Nearly six crore hospital admissions have been undertaken at a cost of worth Rs 77,298 crore under the Centre’s flagship health insurance scheme Ayushman Bharat Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY), the Lok Sabha was told on Friday.
In a written reply, the Union Minister for Health and Family Welfare Mansukh Mandaviya informed that a total of 26,774 hospitals including 11,733 private hospitals have been empanelled as on December 2, 2023 across the country to provide healthcare services to the scheme beneficiaries.
The scheme was launched by Prime Minister Narendra Modi on September 23, 2018. It provides assurance of Rs 5 lakh per year per family, ensuring that quality healthcare is made accessible to low-income earners in the country.
The minister said that AB- PMJAY provides health cover to families which constitute the bottom 40 per cent of the population. “The budget allocated for Ayushman Bharat PM-JAY for the financial year 2023-24 is Rs. 7,200 crore,” he said, adding, “AB-PMAY scheme is completely cashless and paperless in nature, without the concept of reimbursement. The Empanelled Healthcare Providers (EHCPs) are paid based on specified Health Benefit Packages (HBP) with standardised rates.
“As per the latest HBP (2022), a total of 1,949 procedures across 27 specialities (such as cancer, mental health, cardiology, urology etc) are available for AB PM-JAY beneficiaries,” the government said.
Total claims in the current financial year 2023-24 till November 30, 2023 were 1,19,00,359 with Rajasthan reporting the maximum claims at 29,49,063, the data tabled in the Lok Sabha shows.
