
This ppt gives you the details about the NRHM scheme. The SWOT analysis has been done which helps you to know the strength and weakness part of the NRHM program.
BY: Dr.Pavithra R (M.H.A)
Role & responsibilities of mid level healthcare providersHarsh Rastogi
Role & responsibilities of mid level healthcare providers
Mid-level health providers (MLHPs) are health workers trained at a higher education institution for at least 2-3 years.
MLHP is a health provider who:
Who is trained, authorized and regulated to work autonomously,
Who receives pre-service training at a higher education institution for at least 2-3 years, and
Whose scope of practice includes (but is not restricted to) being able to diagnose, manage and treat illness, disease and impairments (including perform surgery, where appropriately trained), prescribe medicines, as well as engage in preventive and promotive care.
RSBY was launched in early 2008 and was initially designed to target only the Below Poverty Line (BPL) households, but has been expanded to cover other defined categories of unorganized
Introduction
Rationale
Aim
The Initiatives
Quality of Care
Immediate Next Steps
Key Areas for Priority Action
Benificiary Level
Important Dates
Health System
Report Card
Survey
More Information
At a Glance
Sustainability and Transition Policy in Action (GF Session) - Tural Gulu, Az...OECD Governance
This presentation was made by Tural Gulu, Azerbaijan, at the 2nd Health Systems joint Network Meeting for Central, Eastern and Southeastern European Countries held in Tallinn, Estonia, on 1-2 December 2016
A critical analysis of purchasing mechanism in China's Rural Health Insurance...resyst
This presentation was given at the International Health Economics Association (iHEA) World Congress in Milan, in July 2015. It includes results and policy implications from the RESYST Purchasing Study conducted in China.
Case study on establishing low cost hospitals in 4 states with low health ind...Shubhenduchakravorty
This Case Study was created for a specific purpose of exploring a model to establish and clarify operational details of Low Cost Healthcare Hospitals in the States of Bihar, Jharkhand, Chhattisgarh and Madhya Pradesh. The name of the Hospital and the base presumptions are fictitious. However, all data used in the Case Study and the Models are genuine and referred from various sources.
E-poster Indonesia care quality: accreditation or payment systemEdhie Rahmat
This is 2016 Health System Research e-poster disseminating findings from HAPIE study on the impact of accreditation to hospital quality and health insurance factor to quality of care
The Changing Landscape: Value-Based Purchasing, Reimbursement and its Impact ...marcus evans Network
Troy Trosclair, HCA MidAmerica Division - Speaker at the marcus evans National Healthcare CNO Summit, held in Hollywood, FL, April 26-28, 2012, delivered his presentation entitled The Changing Landscape: Value-Based Purchasing, Reimbursement and its Impact on Nursing
The Medicare Advantage Value-Based Insurance Design Model team presented a webinar discussing the CY2020 application cycle on Friday, January 25 from 4:00 p.m. to 5:00 p.m. EST.
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
2. Background
◦ Statistics show that over 20 percent of India’s population still lives under $1.9 per day (2011 PPP). According
to a World Bank projection, by 2021 over 34% of India’s population will be in the age group of 15-35 years.
◦ Over the last two decades, the Government of India’s overall expenditure on health has remained stagnant
at about 1.2% of its GDP (Source: National Health Accounts, 2015). Of its total expenditure on health,
India spends only 21% from the Government revenue and as high as 62% from out-of-pocket expenses
(Source: National Health Accounts, 2015).
◦ The Rashtriya Swasthya Bima Yojana (RSBY) was launched with an annual cover of INR30,000 per family
at the central level which catered mostly to secondary care hospitalisation while many State schemes
catered to tertiary care conditions.
◦ To address these challenges, the Government of India took a two-pronged approach under the umbrella of
Ayushman Bharat.
cont…...
3. ◦ The first component of this strategy was disease prevention and health promotion to curb the increasing
epidemic of non-communicable diseases. This was to be ensured through up-gradation of the existing
network of Sub-centres and Primary Health Centres to Health and Wellness Centres (HWC).
◦ The second component was the launch of the Pradhan Mantri-Jan Arogya Yojana (PM-JAY) which aims to
create a system of demand-led health care reforms that meet the immediate hospitalisation needs of the
eligible beneficiary family in a cashless manner thus insulating the family from catastrophic financial shock.
◦ PM-JAY is the world’s largest health insurance/assurance scheme that offers a health cover to nearly 10.74
crore poor families which come to a staggering 50 crore Indians that form 40% of its bottom population. It is
fully funded by the Government and provides financial protection for a wide variety of secondary and tertiary
care hospitalisations.
◦ The prime aim of PM-JAY is to reduce catastrophic out-of-pocket health expenditure by improving access to
quality health care for its underprivileged population.
4. Implementation model
◦ They can implement scheme through assurance/trust model, insurance model or mixed model.
◦ A. Assurance Model/Trust Model
◦ the scheme is directly implemented by the SHA without the intermediation of the insurance company. The
financial risk of implementing the scheme is borne by the Government in this model. SHA reimburses health
care providers directly.
◦ the SHA also has to carry out specialised tasks such as hospital empanelment, beneficiary identification,
claims management and audits and other related tasks.
◦ B. Insurance Model
◦ the SHA competitively selects an insurance company through a tendering process to manage PM-JAY in the
State.
◦ SHA pays premium to the insurance company per eligible family for the policy period and insurance
company, in turn, does the claims settlement and payments to the service provider.
cont……
5. ◦ The financial risk for implementing the scheme is also borne by the insurance company in this model.
◦ The percentage that will need to be refunded will be as per the following:
◦ a. In Category A States (administrative cost cannot exceed 20%)
i. Administrative cost allowed 10% if claim ratio less than 60%.
ii. Administrative cost allowed 15% if claim ratio between 60 to less than 70%.
iii. Administrative cost allowed 20% if claim ratio between 70 to less than 80%.
◦ In Category B States (administrative cost cannot exceed 15%)
i. Administrative cost allowed 10% if claim ratio less than 60%.
ii. Administrative cost allowed 12% if claim ratio between 60 to less than 70%.
iii. Administrative cost allowed 15% if claim ratio between 70 to less than 85%.
6. ◦ C. Mixed Model
◦ the SHA engages both the assurance/ trust and insurance models mentioned above in various capacities with
the aim of being more economic, efficient, providing flexibility and allowing convergence with the State
scheme. This model is usually employed by brownfield States which had existing schemes covering a larger
group of beneficiaries.
Category
A States/
UTs
Arunachal Pradesh, Goa, Himachal Pradesh, Jammu and Kashmir, Manipur, Meghalaya,
Mizoram, Nagaland, NCT Delhi, Sikkim, Tripura, Uttarakhand and 6 Union Territories
(Andaman and Nicobar Islands, Chandigarh, Dadra and Nagar Haveli, Daman and Diu,
Lakshadweep and Puducherry)
Category
B States
Andhra Pradesh, Assam, Bihar, Chhattisgarh, Gujarat, Haryana, Jharkhand, Karnataka, Kerala,
Madhya Pradesh, Maharashtra, Odisha, Punjab, Rajasthan, Tamil Nadu, Telangana, Uttar Pradesh
and West Bengal
7. Finance of the scheme
◦ Hospital Empanelment
◦ In order to cater to the increased demands under PM-JAY and also to ensure quality care to the beneficiaries,
it is imperative to maintain and grow a network of hospitals that also conform to the quality standards and
criteria.
◦ Empanelment Criteria
General criteria – For hospitals that provide non-specialised general medical and surgical care with or
without ICU and emergency services.
Special Criteria (for clinical specialties) – For each specialty, a specific set of criteria has been identified.
Under PM-JAY, a hospital is not allowed to select the risk, which means it cannot apply for selected
specialties and must agree to offer all specialties to PM-JAY beneficiaries that are offered by it. However, in
order to offer a specialised clinical service, the hospital must have necessary specific infrastructure and HR
in place as mentioned in the special criteria developed under PM-JAY for the same.
8. PROCESS OF HOSPITAL EMPANELMENT IN PM-JAY
Draft Application
Update
application/provid
e clarification
Submit Application
Is clarification
required?
Is the data provided
by the hospitals
correct?
Verification (to be
conducted by
District & State)
Hospital approved
for empanelment
Empanelment
rejected
Provide
clarification & Re-
submit application
Y
E
S
Clarification
not
satisfactory
9. PMJAY Hospital List:
• Step 1: Visit the official website of the PMJAY
(https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew)
• Step 2: Select your state and the district.
• Step 3: Now, choose the type of hospital (public/private-for-profit/private and not for profit)
• Step 4: Choose the medical speciality you are looking for.
• Step 5: Enter the “Captcha Code” and click on search.
Note:list of Ayushman Bharat Yojana hospitals along with address, website and contact information. also check
the ‘Suspended Hospital List’ on the same link provided above.
10. National Health Care Providers (NHCP)
◦ . Most popular examples of such hospitals are AIIMS, Safdarjung Hospital, JIPMER, PGI Chandigarh, etc.
The National Health Authority (NHA) has empanelled these hospitals directly by signing an MoU with each of
the facility.
◦ Also, all NABH accredited private hospitals in the National Capital Region (NCR) are directly empanelled by
NHA to widen the network of service providers.
◦ Empanelment of Government hospitals other than those managed by MoHFW is also a major step towards
widening the network of hospitals.
11. Packages & Rates◦ IT System under PM-JAY
◦ IT has provided a robust backbone to the scheme's implementation throughout the nation. The below are the
key technology blocks.
◦ PMJAY Dashboard
◦ Hospital Empanelment System
◦ Beneficiary Identification System (BIS)
◦ Transaction Management System (TMS)
◦ Citizen Portal (mera.pmjay.gov.in)
◦ Citizen Call Centre (14555)
◦ National Health Stack
◦ PM-JAY Portal
◦ India Enterprise Architecture (IND-EA)
12. ◦ Information Security & Data Privacy Policies
◦ National Portability
◦ Grievance Management System
◦ Anti-Fraud Measures
◦ Citizen Mobile App
◦ Common Service Centre (CSC)
◦ B. PM-JAY IT Ecosystem
◦ Support Systems
Capacity Development : Capacity building activities under PM-JAY attempt to address more than just training
and cover all aspects of building and developing sustainable and robust institutions and human resource.
Capacity building in PM-JAY has three components
Setting up sustainable institutional structures,
Building and strengthening the human resource and institutional capacity, and
◦ Sustaining knowledge and skill through knowledge management and use of appropriate tools.
13. ◦ Monitoring and Evaluation
◦ Monitoring and Evaluation under PM-JAY Monitoring and Evaluation (M&E) is key for successful
implementation and ensuring the intended results of such a large insurance scheme. keeping track on
periodic basis on these UHC dimensions (coverage, benefits and financial protection) through the following
functional domains
Beneficiary management
Transaction management
Provider management
Support function management (comprising functions such as capacity development, grievances, frauds and
abuse, call centre, etc.)
14. Convergence
◦ Convergence between National Health Authority (NHA) and Employee’s State Insurance Corporation
(ESIC)
◦ This will leverage the presence of an established network of quality services providers under PM-JAY
alongside fixed health benefit packages, thereby standardising services across schemes.
◦ Further, it will create higher demand for health services at ESIC empanelled hospitals that may be currently
underutilised.
◦ In the initial phase, a pilot is being conducted in Ahmednagar, Maharashtra and Bidar, Karnataka wherein
ESIC beneficiaries of these districts will be able to access PM-JAY services in PM-JAY empanelled hospitals.
The beneficiaries will be eligible for all 1,393 secondary and tertiary packages under the scheme and the
initiative will be scaled up to 102 districts with a plan of eventually extending coverage across the country.
15. ◦ Key Benefits of AB PM-JAY and ESIS convergence:
ESIC beneficiaries will get access to healthcare providers under AB PM-JAY
AB PM-JAY beneficiaries will be able to avail services in ESIC empanelled hospitals.
Beneficiaries of ESIC can use their ESIS card to access free treatment at AB PM-JAY empanelled hospitals.
Similarly, beneficiaries of AB PM-JAY can use their PM-JAY card to access free treatment at ESIC
empanelled hospitals.
For more information beneficiaries can call ESIC tollfree number: 1800 112 526/ 1800 113 839
16. What is Covered Under Ayushman
Bharat Yojana Scheme?
◦ The health insurance under AB-PMJAY includes hospitalization costs of beneficiaries and includes the
below components:
• Medical examination, consultation and treatment.
• Pre-hospitalisation.
• Non-intensive and intensive care services.
• Medicine and medical consumables.
• Diagnostic and laboratory services.
• Accommodation.
• Medical implant services, wherever possible.
• Food services.
• Complication arising during treatment.
• Post-hospitalisation expenses for up to 15 days.
• COVID-19 (Coronavirus) treatment.
17. What is Not Covered Under
Ayushman Bharat Yojana Scheme?
◦ Ayushman Bharat Yojana Scheme has some exclusions. Below components are not covered under the
scheme:
• Out-Patient Department (OPD) expenses.
• Drug rehabilitation.
• Cosmetic surgeries.
• Fertility treatments.
• Individual diagnostics.
• Organ transplant.
18. List of Critical Diseases or Illnesses Covered
Under Ayushman Bharat Yojana Scheme:
◦ The medical care scheme extended coverage for more than 1300 medical packages at
empanelled public and private hospitals in the country. Below are some of the critical illnesses
covered under the Ayushman Bharat Yojana:
• Prostate cancer.
• Double valve replacement.
• Coronary artery bypass graft.
• COVID-19.
• Pulmonary valve replacement.
• Skull base surgery.
• Anterior spine fixation.
• Laryngopharyngectomy with gastric pull-up
• Tissue expander for disfigurement following burns.
• Carotid angioplasty with stent.
19. Features of Ayushman Bharat
Yojana Scheme:
• It is one of the world’s largest health insurance schemes financed by the government of India.
• Coverage of Rs.5 lakh per family per annum for secondary and tertiary care across public and private
hospitals.
• Approximately 50 crore beneficiaries (over 10 crore poor and vulnerable entitled families) are eligible
for the scheme.
• Cashless hospitalisation.
• Covers up to 3 days of pre-hospitalisation expenses such as medicines and diagnostics.
• Covers up to 15 days of post-hospitalisation expenses which include medicines and diagnostics.
• No restriction on the family size, gender or age.
20. • Can avail services across the country at any of the empanelled public and private hospitals.
• All pre-existing conditions covered from day one.
• The scheme includes 1,393 medical procedures.
• Includes costs for diagnostic services, drugs, room charges, physician’s fees, surgeon charges, supplies,
ICU and OT charges.
• Public hospitals are reimbursed at par with private hospitals.
Benefits of Ayushman Bharat Yojana Scheme:
The scheme is targeted at the vulnerable and underprivileged sections of the society.
• It covers all hospitalisation expenses with cashless transactions to beneficiaries.
• Accommodation during hospitalisation.
• Pre and post-hospitalisation costs.
• Any complications arising during the treatment.
• Can be used by all family members.
• No cap on family size, age or gender.
• Pre-existing conditions are included from day one.
21. Ayushman Bharat Yojana Scheme Eligibility
Criteria for Rural and Urban Population:
◦ This was based on the deprivation and occupational criteria of the Socio-Economic Caste Census 2011 for
rural and urban areas.
◦ PMJAY Rural: The Socio-Economic Caste Census 2011 (SECC 2011) involves the ranking of households
based on their socio-economic status. The rural households are ranked based on their status of seven
deprivation criteria. Of these, the scheme covers all beneficiaries who fall under at least one of below six
deprivation categories and automatically includes destitute, manual scavenger families, living through alms,
primitive tribal group, bonded labourers:
• Households with only one room with Kucha walls and roof.
• No adult member in the age group between 16 and 59 years.
• No adult male member in the age group between 16 and 59 years.
• Disabled member and no-abled bodied member in the household.
• SC and ST
• Landless households and major sources of income are through manual casual labour.
22. ◦ PMJAY Urban: urban households are categorised based on occupation. Below are 11 occupational
categories of workers who are eligible for the Ayushman Bharat Yojana Scheme:
• Beggar
• Domestic worker
• Ragpicker
• Cobbler/Street Vendor/Hawker/Other service providers on the street.
• Plumber/Construction Worker/Mason/Painter/Labour/Welder/Security Guard/Coolie
• Sweeper/Mali/Sanitation Worker
• Artisan/Handicrafts Worker/Tailor/Home-based Worker
• Driver/Transport Worker/Conductor/Cart or Rickshaw Pullers/Helper to Drivers or Conductors
• Shop Workers/Peon in Small Establishment/Assistant/Helper/Attendant/Delivery Assistant/Waiter
• Mechanic/Electrician/Repair Worker/Assembler
• Chowkidar/Washer-man
23. Who Is Not Entitled To Avail The
Ayushman Bharat Yojana Scheme?
• Those who have mechanised farming equipment.
• Who owns a two, three or four-wheeler.
• Those who hold a Kisan card.
• Government employees.
• Those who own a motorised fishing boat.
• Those who are earning more than Rs.10,000 per month.
• Those who are working in government-run non-agricultural enterprises.
• Those who own more than 5 acres of agricultural land.
• Those who own landline phones or refrigerators.
• Those who live in decently built houses.
24. PMJAY – Enrolment process
◦ Beneficiaries are selected based on the SECC 2011 and who are part of the RSBY plan.
• Step 1: Visit the government website exclusive for PMJAY scheme (https://pmjay.gov.in/) and click on “Am I
Eligible” icon.
• Step 2: Enter your contact details and generate OTP.
• Step 3: Choose your state.
• Step 4: Now, search either by your name, mobile number, HHD number or your ration card number.
• Step 5: The result will let you know if you are eligible for the PMJAY scheme.
◦ Also, contact the Ayushman Bharat Yojana customer care at 1800-111-565 or 14555 or you can reach out to
any of the Empaneled Health Care Providers (EHCP).
25. Documents required to apply for Ayushman
Bharat Yojana Scheme
• dentity and Age Proof (Aadhaar Card/PAN Card)
• Details of your mobile number, email address and residential address.
• Caste certificate
• Income certificate
• Documents stating your current family status.
26. How to apply Online for Ayushman
Bharat Yojana?
• Step 1: Visit the exclusive website for PMJAY (https://pmjay.gov.in/) and click on the “Am I Eligible” icon.
• Step 2: Input your contact details and click on “Generate OTP”.
• Step 3: Now, select your state and search by your name, mobile number, HHD number or your ration card
number.
• Step 4: You can view if you are eligible for the government healthcare scheme.
27. How To Download Ayushman Bharat
Yojana Card Online?
◦ Ayushman Bharat Yojana Golden Card will be issued to beneficiaries. The PMJAY e-card contains all
required information of the patient. It is mandatory to present this card at the time of availing the treatment at
the empaneled hospital.
◦ To get this PMJAY Golden Card, follow the process below:
• Step 1: Visit the PMJAY website (https://mera.pmjay.gov.in/search/login) and log in with your registered
mobile number.
• Step 2: Enter the ‘Captcha Code’ to generate the OTP.
• Step 3: Opt for the HHD code.
• Step 4: Provide the HHD code to the Common Service Centre (CSC), where they would check the HHD
code and other details.
• Step 5: The CSC representatives who are known as Ayushman Mitra will complete the rest of the process.
• Step 6: You will have to pay Rs.30 to get the Ayushman Bharat card.
28. PMJAY Scheme: COVID-19 Coverage
◦ To enable beneficiaries to avail the COVID-19 coverage, the Insurance Regulatory and Development
Authority (IRDAI) has issued an advisory to all health and general insurance companies to cover COVID-19
(Coronavirus) hospitalization and treatment costs. The PMJAY or the Ayushman Bharat Yojana Scheme
covers COVID-19 treatment and hospitalization.
◦ COVID-19 patients can avail free treatment at empaneled hospitals through the PMJAY scheme.
29. How To Check The Name in the PMJAY
List 2020?
1.Common Service Centre (CSC): Visit the nearest CSCs or you can visit any of the empaneled hospitals to
check if you are eligible for the healthcare scheme.
2.Helpline Numbers: PMJAY helpline numbers are available to get information about your eligibility for the
scheme. You can contact 14555 or 1800-111-565.
3.Online: Visit the official website of the scheme (https://www.pmjay.gov.in/) and check if you are eligible for
the scheme.