News: Gujarat, Tamil Nadu, Chhattisgarh, Kerala and Andhra Pradesh have emerged as the top performing States with free secondary and tertiary treatment worth nearly ₹7,901 crore availed under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY).
Facts:
About Ayushman Bharat:
- The scheme was launched in 2018 as recommended by the National Health Policy 2017, to achieve the vision of Universal Health Coverage (UHC). The scheme is under the Ministry of Health and Family Welfare.
- The main aim of the scheme is to provide universal health care to the poor, needy and vulnerable sections of the country. The scheme covers both prevention and health promotion.
- National Health Authority is the apex body responsible for implementing ‘Ayushman Bharat Pradhan Mantri Jan Arogya Yojana’.
- The two flagship programmes under Ayushman Bharat programme are (a) Health and Wellness Centre and (b) Pradhan Mantri Jan Arogya Yojana (PM-JAY).
Health and Wellness Centre:
- The National Health Policy, 2017 has envisioned Health and Wellness Centres as the foundation of India’s health system.
- Under this 1.5 lakh health care centres will be established.
- These centres will provide comprehensive health care, including for non-communicable diseases and maternal and child health services.
- These centres will also provide free essential drugs and diagnostic services.
- The contribution of the private sector through CSR and philanthropic institutions in adopting these centres is also envisaged.
Pradhan Mantri Jan Arogya Yojana (PM-JAY):
- It is the world’s largest health insurance/ assurance scheme fully financed by the government.
- PM-JAY provides cover of Rs. 5 lakhs per family per year, for secondary and tertiary care hospitalization across public and private empaneled hospitals in India. There is no restrictions on family size, age or gender.
- Over 10.74 crore poor and vulnerable entitled families (approximately 50 crore beneficiaries) are eligible for these benefits.
- PM-JAY provides cashless access to health care services for the beneficiary at the point of service, that is, the hospital.
- It covers up to 3 days of pre-hospitalization and 15 days post-hospitalization expenses such as diagnostics and medicines
