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Ayushman Bharat Health Scheme Completes Eight Years
Ayushman Bharat Health Scheme Completes Eight Years
Ayushman Bharat Health Scheme:
- Launched: 2018
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Objective: Achieve Universal Health Coverage (UHC)
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Type: Centrally Sponsored Scheme
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Implementation: National Health Authority (NHA) at the central level + State Health Agencies at state level
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Major Components:
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Ayushman Arogya Mandir (AAM) – provides free, universal comprehensive primary healthcare.
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Pradhan Mantri Jan Arogya Yojana (PM-JAY) – provides ₹5 lakh per family per year for secondary and tertiary hospitalization.
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PM-JAY Key Features
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Pre-hospitalization: Up to 3 days
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Post-hospitalization: Up to 15 days
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Treatment available at empanelled public and private hospitals
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Cashless treatment
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Pre-existing diseases covered from Day 1
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No restriction based on family size, age or gender
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Initially targeted the bottom 40% based on SECC 2011.
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Later expanded to include:
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All senior citizens aged 70+
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37 lakh families of ASHA and Anganwadi workers
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PM-JAY Eligibility — SECC 2011 Criteria
1. Rural Households
PM-JAY originally identified eligible rural households using deprivation criteria under SECC 2011.
The important deprivation categories include:
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Code
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Deprivation Criterion
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|---|---|
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D1
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Households with only one room, with kuccha walls and roof
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D2
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Households with no adult member aged 16–59 years
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D3
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Female-headed households with no adult male member aged 16–59 years
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D4
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Households with a disabled member and no able-bodied adult member
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D5
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SC/ST households
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D7
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Landless households deriving major income from manual casual labour
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Note: The SECC deprivation codes are often presented as D1, D2, D3, D4, D5 and D7; there is no D6 category in this PM-JAY rural eligibility list.
2. Urban Households
For urban areas, PM-JAY eligibility was based on specified occupational categories identified under SECC 2011.
These include workers such as:
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Ragpickers
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Domestic workers
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Street vendors
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Construction workers
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Sanitation workers
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Transport workers
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Small shop employees
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Plumbers
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Masons
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Security guards
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Other specified informal-sector workers
Key Facts
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Particular
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Details
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|---|---|
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Full Name
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Ayushman Bharat–Pradhan Mantri Jan Arogya Yojana
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Launch Date
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23 September 2018
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Launch Place
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Ranchi, Jharkhand
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Launched By
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Prime Minister Narendra Modi
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Nodal Ministry
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Ministry of Health & Family Welfare
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Implementing Authority
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National Health Authority (NHA)
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Annual Health Cover
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₹5 lakh per eligible family
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Original Target
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Bottom 40% of the population based on SECC 2011
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Original Coverage
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Around 10.74 crore families
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Type
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Government-funded health assurance scheme
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Treatment Covered
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Secondary & tertiary hospitalisation
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Main Objective
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Financial protection and progress towards Universal Health Coverage (UHC)
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Ayushman Arogya Mandirs vs PM-JAY
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Ayushman Arogya Mandirs
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PM-JAY
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|---|---|
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Focus on primary healthcare
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Focus on hospitalisation
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Preventive, promotive & basic curative care
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Secondary & tertiary care
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Screening, medicines & diagnostics
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Financial protection for hospital treatment
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Community-level healthcare
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Empanelled public/private hospitals
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Four Major Components/Initiatives
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AB PM-JAY → ₹5 lakh annual family-floater cover for eligible beneficiaries.
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Ayushman Arogya Mandirs (AAMs) → Comprehensive primary healthcare.
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Ayushman Bharat Digital Mission (ABDM) → Digital health ecosystem and interoperable health records.
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PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) → Strengthening health infrastructure, laboratories and disease surveillance.
Ayushman Vay Vandana
The 70+ senior citizen expansion provides:
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Eligibility irrespective of income or socio-economic status
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Up to ₹5 lakh annual cover
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Separate additional ₹5 lakh cover for eligible 70+ senior citizens already belonging to PM-JAY families
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Eligible senior citizens receive an Ayushman Vay Vandana Card
Role of National Health Authority (NHA)
The NHA is responsible for national-level implementation of PM-JAY.
Major functions:
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Operational guidelines and health benefit packages
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Beneficiary identification and verification
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Coordination with State Health Agencies
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Hospital empanelment
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Claims management
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Fraud prevention
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Implementation of ABDM
ABHA ID — Ayushman Bharat Health Account
ABHA (Ayushman Bharat Health Account) is a 14-digit unique health ID created under the Ayushman Bharat Digital Mission (ABDM) to digitally identify an individual and facilitate the sharing of health records with consent.
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Particular
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Details
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|---|---|
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Full Form
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Ayushman Bharat Health Account
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Commonly Called
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ABHA ID / ABHA Number
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Length
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14 digits
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Introduced Under
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Ayushman Bharat Digital Mission (ABDM)
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Purpose
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Digital identification and management of health records
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Key Function
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Enables secure digital sharing/access of health records with the individual's consent
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Nature
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Digital health identity
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Linked Ecosystem
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ABDM
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Coverage
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Can be created by individuals across India
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ABHA ID ≠ Ayushman Card
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ABHA ID
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Ayushman Card
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|---|---|
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Digital health identity
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Health assurance/benefit card
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Under ABDM
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Under AB PM-JAY
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Used for digital health records
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Used to access eligible PM-JAY healthcare benefits
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14-digit health ID
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Provides access to eligible ₹5 lakh annual cover
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