Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) covers 55 crore individuals from 12 crore families. Women account for around 49% of cardholders and 48% of hospital admissions. Nearly 27,000 hospitals provide services. Discussions ongoing to include AYUSH packages.
GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
DEPARTMENT OF HEALTH AND FAMILY WELFARE
LOK SABHA
UNSTARRED QUESTION NO. 1215
TO BE ANSWERED ON 09TH FEBRUARY, 2024
AYUSHMAN CARDS
1215. SHRI MANICKAM TAGORE B.
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
(a) whether women account for approximately 49 percent of the 28.45 crores Ayushman cards created and approximately 48 percent of total authorised hospital admissions;
(b) whether 55 crore individuals corresponding to 12 crore families are covered under the scheme while many States/UTs implementing Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB- PMJAY) have further expanded the beneficiary base at their own cost;
(c) whether the scheme has a total of nearly 27,000 hospitals under the AB-PMJAY to provide healthcare services to scheme beneficiaries;
(d) if so, the details thereof;
(e) whether there has been a demand to include AYUSH as well under the said scheme; and
(f) if so, the steps taken/proposed to be taken in this regard?
ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE
(PROF. S. P. SINGH BAGHEL)
(a) to (f): Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is the world’s largest publicly funded health assurance scheme which provides health cover of Rs. 5 lakh per family per year for secondary and tertiary care hospitalization to approximately 55 crore beneficiaries corresponding to 12 crore families constituting the bottom 40% of India’s population. States/UTs implementing AB-PMJAY have further expanded the beneficiary base at their own cost.
As on 05.02.2024, women account for approximately 49% of the verified individuals, out of a total of 31.02 crore Ayushman cards created across the country. Further, women account for approximately 48% of a total of 6.31 crore authorized hospital admissions under the scheme. As on 01.02.2024, a total number of 28,102 hospitals have been empaneled across the country to provide healthcare services to scheme beneficiaries.
The implementation model for convergence of AYUSH packages with AB-PMJAY involves discussions on various aspects of the AYUSH like package design, package cost, AYUSH hospital on-boarding, Standard Treatment Guidelines (STGs), objective definition of treatment outcomes, financial implications, etc. Apart from M/o AYUSH and NHA the other stakeholders are implementing States/UTs.
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