The Ayushman Bharat Yojana (ABY), also known as Pradhan Mantri Jan Arogya Yojana (PMJAY), is India’s flagship health insurance scheme aimed at providing free healthcare coverage to economically vulnerable families.
The Ayushman card, or Golden Card, is a vital tool that enables beneficiaries to access these services.
How the Ayushman Card Works
Eligibility and Coverage
- The scheme offers health coverage of up to ₹5 lakh per family per year for secondary and tertiary care hospitalization.
- Coverage includes medical examination, treatment, consultation, pre- and post-hospitalization expenses, diagnostics, surgeries, and follow-up care.
- It covers all members of the eligible family listed under the SECC 2011 database, with no cap on family size.
Obtaining the Ayushman Card
Visit a Registration Center: Go to an empaneled hospital or a Common Service Center (CSC) with your Aadhaar card, ration card, and mobile number.
Applying for an ayushman card
- Applying for an Ayushman Card At Empaneled Hospitals, go to the Ayushman Bharat Help Desk of the hospital and show your Ayushman card and proof of identification.
Key Benefits
- Comprehensive Coverage: Includes pre-existing diseases, daycare treatments, and follow-up care.
- No Upfront Payment: Cashless treatment at empaneled hospitals.
- Nationwide Access: Use the card across India at any empaneled hospital.
- Lifetime Validity: The card remains valid as long as the beneficiary’s eligibility is intact.
Visit the PMJAY official website or call the Ayushman Bharat Help Desk at 14555 or 1800-111-565 for more information or assistance.
What are the losses and profits of the Ayushman card?
Because the Ayushman Bharat Yojana (PMJAY) is a massive welfare program, its “profits” and “losses” aren’t financial in the usual sense; rather, they focus more on the impact on society rather than the sustainability of the economy. Let’s simply break it down:
Profits and Benefits (Financial and Social Benefits)
Portability
Benefits are available to everyone in India, which is beneficial to migrant workers.
Increased Access to Medical Care Hospitalization that was previously out of reach for millions of low-income families is now provided for free and without payment. includes major procedures like heart surgery and cancer care.
Financial Security prevents individuals from falling into poverty as a result of medical costs. reduces the burden that low-income households face in terms of out-of-pocket health care costs.
Healthcare job creation (for doctors, nurses, and administrative staff).
Health education and early detection reduces long-term health care costs by encouraging regular checkups and early treatment.
Delays, Obstacles, and Concerns
- Hospitals are underpaid. Private hospitals are reluctant to participate because the treatment rates set by the government are frequently too low. Due to delayed reimbursements, some hospitals leave the program.
- Impact on Public Health Care Overcrowding in government hospitals occurs in areas with fewer private hospitals.
- Sustainability
Costing the government a lot, thousands of crores annually. Better administration and ongoing funding are necessary for long-term viability.
In Summary:
Aspect Gains Losses Healthcare Greater accessibility and prompt treatment Risque of overload and subpar care Financially Protects the Poor from Exorbitant Medical Costs High Public Spending,
Difference of Ayushman Cardand the Biju Swasthya Kalyan Yojana (BSKY) Card
Ayushman Card | Biju Card (BSKY) |
---|---|
Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (PM-JAY) | Biju Swasthya Kalyan Yojana |
Central Government scheme | Odisha State Government scheme |
Ayushman Card | Biju Card (BSKY) |
---|---|
₹5 lakh per family per year | ₹5 lakh per family per year (₹10 lakh for women members) |
Ayushman Card | Biju Card (BSKY) |
---|---|
Based on SECC 2011 data – only eligible poor families | Covers all families in Odisha (irrespective of income), but card is needed for private hospital benefits |
Focused on rural and low-income families | Odisha residents – government provides cards based on ration card or BSKY eligibility |
Ayushman Card | Biju Card (BSKY) |
---|---|
Empanelled government & private hospitals across India | Only for Odisha (private hospitals in Odisha & some outside Odisha) |
Pan-India portability available | Limited to selected hospitals in and around Odisha |
Ayushman Card | Biju Card (BSKY) |
---|---|
Apply online via https://mera.pmjay.gov.in/ or CSC | Automatically issued based on ration card, also available via BSKY portal/camps |
Ayushman Card | Biju Card (BSKY) |
---|---|
Pan-India treatment, portability | Extra ₹5 lakh cover for women (total ₹10 lakh) |
Feature | Ayushman Card (PMJAY) | Biju Card (BSKY) |
---|---|---|
Government | Central | Odisha State |
Amount | ₹5 lakh | ₹5–10 lakh |
Coverage | All India | Odisha-focused |
For | Poor families (as per 2011 data) | All Odisha residents |
Women Benefit | No special extra | ₹10 lakh coverage for women |
VERY GOOD
Thank for your kindcorporation
The Ayushman Bharat Yojana is indeed a transformative initiative for India’s healthcare system. It’s commendable how it aims to provide free healthcare to those who need it the most, especially for major procedures like heart surgery and cancer care. However, I wonder if the scheme is reaching all the intended beneficiaries effectively, given the vast population and logistical challenges. The financial security it offers is a game-changer, but how sustainable is this model in the long run with high public spending? Also, while early detection and health education are crucial, are there enough awareness campaigns to ensure people utilize these services? Lastly, how does the government plan to address concerns about potential overload and subpar care in hospitals? Overall, it’s a step in the right direction, but continuous monitoring and improvements are essential. What are your thoughts on its implementation so far?
The Ayushman Bharat Yojana is indeed a transformative initiative for India’s healthcare system. It’s commendable how it aims to provide free healthcare to those who need it the most, especially for major procedures like heart surgery and cancer care. However, I wonder if the scheme is reaching all the intended beneficiaries effectively, given the vast population and logistical challenges. The financial security it offers is a game-changer, but how sustainable is this model in the long run with high public spending? Also, while early detection and health education are crucial, are there enough awareness campaigns to ensure people utilize these services? Lastly, how do you ensure the quality of care provided under this scheme, considering the risk of overload and subpar care? What steps are being taken to address these concerns and improve the overall effectiveness of the program?
The Ayushman Bharat Yojana is indeed a groundbreaking initiative, and it’s heartening to see such a massive effort to provide healthcare to the economically vulnerable. However, I can’t help but wonder if the scheme is truly reaching everyone it’s meant to, especially in remote areas where awareness and accessibility might be limited. The financial protection it offers is undeniably beneficial, but how sustainable is this model given the high costs involved? Early detection and health education are vital, but are there enough resources allocated to ensure these aspects are effectively implemented? Also, how do you address the potential overload on healthcare facilities, which might compromise the quality of care? I’d love to hear more about the strategies in place to tackle these challenges.
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