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All Info About Ayushman Bharat Yojana



Ayushman Bharat Yojana

Ayushman Bharat Yojana was launched in Ranchi district of the Jharkhand on 23 September, 2018. Ayushman Bharat Yojana become world's largest free healthcare shceme. It provides free treatment upto Rs 5 lacs per year to approx.50 cr poor people of the country. 

The prime objective of Ayushman Bharat Yojna is to provide benefit cover of Rs 5 lac per family (approx. 50 crore beneficiaries) per year to the poor people of the country. Now let us understand the step by step process to apply under the Ayushman Bharat Yojana.

Check the Eligibility: For the identification as a PM-JAY beneficiary, the patient can do any of the following:

1. You can ask the staff at the Empanelled Health Care Providers (EHCP) registration desk to check your eligibility through the ‘Am I Eligible’ application either through mobile, app or website.

2. You can check your eligibility by the PM-JAY Kiosk and check through the ‘Am I Eligible’ application.

3. Call to the call centre's number 14555 of the Ayushman Bharat yojna.

4. Patient Card Generation: Once it is cleared that the patient is eligible for the yojna then the patient will be directed to the PMJAY Kiosk where the Pradhan Mantri Arogya Mitra (PMAM) will verify the beneficiary’s identity and eligibility using the Beneficiary Identification System (BIS).

▪ If the patient doesn’t have an e-card then his/her e-card (golden record) will be created.

Expenses of the Treatment: PMAM informs the beneficiary about the expenses. The beneficiary is informed about amount of charges they may have to bear in case they are not hospitalized e.g. diagnostics (if any) but given other medical treatment.

Here the beneficiary is guided by the doctor about his/her disease and treatment.

The beneficiary shall be either prescribed medical drugs or hospitalised in case of severe disease.

▪You need to be kept in the mind that if Beneficiaries are not hospitalised and general medicine is given then he/she will have to pay relevant consultation and drug charges, if applicable.

For a beneficiary who has been suggested hospitalization:

a. The beneficiary will avail the diagnostic facility within the Empanelled Health Care Providers (EHCP) or hospital.

b. The hospital or its associated centres will not take money from the beneficiary before the diagnosis.

c. The concerned doctor will provide necessary documents (filled pre-authorization form, diagnostic reports, clinical notes etc.) to the PMAM.

d. The PMAM shall click a picture of the beneficiary / patient on the hospital bed and upload the picture on the Transaction Management System portal for government verification.

e. Once the treatment is completed and the beneficiary is ready to be discharged.

▪ Points to be Noted: The PMAM shall collect the necessary documents such as the discharge summary, clinical notes, medical scans etc. for filing claims.

▪ The PMAM shall click another picture of the beneficiary / patient at the time of discharge and upload the picture on the Transaction Management System portal. A discharge copy can also be given to the patients.

Post-discharge, the hospital will provide required medication and diagnostics as per the package for upto 15 days as applicable to the beneficiary.

▪ So in the conclusion it is wise to say that the inception of the Ayushman Bharat Yojana is a very good step in the area of universal health care of the country. This Yojna will not only save many families from being bankrupt but also provide a good treatment to the poor sections of this country.

और भी हेल्थ टीप्स के लिए निचे दिए लिंक पर क्लिक करें

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