Ayushman Bharat

Health & Family Welfare Department

Beneficiary Type: Farmer

Objective

To provide free and cashless health coverage of up to ₹5 lakh per family per year to economically vulnerable populations.

Objective

To provide free, accessible, and quality healthcare to economically vulnerable families across India through cashless health insurance coverage.

Benefits

Benefit cover under various Government-funded health insurance schemes in India have always been structured on an upper ceiling limit ranging from an annual cover of INR30,000 to INR3,00,000 per family across various States which created a fragmented system. PM-JAY provides cashless cover of up to INR5,00,000 to each eligible family per annum for listed secondary and tertiary care conditions. The cover under the scheme includes all expenses incurred on the following components of the treatment. Medical examination, treatment and consultation Pre-hospitalization Medicine and medical consumables Non-intensive and intensive care services Diagnostic and laboratory investigations Medical implantation services (where necessary) Accommodation benefits Food services Complications arising during treatment Post-hospitalization follow-up care up to 15 days The benefits of INR 5,00,000 are on a family floater basis which means that it can be used by one or all members of the family. The RSBY had a family cap of five members. However, based on learnings from those schemes, PM-JAY has been designed in such a way that there is no cap on family size or age of members. In addition, pre-existing diseases are covered from the very first day. This means that any eligible person suffering from any medical condition before being covered by PM-JAY will now be able to get treatment for all those medical conditions as well under this scheme right from the day they are enrolled.

Eligibility

Families identified as economically vulnerable and listed in the SECC 2011 data are eligible for free treatment under the Ayushman Bharat PM-JAY scheme.

Coverage Area

Gujarat(Ahmedabad, Amreli, Anand, Aravalli, Banaskantha, Bharuch, Bhavnagar, Botad, Chhota Udaipur, Dahod, Dang, Devbhoomi Dwarka, Gandhinagar, Gir Somnath, Jamnagar, Junagadh, Kheda, Kutch, Mahisagar, Mehsana, Morbi, Narmada, Navsari, Panchmahal, Patan, Porbandar, Rajkot, Sabarkantha, Surat, Surendranagar, Tapi, Vadodara, Valsad)

Application Method

Application Method for Ayushman Bharat PM-JAY (in English) **You do not need to apply online; eligibility is based on the SECC 2011 database. Here’s how to check and access the scheme: Step-by-Step Process: 1. Check Eligibility: - Visit the official website: [https://mera.pmjay.gov.in](https://mera.pmjay.gov.in) - Enter your mobile number and verify with OTP. - Search your name in the **SECC 2011 list** to confirm eligibility. 2. **Visit Common Service Centre (CSC) or Empanelled Hospital:** - Carry your **Aadhaar Card** and ration card (if available). - The staff will help you generate your **Ayushman Bharat e-card** if you're eligible. 3. **Get Your PM-JAY e-Card:** - This card is used for **cashless treatment** at any empanelled hospital. 4. **Access Services:** - Visit any **empanelled public or private hospital** with your e-card for free treatment up to ₹5 lakh. --- If you'd like, I can turn this into a short guide or poster for sharing.

Application Form

https://pmjay.gov.in/

Documents Required

**Documents Required:** Aadhaar card, ration card (if available), and mobile number for identity and eligibility verification under Ayushman Bharat PM-JAY.

Information Source

https://pmjay.gov.in/

Gender Male,Female,Others
Age 0 to 100
Caste General,Scheduled Caste,Scheduled Tribe,Socially and Economically Backward Communities / Other Backword Class ,Economically Weaker Sections
Economic Status APL,BPL,Both
Occupation Any Other
Sector Social Security
Income Criteria Less than Rs 1,50,000/- per annum
Citizen All citizens

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