Q. What is Arogya Mitra?

Ans. Arogya Mitra is a trained frontline facilitator deployed by the NHA at APM-JAY empanelled hospitals for the PM-JAY beneficiaries to enable them to avail cashless treatment, verify their eligibility, process claims and enrol them in ABHA cards.

Q. Is there any charge for Arogya Mitra services?

Ans. All the services of No. Arogya Mitra are 100% free for all the beneficiaries of PM-JAY, which are deployed and funded under the framework of the empanelled hospital through the NHA guidelines.

Q. Where to locate Arogya Mitra in a hospital?

Ans. Go to any AB PM-JAY empanelled hospital and request help from the Arogya Mitra help desk/PM-JAY facilitation desk at the hospital reception.

Q. Is there a possibility of helping with ABHA card registration through Arogya Mitra?

Ans. Yes, Arogya Mitras help the beneficiaries in registering ABHA ID cards on the hospital premises and connect all health records to a single digital health profile through the Ayushman Bharat Digital Mission.

Q. How can I become a health friend?

Ans. Candidates should have 12th standard and basic computer knowledge and local language proficiency. The Arogya Mitras are recruited as per NHA guidelines with the hospitals and are trained by NHA before deployment.

Q. What is the Arogya Mitra helpline?

Ans. For more information, dial 14555 (Ayushman Bharat helpline) anytime or visit pmjay.gov.in for information on empanelled hospitals and Arogya Mitra support available in your area.

Arogya Mitra: PM-JAY Role, Benefits & Responsibilities

Arogya Mitra- Key Highlights

Feature	Details
Full Name	Arogya Mitra
Deployed Under	Ayushman Bharat PM-JAY
Implemented By	National Health Authority (NHA)
Location	All AB PM-JAY empanelled hospitals
Primary Role	Beneficiary facilitation and claim support
Eligibility to Become	12th pass, basic computer knowledge
Training	NHA-certified training programme
Language	Local language proficiency required
Key Responsibility	Eligibility verification, pre-authorisation, claim processing
Beneficiary Support	Free- no charge to PM-JAY beneficiaries
ABHA Support	Assists with ABHA card registration
Helpline	14555

Why Was the Arogya Mitra Programme Introduced

Ayushman Bharat Yojana (PMJAY) has enabled cashless health insurance coverage of ₹5 lakh per family/year to the benefit of more than 55 crore beneficiaries. It's one thing to have a scheme, and it's another to have access to it. The process of verifying eligibility, getting documents, requesting pre-authorisations and submitting claims can be very overwhelming for a rural person working in the fields of Uttar Pradesh and admitted in a big city hospital.

To fill this void, the Arogya Mitra programme has been initiated with a dedicated trained facilitator being placed at each empanelled hospital, eliminating all possibilities of the beneficiaries being turned down because of confusion or documentation issues.

Arogya Mitras also provide assistance to beneficiaries to avail of complementary schemes. The patients of TB are referred to Nikshay Poshan Yojana for ₹1000/- monthly nutrition support in addition to hospitalisation. Pregnant women are encouraged to avail JSY benefits for institutional delivery and Surakshit Matritva Aashwasan Yojana (SUMAN) for free specialist antenatal care. Arogya Mitras help facilitate referrals to Rashtriya Arogya Nidhi (RAN) for further one-time financial assistance of up to ₹15 lakh at government super-specialty hospitals where treatment expenses are more than covered by the limits of PM-JAY.

What Does an Arogya Mitra Do

The Arogya Mitra performs facilitation tasks across three stages of a beneficiary's hospital visit:

Stage	Role
At Admission	Verifies eligibility on PM-JAY portal using Aadhaar or ration card
At Admission	Assists beneficiaries without PMJAY card by retrieving details from the system
At Admission	Helps new beneficiaries register for an ABHA card at the hospital
At Admission	Explains the cashless treatment process and beneficiary entitlements
During Treatment	Coordinates pre-authorisation requests on the TMS platform
During Treatment	Tracks claim status and ensures documentation is complete
During Treatment	Acts as communication bridge between family and hospital
At Discharge	Ensures all bills are settled directly between hospital and NHA
At Discharge	Updates beneficiary treatment records on the PM-JAY portal
At Discharge	Links treatment records to the beneficiary's ABHA ID card

Who Can Become an Arogya Mitra

The NHA has laid down parameters for recruitment of Arogya Mitra (NHA, AB PM-JAY guidelines):

12th standard pass as the minimum educational qualification
Basic computer knowledge and operation of the PM-JAY TMS portal
Language ability in the state language in which deployed
Excellent communication abilities and willingness to work in a hospital setting
Giving preference to candidates from the local community to ensure good beneficiary connections.

Arogya Mitras are recruited and deployed by empanelled hospitals, following the NHA guidelines and are given a structured training programme certified by NHA before deployment.

Arogya Mitra Training and Certification

The NHA offers a structured training programme on the following aspects:

The PM-JAY scheme for Ayushman Bharat is an overview of beneficiary entitlements.
Claims eligibility verification and claims submission in the TMS 2.0 portal.
The ABHA card registration and the management of digital health records.The ABHA card registration and the management of digital health records.
Beneficiary rights and grievance redressal procedure.
Knowledge of communication skills and how to address beneficiary enquiries using local languages.
Instructions for documentation for pre-authorisation and claim processing

Arogya Mitras are then trained and certified by NHA and are deployed in empanelled hospitals. They receive refresher training regularly to ensure they are aware of the changes in the scheme.

Arogya Mitra and State Health Schemes

Arogya Mitras are not only providing services to beneficiaries under PMJAY but are also providing services to beneficiaries under state level schemes that are currently operating concurrently with PM-JAY. In Andhra Pradesh, they provide access through Dr NTR Vaidya Seva Health Scheme. In Telangana, they support the Rajiv Aarogyasri scheme. In Tamilnadu, they act as health insurance agents for beneficiaries of the Chief Minister's Comprehensive Health Insurance Scheme (CMCHIS). They help families in the state of Odisha who are covered under Gopabandhu Jan Arogya Yojana (GJAY). Here in Assam, they are facilitating families who are availed under Atal Amrit Abhiyan. The children in institutional care with Mission Vatsalya who are availed of hospitalisation benefits at empanelled hospitals are also supported by Arogya Mitras at the hospital level.

Helpline and Support

Support Type	Details
Ayushman Bharat Helpline	14555 (24 hours)
Official Portal	pmjay.gov.in
ABHA Registration	abdm.gov.in
NHA Portal	nha.gov.in
Arogya Mitra Desk	Available at all AB PM-JAY empanelled hospitals
National Health Helpline	104 (local languages, 24 hours)

The programme Arogya Mitra is the smiling face of the Ayushman Bharat Yojana, the world's largest government health insurance scheme. Arogya Mitras help ease the transition from a first-time hospital user to a complicated digital claims process and make cashless treatment with PMJAY a feasible option. From counseling TB patients to join the scheme, Nikshay Poshan Yojana to supporting pregnant women to join the Jyotsna Smriti Yojana (JSY) and supporting the beneficiary to register their ABHA ID card, the role of the Arogya Mitra is irreplaceable. Please reach out to any empanelled hospital or pmjay.gov.in and request to talk to the Arogya Mitra desk to get immediate assistance.

Frequently Asked Questions

Q. What is Arogya Mitra?

Ans. Arogya Mitra is a trained frontline facilitator deployed by the NHA at APM-JAY empanelled hospitals for the PM-JAY beneficiaries to enable them to avail cashless treatment, verify their eligibility, process claims and enrol them in ABHA cards.
Q. Is there any charge for Arogya Mitra services?

Ans. All the services of No. Arogya Mitra are 100% free for all the beneficiaries of PM-JAY, which are deployed and funded under the framework of the empanelled hospital through the NHA guidelines.
Q. Where to locate Arogya Mitra in a hospital?

Ans. Go to any AB PM-JAY empanelled hospital and request help from the Arogya Mitra help desk/PM-JAY facilitation desk at the hospital reception.
Q. Is there a possibility of helping with ABHA card registration through Arogya Mitra?

Ans. Yes, Arogya Mitras help the beneficiaries in registering ABHA ID cards on the hospital premises and connect all health records to a single digital health profile through the Ayushman Bharat Digital Mission.
Q. How can I become a health friend?

Ans. Candidates should have 12th standard and basic computer knowledge and local language proficiency. The Arogya Mitras are recruited as per NHA guidelines with the hospitals and are trained by NHA before deployment.
Q. What is the Arogya Mitra helpline?

Ans. For more information, dial 14555 (Ayushman Bharat helpline) anytime or visit pmjay.gov.in for information on empanelled hospitals and Arogya Mitra support available in your area.

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