Pradhan Mantri Jan Arogya Yojana (PM-JAY) – Health Coverage Scheme for Vulnerable Families

Ayushman Bharat is a flagship health initiative launched by the Government of India under the National Health Policy 2017, aiming to achieve Universal Health Coverage (UHC). It adopts a holistic approach to healthcare, covering preventive, promotive, and curative services across primary, secondary, and tertiary levels. The scheme comprises two components:

  1. Health and Wellness Centres (HWCs)
  2. Pradhan Mantri Jan Arogya Yojana (PM-JAY)

Pradhan Mantri Jan Arogya Yojana (PM-JAY)

Launched on 23rd September 2018, PM-JAY is one of the largest health assurance programs globally. It aims to provide a health cover of ₹5,00,000 per family per year for secondary and tertiary care hospitalization to 10.74 crore poor and vulnerable families (approx. 50 crore beneficiaries), constituting the bottom 40% of India’s population.

The beneficiaries are chosen based on Socio-Economic Caste Census (SECC) 2011 data, using deprivation and occupational criteria in rural and urban areas. PM-JAY is entirely funded by the government, with its cost shared between the Central and State Governments.


Key Benefits

  1. Coverage: Up to ₹5,00,000 per family per annum on a family floater basis, covering:
    • Secondary and tertiary care conditions.
    • Pre-existing diseases from day one.
  2. Cashless Services:
    • Medical examination, treatment, and consultation.
    • Pre-hospitalization.
    • Medicines and medical consumables.
    • Non-intensive and intensive care services.
    • Diagnostic and laboratory investigations.
    • Medical implants (where necessary).
    • Accommodation and food services during treatment.
    • Post-hospitalization follow-up care (up to 15 days).
  3. No Age/Family Size Limit:
    • No cap on age or family size.
    • Pre-existing illnesses covered from the first day.
  4. National Portability:
    • Beneficiaries can receive treatment anywhere in India at empanelled hospitals.

Eligibility

Rural Beneficiaries

Families meeting at least one of the following deprivation criteria or listed under automatic inclusion:

  1. One room with kucha walls and roof.
  2. No adult member between ages 16–59.
  3. No adult male member between ages 16–59.
  4. Any disabled member and no able-bodied adult member.
  5. SC/ST households.
  6. Landless families deriving major income from manual labor.
  7. Automatic Inclusion: Destitute, living on alms, manual scavenger households, primitive tribal groups, legally released bonded laborers.

Urban Beneficiaries

Based on 11 occupational categories of workers:

  1. Ragpicker
  2. Beggar
  3. Domestic worker
  4. Street vendor/cobbler/hawker
  5. Construction worker/plumber/mason/laborer/painter/welder/security guard/coolie/head-load worker
  6. Sweeper/sanitation worker/gardener (mali)
  7. Home-based worker/artisan/handicrafts worker/tailor
  8. Transport worker/driver/conductor/helper/cart/rickshaw puller
  9. Shop worker/assistant/peon in small establishment/helper/delivery assistant/attendant/waiter
  10. Electrician/mechanic/assembler/repair worker
  11. Washer-man/chowkidar

Exclusions

Certain households are excluded from PM-JAY coverage:

  1. Owning a two, three, or four-wheeler or motorized fishing boat.
  2. Owning mechanized agricultural equipment.
  3. Holding a Kisan card with a credit limit ≥ ₹50,000.
  4. Employed by the government.
  5. Working in government-managed non-agricultural enterprises.
  6. Earning a monthly income ≥ ₹10,000.
  7. Owning a refrigerator or landline.
  8. Living in a solidly built house.
  9. Owning ≥ 5 acres of agricultural land.

Application Process (Offline)

Verification & E-Card Issuance

  1. Approach Empanelled Health Care Provider (EHCP) or Community Service Centre (CSC):
    • Submit PM letter/ RSBY URN/ RC Number/ mobile number for searching the beneficiary data.
  2. Search in BIS:
    • The operator (Arogya Mitra) checks the SECC 2011 or RSBY or other state scheme databases.
  3. Individual Identification:
    • If found eligible, upload Aadhaar (or any govt. ID) and a Ration Card/family ID.
  4. Family Identification:
    • Family details verified from ration card or alternative ID. Documents are uploaded for approval.
  5. Approval/Rejection:
    • The insurance company/trust reviews. Finally, the State Health Agency (SHA) confirms approval/rejection.
  6. E-Card Issuance:
    • On approval, the beneficiary receives an e-card for cashless treatment.

Documents Required

  1. Age & Identity Proof (Aadhaar/PAN Card).
  2. Address Proof.
  3. Contact Details (mobile, email).
  4. Caste Certificate (if applicable).
  5. Income Certificate (if required).
  6. Family Status Proof (joint/nuclear).
  7. Aadhaar Card (compulsory for beneficiaries).

Frequently Asked Questions (FAQs)

  1. Will beneficiaries have to pay anything to get covered under this scheme?
    No, PM-JAY is fully funded by the government, providing cashless coverage at empanelled hospitals.
  2. What is the enrollment process? Is there any time period for enrollment?
    Eligible families are identified via SECC 2011 or state databases. There’s no set enrollment window; beneficiaries just need to verify their identity and get the PMJAY e-card.
  3. Will a card be given to the beneficiary?
    Yes, once verified, an e-card is generated, enabling cashless services under PM-JAY.
  4. Are pre-existing illnesses covered?
    Yes, all pre-existing conditions are covered from day one.
  5. Are benefits available for a newborn child under this scheme?
    A child born into an eligible family is also covered, subject to guidelines.
  6. Are RSBY cardholders covered under the scheme?
    All RSBY families are automatically included under PM-JAY if meeting the criteria.
  7. Can benefits under this scheme be availed without an Aadhaar Card?
    Aadhaar is preferred, but other government IDs may be used to confirm identity if Aadhaar is unavailable.
  8. Who is an Arogya Mitra?
    An Arogya Mitra is a facilitator/operator stationed at empanelled hospitals or CSCs to guide beneficiaries, handle pre-authorization, and ensure smooth claims.
  9. How does the claim submission process work?
    Once admitted, the hospital raises a pre-authorization request. If approved, treatment is cashless, and the hospital gets reimbursed directly.
  10. What is Pradhan Mantri Jan Arogya Yojana (PM-JAY)?
    It’s a health assurance scheme providing up to ₹5 lakh per eligible family per year for secondary and tertiary treatments.
  11. What health services are available under PM-JAY?
    It covers 1,500+ treatment packages, including medicines, tests, room charges, and follow-up care.
  12. Where can beneficiaries avail services under PM-JAY?
    At any empanelled hospital (public or private) across India.
  13. Will beneficiaries pay anything for coverage?
    No, coverage is cashless and fully funded by Government of India and states.
  14. How are beneficiaries identified?
    Identification uses SECC 2011 data or RSBY lists, along with approved state databases.
  15. Can families not on the list still avail the scheme?
    No, only those who meet inclusion criteria in the SECC/RSBY or state-identified categories are covered.
  16. What is the maximum time required for approval of claim submission requests?
    Generally, 24-72 hours, but states may have specific timelines.
  17. Who are the members of various grievance committees?
    Usually representatives from State Health Agency, insurance companies, hospitals, and concerned government officials.

Sources and References

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