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Aug 28
1. PMJAY stands for Pradhan Mantri Jan Arogya Yojana, which is a health insurance scheme launched by the Government of India in September 2018.
2. The scheme aims to provide health insurance coverage of up to Rs. 5 lakh per family per year for secondary and tertiary care hospitalization to over 10 crore vulnerable families in India.
3. PMJAY is the largest government-funded healthcare program in the world, covering around 50 crore beneficiaries.
4. The scheme provides cashless and paperless access to services for the beneficiaries at the point of service in any empaneled hospital across the country.
5. PMJAY covers a wide range of medical treatments, including pre-existing diseases and maternity benefits.
6. The scheme is targeted towards poor and vulnerable families, identified based on the Socio-Economic Caste Census (SECC) data.
7. PMJAY aims to reduce out-of-pocket expenses for healthcare and improve access to quality healthcare services for the underprivileged sections of society.
8. The scheme is implemented by the National Health Authority (NHA) and is funded by the government through the Health and Wellness Centers under Ayushman Bharat.
2. The scheme aims to provide health insurance coverage of up to Rs. 5 lakh per family per year for secondary and tertiary care hospitalization to over 10 crore vulnerable families in India.
3. PMJAY is the largest government-funded healthcare program in the world, covering around 50 crore beneficiaries.
4. The scheme provides cashless and paperless access to services for the beneficiaries at the point of service in any empaneled hospital across the country.
5. PMJAY covers a wide range of medical treatments, including pre-existing diseases and maternity benefits.
6. The scheme is targeted towards poor and vulnerable families, identified based on the Socio-Economic Caste Census (SECC) data.
7. PMJAY aims to reduce out-of-pocket expenses for healthcare and improve access to quality healthcare services for the underprivileged sections of society.
8. The scheme is implemented by the National Health Authority (NHA) and is funded by the government through the Health and Wellness Centers under Ayushman Bharat.
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Google Gemini AI
Aug 28
PMJAY (Pradhan Mantri Jan Arogya Yojana)
1. Objective:
- To provide financial protection to over 50 crore beneficiaries from vulnerable socioeconomic backgrounds.
2. Eligibility:
- Families identified through Socio-Economic Caste Census (SECC) 2011.
- Includes both rural and urban beneficiaries.
3. Benefits:
- Cashless hospitalization coverage up to Rs. 5 lakh per family per year.
- Coverage for over 2500 medical packages.
- Pre-hospitalization and post-hospitalization expenses.
4. Covered Expenses:
- Medical treatment and hospitalization.
- Surgical procedures and diagnostics.
- Room charges, doctor's consultation, and medicines.
5. Mode of Payment:
- Treatment expenses are paid directly to empaneled hospitals by the government.
- Beneficiaries do not have to pay any upfront costs.
6. Hospital Network:
- Over 25,000 public and private hospitals are empaneled across the country.
- Beneficiaries can choose from any of the empaneled hospitals for treatment.
7. Referral Process:
- Beneficiaries can approach any designated Public Health Centre (PHC) or Community Health Centre (CHC) for registration.
- PHC/CHC will refer the beneficiary to an empaneled hospital for treatment.
8. Grievance Redressal:
- State Health Agencies (SHAs) are responsible for handling grievances and ensuring timely resolution.
- Beneficiaries can also use the PMJAY toll-free helpline (1800-111-565) to report any issues.
9. Administration:
- Implemented by the National Health Authority (NHA) under the Ministry of Health and Family Welfare.
- SHAs are responsible for overseeing the implementation at the state level.
10. Impact:
- Reduced out-of-pocket medical expenses for vulnerable families.
- Increased access to quality healthcare services.
- Improved health outcomes and financial security.
1. Objective:
- To provide financial protection to over 50 crore beneficiaries from vulnerable socioeconomic backgrounds.
2. Eligibility:
- Families identified through Socio-Economic Caste Census (SECC) 2011.
- Includes both rural and urban beneficiaries.
3. Benefits:
- Cashless hospitalization coverage up to Rs. 5 lakh per family per year.
- Coverage for over 2500 medical packages.
- Pre-hospitalization and post-hospitalization expenses.
4. Covered Expenses:
- Medical treatment and hospitalization.
- Surgical procedures and diagnostics.
- Room charges, doctor's consultation, and medicines.
5. Mode of Payment:
- Treatment expenses are paid directly to empaneled hospitals by the government.
- Beneficiaries do not have to pay any upfront costs.
6. Hospital Network:
- Over 25,000 public and private hospitals are empaneled across the country.
- Beneficiaries can choose from any of the empaneled hospitals for treatment.
7. Referral Process:
- Beneficiaries can approach any designated Public Health Centre (PHC) or Community Health Centre (CHC) for registration.
- PHC/CHC will refer the beneficiary to an empaneled hospital for treatment.
8. Grievance Redressal:
- State Health Agencies (SHAs) are responsible for handling grievances and ensuring timely resolution.
- Beneficiaries can also use the PMJAY toll-free helpline (1800-111-565) to report any issues.
9. Administration:
- Implemented by the National Health Authority (NHA) under the Ministry of Health and Family Welfare.
- SHAs are responsible for overseeing the implementation at the state level.
10. Impact:
- Reduced out-of-pocket medical expenses for vulnerable families.
- Increased access to quality healthcare services.
- Improved health outcomes and financial security.
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