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Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)

Tags : Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)

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Topic: Health

Why in the news?

  • The National Disability Network (NDN) has approached the Central government seeking inclusion of persons with disabilities without any income or age criteria in the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) health insurance scheme.

Source: The Hindu 

About Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY):

  • It is the world’s largest health insurance scheme fully financed by the government.
  • Launched in 2018, it offers a sum insured of Rs.5 lakh per family for secondary care and tertiary care.
  • Health Benefit Packages covers surgery, medical and day care treatments, cost of medicines and diagnostics.
  • It is an entitlement-based scheme that targets the beneficiaries as identified by latest Socio-Economic Caste Census (SECC) data.
    • The National Health Authority (NHA) has provided flexibility to States/UTs to use non- Socio-Economic Caste Census (SECC) beneficiary family databases with similar socio-economic profiles for tagging against the leftover (unauthenticated) SECC families.
  • The funding for the scheme is shared in the ratio of 60:40 for all states and UTs with their own legislature, 90:10 in Northeast states and Jammu and Kashmir, Himachal and Uttarakhand and 100% Central funding for UTs without a legislature.
  • Nodal Agency:
    • The National Health Authority (NHA) has been constituted as an autonomous entity under the Society Registration Act, 1860 for effective implementation of PM-JAY in alliance with state governments.
    • The State Health Agency (SHA) is the apex body of the State Government responsible for the implementation of AB PM-JAY in the State.

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