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“PRADHAN MANTRI-JAN
AROGYA YOJANA” (PM-JAY)
By
Dr Sanket V. Nandekar
JR-1, Dept. of Community Medicine
IMS-BHU, VARANASI
Outlines of the topic:-
Background
Introduction
Timelines
Beneficiary Identification Process
Implementation Process
Current scenario INDIA, VARANASI, SSH-BHU.
Conclusion
 Ayushman Bharat, a flagship scheme of Government of India, was
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:
Background of the scheme:
Ayushman Bharat
1. Health and
Wellness Centers
(HWCs)
For Comprehensive
Primary Health Care
2. Pradhan Mantri
Jan Arogya Yojana
(PM-JAY)
For Comprehensive
Secondary &
Tertiary Health care
 In February 2018, the Government of India announced the creation
of 1,50,000 Health and Wellness Centres (HWCs) by transforming
the existing Sub Centres and Primary Health Centres.
 These centres are to deliver Comprehensive Primary Health Care
(CPHC) bringing healthcare closer to the homes of people.
 They cover both, maternal and child health services and non-
communicable diseases, including free essential drugs and
diagnostic services.
1. Health and Wellness Centers (HWCs)
2. Pradhan Mantri Jan Arogya Yojana(PM-JAY):
 The second component under Ayushman Bharat is the Pradhan Mantri
Jan Arogya Yojna or PM-JAY as it is popularly known.
 Ayushman Bharat PM-JAY 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 to over
10.74 crores poor and vulnerable families (approximately 50 crore
beneficiaries) that form the bottom 40% of the Indian population.
Pradhan Mantri Jan Arogya Yojana Highlights:
 Name of the Scheme: Pradhan Mantri Jan Arogya
Yojana
 Launched By: Shri. Narendra Modi, PM of INDIA
 Date of Announcement: 1/02/2018 In Union Budget
 Officially Launch Date: 15/08/2018
 Officially Implementation Date: 23/09/2018
 Target Beneficiaries: Poor People of the Nation
 Supervised By: Ministry of Health & Family
Welfare
 Toll-Free No. : 14555
 Launched Place: Ranchi, Jharkhand
Key Features and Benefits of PM-JAY:
PM-JAY is the world’s largest health assurance scheme
fully financed by the government.
It provides a cover of Rs. 5 lakhs per family per year for
secondary and tertiary care hospitalization across public
and private empanelled hospitals in India.
Over 10.74 crore poor and vulnerable entitled families
(approximately 50 crore beneficiaries) are eligible for
these benefits.
Key Features and Benefits of PM-JAY:
PM-JAY provides cashless access to health care services for
the beneficiary at the point of service.
PM-JAY envisions to help reduce destructive expenditure
on medical treatment which pushes nearly 6 crore Indians
into poverty each year.
It covers up to 3 days of pre-hospitalization and 15 days
post-hospitalization expenses such as diagnostics and
medicines.
Key Features and Benefits of PM-JAY:
All pre–existing conditions are covered from day one.
Services include approximately 1,393 procedures covering all
the costs related to treatment.
There is no restriction on the family size, age or gender.
Benefits of the scheme are portable across the country.
PMJAY Milestones:
Beneficiary Inclusion criteria:
 The inclusion of households is based on the deprivation and
occupational criteria of the Socio-Economic Caste Census
2011 (SECC 2011) for rural and urban areas, respectively.
 This number also includes families that were covered in the
RSBY but were not present in the SECC 2011 database.
 The SECC involves ranking of the households based on their
socio-economic status.
Rural beneficiary inclusion criteria:
I. PM-JAY covered all such families who fall into at least one
of the following six deprivation criteria (D1 to D5 and D7).
II. Automatic inclusion (Destitute/ living on alms, manual
scavenger households, primitive tribal group, legally released
bonded labour) criteria:
Rural Beneficiary inclusion criteria:
• D1- Only one room with kucha walls and kucha roof
• D2- No adult member between ages 16 to 59
• D3- Households with no adult male member between ages 16 to 59
• D4- Disabled member and no able-bodied adult member
• D5- SC/ST households
• D7- Landless households deriving a major part of their income from manual casual labour
Urban Beneficiary inclusion criteria:
• Ragpicker
• Beggar
• Domestic worker
• Street vendor/ other service provider working on streets
• Construction worker/ Plumber/ Painter/ Welder/ Security guard
• Sweeper/ Sanitation worker/ Mali
• Handicrafts worker/ Tailor/Transport worker/ Cart puller/ Rickshaw puller
• Shop worker/ Peon in small establishment / Delivery assistant / Waiter
• Electrician/ Mechanic/ Assembler/ Repair worker
• Washer-man/ Chowkidar
Overview of beneficiaries under PMJAY:
Benefit Cover Under PM-JAY:
• Medical examination, treatment and consultation
• Pre-hospitalization
• Medicine and medical consumables
• Non-intensive and intensive care services
• Diagnostic and laboratory investigations
• Medical implantation services (where necessary)
• Accommodation benefits
• Food services to patient
• Complications arising during treatment
• Post-hospitalization follow-up care up to 15 days
Pradhan Mantri Jan-Arogya Yojana (Ayushman Bharat)
Modes of Implementation:
Assurance/
Trust modes
• Most common implementation model adopted by most of the States.
• Under this model, the scheme is directly implemented by the SHA without the intermediation of
the insurance company. (ISA- Implementation support agency)
Insurance
Modes
• Insurance company selected through a tendering process by SHA.
• SHA pays premium to the insurance company for family.
• Insurance company, in turn, does the claims settlement and payments to the service provider.
Mix modes
• Under this, 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.
Pradhan Mantri Jan-Arogya Yojana (Ayushman Bharat)
How to get treatment under PM-JAY?
Check whether you are listed beneficiary or not?
If Yes, Register yourself for Ayushman/Golden/E Card.
Card Holders can get free treatment under PMJAY.
Ayushman Mitra are suppose to guide Beneficiaries at Hospitals.
Claim submission, Claim approval, Transaction management done by
Hospitals.
Where to check whether you are listed
beneficiary or not?
 Toll free number: 14555
 PM-JAY android app
 www.mera.pmjay.gov.in
 At selected Jan-seva-Kendra (CSC- Common cervice
centres)
 Visit nearest PHC, CHC, District Hospital, CMO
office Or any empaneled private Hospital.
How to get a Golden Card?
All registered beneficiaries can apply for a Golden card at any of the
following:
 At selected Jan-seva-Kendra (CSC- Common service centers)
 At nearest PHC, CHC, District Hospital, CMO office etc.
 At any empaneled private Hospital.
 Golden Card approval is by BIS portal (Beneficiary Identification
System).
(Any of the following)
 Adhar card
 Ration card
 PM Letter / CM letter (with 24
digit Household ID no. as per
SECC 2011).
Documents required to register for Golden card:
Pradhan Mantri Jan-Arogya Yojana (Ayushman Bharat)
PM/CM Letter:
 PM/CM letter is a part of awareness campaign conducted NHA &
SHA collectively.
 Purpose is to make all the beneficiaries(as per SECC 2011) of the
scheme aware about PMJAY.
 Letter has unique HH-id number (Household identification
number) as per SECC 2011.
Process of Beneficiary Identification:
Steps to be followed by Empaneled Hospitals:
• Hospitalization of the patient.
• Beneficiary identification through BIS Portal
• Preauthorization request & approval.
• Package selection by the Doctor & Documentation.
• Treatment & Discharge of Patient.
• Claim submission & Approval by TMS portal
Pradhan Mantri Jan-Arogya Yojana (Ayushman Bharat)
Process At Glance :
Stakeholders in PM-JAY:
 The National Health Authority is responsible for ensuring implementation
and providing oversight (guidelines) for PM-JAY.
 The State Health Agency/State Nodal Agency is the program
implementing agency at the state level, ensuring that policies and
guidelines set by NHA are carried out in letter and spirit.
Responsibilities under PM-JAY:
NHA
SHA
District
Magistrate
Chief Medical Officer
Nodal officer (Additional
CMO)
District Program coordinator
District Grievance Manager
District Information System Manager
Ayushman Mitra- at Hospitals
Hierarchy of PMJAY:
Vision of PM-JAY:
The Vision of PM-JAY for the next five
years is:“Achieving SDG 3.8: Ensuring
financial protection against catastrophic
health expenditure and access to
affordable and quality healthcare for
all”
Mission of PM-JAY:
The Mission of PM-JAY for the
next five years is: “Creating the
world’s best health assurance
programme on an efficient and
technologically robust
ecosystem”
National data of PM-JAY:
0
1000000
2000000
3000000
4000000
5000000
6000000
5251348
2001081
1427690
1121958 1099765
865054
715518 684369
NO
OF
PROCEDURES
SPECIALITIES
No of PROCEDURES DONE IN DIFFERENT SPECIALITIES
Medical
49%
Surgical
41%
Other
10%
3290155
2534684
1581202 1562153
1245959
877433 876335
782942
0
500000
1000000
1500000
2000000
2500000
3000000
3500000
1
NO
OF
PROCEDURES
STATES
Tamil Nadu Kerala Chhatisgarh Karnataka Andhra Pradesh Madhya Pradesh Jharkhand Uttar Pradesh
STATE WISE NO OF PROCEDURES DONE
Private
54%
Public
44%
Other
2%
SECTOR WISE PATIENT COVERAGE
2
1.7
1.5
REQUESTED
PROCESSED
CLAIMED
0 0.5 1 1.5 2 2.5
CASE SETTELEMENT( IN CRORES)
53%
47%
GENDER
MALE
FEMA
National data of PM-JAY:
15.1
7.9
6.4
6.1
5.8
0 2 4 6 8 10 12 14 16
ORTHO
NEONATAL
UROLOGY
MED ONCO
RADIATION ONCO
Top Tertiary Specialties paid in Millions
Ortho Neonatal Urology Med Onco Radiation Onco
23, 13%
150, 87%
Hospital Empanelled
Public
Private
VARANASI DISTRICT
Varanasi District PMJAY Stats:
2.8L
Ayushman Card
Issued.
56308
No of Claim
Submitted.
54055
No of Claims
accepted.
572095
No of eligible
beneficiaries.
114419
No of eligible
Families.
49%
Beneficiaries
having
ayushman cards.
June 2021 monthly report PMJAY Varanasi
AADHAR
90%
non
AADHAR
10%
BENEFICIARY VERIFICATION
AADHAR
non
AADHAR
Paid
92%
Rejected
4%
Due
4%
CLAIM SCENARIO
Paid
Rejected
Due
44091,
75%
14488,
25%
Service Utilization
Private Hosp.
Gov. Hospi.
PM-JAY Varanasi
District:-
SSH 2020 PMJAY:
4 2
32
127
47
58
2
13
5 4 1
7 9 9
2
41
25
12
0
20
40
60
80
100
120
140
No of Procedures done in Various Specialties
2%
79%
19%
CLAIM SETTLEMENT
Data Not available Paid Pending
SSH 2020 PMJAY:
73, 18%
303, 76%
24, 6%
TYPE OF PROCEDURE
Medical Data not available Surgical
1. Due to delayed submission of case.
2. Due to delay update, the case is not processed, and discharge
summary late updated by medico.
3. No proper Document Provision by Hospital side.
Top 3 Reasons for Rejection of Claims done by
SSH in 2020:
Conclusion of the Presentation:
Pros of PMJAY:
• Being a largest free health assurance scheme, PMJAY is a
commendable initiative by GOVERNMENT OF INDIA.
• The scheme provide services in both government & private
hospitals under single umbrella.
• A step towards DIGITAL-BHARAT by providing cashless &
paperless hospitalization services at a point of contact.
• Claim settlement ratio is more than 90% till now.
Cons of PMJAY:
• No provision for any financial support to hospitals before claim
settlement, till then hospitals have to invest their resources.
• Lack of awareness among the public about the scheme & its benefits.
• Inadequate No of Ayushman Mitras to handle heavy documentation
process by the side of hospitals, that too are underpaid.
• Grievance Management System for Migrants or out of state beneficiaries
is not adequate as like SACHIs(State agency for comprehensive health
insurance & integrated services).
• No provision for inclusion of transgender’s.
• Inefficient implementation of scheme by the side of Hospitals.
Suggestions:
There is need to raise awareness amongst the public regarding benefits of the
scheme.
Appointment of Ayushman Mitras at private hospitals should be done by
government side.
Ayushman Mitras should be paid according to a centralized criteria that
should not be less than the minimum wages so as to keep them Motivated.
There should be a “annual reward system” for Government as well as private
hospitals to keep them motivated.
There should be a provision for inclusion of Transgender’s in the beneficiary list of
PMJAY
Pradhan Mantri Jan-Arogya Yojana (Ayushman Bharat)

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Pradhan Mantri Jan-Arogya Yojana (Ayushman Bharat)

  • 1. “PRADHAN MANTRI-JAN AROGYA YOJANA” (PM-JAY) By Dr Sanket V. Nandekar JR-1, Dept. of Community Medicine IMS-BHU, VARANASI
  • 2. Outlines of the topic:- Background Introduction Timelines Beneficiary Identification Process Implementation Process Current scenario INDIA, VARANASI, SSH-BHU. Conclusion
  • 3.  Ayushman Bharat, a flagship scheme of Government of India, was 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:
  • 4. Background of the scheme: Ayushman Bharat 1. Health and Wellness Centers (HWCs) For Comprehensive Primary Health Care 2. Pradhan Mantri Jan Arogya Yojana (PM-JAY) For Comprehensive Secondary & Tertiary Health care
  • 5.  In February 2018, the Government of India announced the creation of 1,50,000 Health and Wellness Centres (HWCs) by transforming the existing Sub Centres and Primary Health Centres.  These centres are to deliver Comprehensive Primary Health Care (CPHC) bringing healthcare closer to the homes of people.  They cover both, maternal and child health services and non- communicable diseases, including free essential drugs and diagnostic services. 1. Health and Wellness Centers (HWCs)
  • 6. 2. Pradhan Mantri Jan Arogya Yojana(PM-JAY):  The second component under Ayushman Bharat is the Pradhan Mantri Jan Arogya Yojna or PM-JAY as it is popularly known.  Ayushman Bharat PM-JAY 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 to over 10.74 crores poor and vulnerable families (approximately 50 crore beneficiaries) that form the bottom 40% of the Indian population.
  • 7. Pradhan Mantri Jan Arogya Yojana Highlights:  Name of the Scheme: Pradhan Mantri Jan Arogya Yojana  Launched By: Shri. Narendra Modi, PM of INDIA  Date of Announcement: 1/02/2018 In Union Budget  Officially Launch Date: 15/08/2018  Officially Implementation Date: 23/09/2018  Target Beneficiaries: Poor People of the Nation  Supervised By: Ministry of Health & Family Welfare  Toll-Free No. : 14555  Launched Place: Ranchi, Jharkhand
  • 8. Key Features and Benefits of PM-JAY: PM-JAY is the world’s largest health assurance scheme fully financed by the government. It provides a cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization across public and private empanelled hospitals in India. Over 10.74 crore poor and vulnerable entitled families (approximately 50 crore beneficiaries) are eligible for these benefits.
  • 9. Key Features and Benefits of PM-JAY: PM-JAY provides cashless access to health care services for the beneficiary at the point of service. PM-JAY envisions to help reduce destructive expenditure on medical treatment which pushes nearly 6 crore Indians into poverty each year. It covers up to 3 days of pre-hospitalization and 15 days post-hospitalization expenses such as diagnostics and medicines.
  • 10. Key Features and Benefits of PM-JAY: All pre–existing conditions are covered from day one. Services include approximately 1,393 procedures covering all the costs related to treatment. There is no restriction on the family size, age or gender. Benefits of the scheme are portable across the country.
  • 12. Beneficiary Inclusion criteria:  The inclusion of households is based on the deprivation and occupational criteria of the Socio-Economic Caste Census 2011 (SECC 2011) for rural and urban areas, respectively.  This number also includes families that were covered in the RSBY but were not present in the SECC 2011 database.  The SECC involves ranking of the households based on their socio-economic status.
  • 13. Rural beneficiary inclusion criteria: I. PM-JAY covered all such families who fall into at least one of the following six deprivation criteria (D1 to D5 and D7). II. Automatic inclusion (Destitute/ living on alms, manual scavenger households, primitive tribal group, legally released bonded labour) criteria:
  • 14. Rural Beneficiary inclusion criteria: • D1- Only one room with kucha walls and kucha roof • D2- No adult member between ages 16 to 59 • D3- Households with no adult male member between ages 16 to 59 • D4- Disabled member and no able-bodied adult member • D5- SC/ST households • D7- Landless households deriving a major part of their income from manual casual labour
  • 15. Urban Beneficiary inclusion criteria: • Ragpicker • Beggar • Domestic worker • Street vendor/ other service provider working on streets • Construction worker/ Plumber/ Painter/ Welder/ Security guard • Sweeper/ Sanitation worker/ Mali • Handicrafts worker/ Tailor/Transport worker/ Cart puller/ Rickshaw puller • Shop worker/ Peon in small establishment / Delivery assistant / Waiter • Electrician/ Mechanic/ Assembler/ Repair worker • Washer-man/ Chowkidar
  • 17. Benefit Cover Under PM-JAY: • Medical examination, treatment and consultation • Pre-hospitalization • Medicine and medical consumables • Non-intensive and intensive care services • Diagnostic and laboratory investigations • Medical implantation services (where necessary) • Accommodation benefits • Food services to patient • Complications arising during treatment • Post-hospitalization follow-up care up to 15 days
  • 19. Modes of Implementation: Assurance/ Trust modes • Most common implementation model adopted by most of the States. • Under this model, the scheme is directly implemented by the SHA without the intermediation of the insurance company. (ISA- Implementation support agency) Insurance Modes • Insurance company selected through a tendering process by SHA. • SHA pays premium to the insurance company for family. • Insurance company, in turn, does the claims settlement and payments to the service provider. Mix modes • Under this, 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.
  • 21. How to get treatment under PM-JAY? Check whether you are listed beneficiary or not? If Yes, Register yourself for Ayushman/Golden/E Card. Card Holders can get free treatment under PMJAY. Ayushman Mitra are suppose to guide Beneficiaries at Hospitals. Claim submission, Claim approval, Transaction management done by Hospitals.
  • 22. Where to check whether you are listed beneficiary or not?  Toll free number: 14555  PM-JAY android app  www.mera.pmjay.gov.in  At selected Jan-seva-Kendra (CSC- Common cervice centres)  Visit nearest PHC, CHC, District Hospital, CMO office Or any empaneled private Hospital.
  • 23. How to get a Golden Card? All registered beneficiaries can apply for a Golden card at any of the following:  At selected Jan-seva-Kendra (CSC- Common service centers)  At nearest PHC, CHC, District Hospital, CMO office etc.  At any empaneled private Hospital.  Golden Card approval is by BIS portal (Beneficiary Identification System).
  • 24. (Any of the following)  Adhar card  Ration card  PM Letter / CM letter (with 24 digit Household ID no. as per SECC 2011). Documents required to register for Golden card:
  • 26. PM/CM Letter:  PM/CM letter is a part of awareness campaign conducted NHA & SHA collectively.  Purpose is to make all the beneficiaries(as per SECC 2011) of the scheme aware about PMJAY.  Letter has unique HH-id number (Household identification number) as per SECC 2011.
  • 27. Process of Beneficiary Identification:
  • 28. Steps to be followed by Empaneled Hospitals: • Hospitalization of the patient. • Beneficiary identification through BIS Portal • Preauthorization request & approval. • Package selection by the Doctor & Documentation. • Treatment & Discharge of Patient. • Claim submission & Approval by TMS portal
  • 32.  The National Health Authority is responsible for ensuring implementation and providing oversight (guidelines) for PM-JAY.  The State Health Agency/State Nodal Agency is the program implementing agency at the state level, ensuring that policies and guidelines set by NHA are carried out in letter and spirit. Responsibilities under PM-JAY:
  • 33. NHA SHA District Magistrate Chief Medical Officer Nodal officer (Additional CMO) District Program coordinator District Grievance Manager District Information System Manager Ayushman Mitra- at Hospitals Hierarchy of PMJAY:
  • 34. Vision of PM-JAY: The Vision of PM-JAY for the next five years is:“Achieving SDG 3.8: Ensuring financial protection against catastrophic health expenditure and access to affordable and quality healthcare for all”
  • 35. Mission of PM-JAY: The Mission of PM-JAY for the next five years is: “Creating the world’s best health assurance programme on an efficient and technologically robust ecosystem”
  • 36. National data of PM-JAY: 0 1000000 2000000 3000000 4000000 5000000 6000000 5251348 2001081 1427690 1121958 1099765 865054 715518 684369 NO OF PROCEDURES SPECIALITIES No of PROCEDURES DONE IN DIFFERENT SPECIALITIES Medical 49% Surgical 41% Other 10%
  • 37. 3290155 2534684 1581202 1562153 1245959 877433 876335 782942 0 500000 1000000 1500000 2000000 2500000 3000000 3500000 1 NO OF PROCEDURES STATES Tamil Nadu Kerala Chhatisgarh Karnataka Andhra Pradesh Madhya Pradesh Jharkhand Uttar Pradesh STATE WISE NO OF PROCEDURES DONE Private 54% Public 44% Other 2% SECTOR WISE PATIENT COVERAGE
  • 38. 2 1.7 1.5 REQUESTED PROCESSED CLAIMED 0 0.5 1 1.5 2 2.5 CASE SETTELEMENT( IN CRORES) 53% 47% GENDER MALE FEMA National data of PM-JAY:
  • 39. 15.1 7.9 6.4 6.1 5.8 0 2 4 6 8 10 12 14 16 ORTHO NEONATAL UROLOGY MED ONCO RADIATION ONCO Top Tertiary Specialties paid in Millions Ortho Neonatal Urology Med Onco Radiation Onco 23, 13% 150, 87% Hospital Empanelled Public Private VARANASI DISTRICT
  • 40. Varanasi District PMJAY Stats: 2.8L Ayushman Card Issued. 56308 No of Claim Submitted. 54055 No of Claims accepted. 572095 No of eligible beneficiaries. 114419 No of eligible Families. 49% Beneficiaries having ayushman cards. June 2021 monthly report PMJAY Varanasi
  • 42. SSH 2020 PMJAY: 4 2 32 127 47 58 2 13 5 4 1 7 9 9 2 41 25 12 0 20 40 60 80 100 120 140 No of Procedures done in Various Specialties
  • 43. 2% 79% 19% CLAIM SETTLEMENT Data Not available Paid Pending SSH 2020 PMJAY: 73, 18% 303, 76% 24, 6% TYPE OF PROCEDURE Medical Data not available Surgical
  • 44. 1. Due to delayed submission of case. 2. Due to delay update, the case is not processed, and discharge summary late updated by medico. 3. No proper Document Provision by Hospital side. Top 3 Reasons for Rejection of Claims done by SSH in 2020:
  • 45. Conclusion of the Presentation: Pros of PMJAY: • Being a largest free health assurance scheme, PMJAY is a commendable initiative by GOVERNMENT OF INDIA. • The scheme provide services in both government & private hospitals under single umbrella. • A step towards DIGITAL-BHARAT by providing cashless & paperless hospitalization services at a point of contact. • Claim settlement ratio is more than 90% till now.
  • 46. Cons of PMJAY: • No provision for any financial support to hospitals before claim settlement, till then hospitals have to invest their resources. • Lack of awareness among the public about the scheme & its benefits. • Inadequate No of Ayushman Mitras to handle heavy documentation process by the side of hospitals, that too are underpaid. • Grievance Management System for Migrants or out of state beneficiaries is not adequate as like SACHIs(State agency for comprehensive health insurance & integrated services). • No provision for inclusion of transgender’s. • Inefficient implementation of scheme by the side of Hospitals.
  • 47. Suggestions: There is need to raise awareness amongst the public regarding benefits of the scheme. Appointment of Ayushman Mitras at private hospitals should be done by government side. Ayushman Mitras should be paid according to a centralized criteria that should not be less than the minimum wages so as to keep them Motivated. There should be a “annual reward system” for Government as well as private hospitals to keep them motivated. There should be a provision for inclusion of Transgender’s in the beneficiary list of PMJAY