Health insurance is a financial necessity for everyone. It helps people to get financial assistancefrom an insurance company in case they suffer from an unforeseen medical emergency. Nonetheless, people from lower economic groups and rural areas skip buying a health policy due to monetary issues, lack of awareness or the internet.
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To ensure the benefits of health insurance to such people, the Government of India introduced the PMJAY or Ayushman Bharat Yojana. Let’s read more to know about its benefits and how to apply for an Ayushman Bharat Golden card.
Disclaimer: The basic health insurance coverage and premiums may vary from one health insurance plan to another.
PMJAY or Pradhan Mantri Jan Arogya Yojana is a flagship health insurance scheme by the Government of India. Also known as Ayushman Bharat Yojana, it provides financial security to the beneficiaries against hospitalization expenses in case of a medical emergency. It has been designed to cover the poor, vulnerable and the economically weaker sections of the society.
The Ayushman Bharat Yojana was launched in September 2015 after it was announced by Prime Minister Narendra Modi in his Independence Day speech. The scheme aims to cover more than 50 crore citizens of India. Amongst these, there would be about 10 crore underprivileged families irrespective of any limitations to the age of the family members and the family size.
The PMJAY scheme comes with a maximum sum insured of Rs 5 lakh per family. Besides the hospital treatment cost, the scheme also covers the cost of diagnostic tests, medicines, pre-hospitalization expenses, COVID-19 treatment and post-hospitalization cost for almost all secondary and tertiary healthcare procedures. It also includes nearly 1400 expensive treatments, such as knee replacements, skull surgery, etc. The follow-up treatment expenses will also be covered under this scheme.
Moreover, the PMJAY scheme also offers cashless hospitalization treatment at network hospitals across the country. To be eligible for cashless treatment, the beneficiaries will be issued an Ayushman Bharat Golden card. The PMJAY or Ayushman Golden card is an e-card that needs to be shown at the network hospital to avail cashless treatment.
Not everyone is eligible for the Ayushman Bharat Yojana. Only people whose names are listed in the data provided under the Socio-Economic Caste Census (SECC) of the year 2011 and have the Rashtriya Swasthya Bima Yojana card are eligible for the PMJAY scheme. Thus, before applying for the Ayushman Bharat Yojana, people should check their names in the SECC database first.
Moreover, there are different eligibility criteria for people living in rural and urban areas to apply for Ayushman Bharat Yojana. The following people from the rural areas are eligible for the Ayushman Bharat Yojana:
The following people from the urban areas are eligible for the PMJAY scheme:
The PMJAY scheme is beneficial for poor and economically weaker sections of the society in a number of ways. Take a look at some of the benefits of applying for Ayushman Bharat Yojana:
To obtain the cashless treatment facility under PMJAY, you need to obtain an Ayushman Golden card. Following are the steps to apply for an Ayushman Bharat Golden card:
In a Nutshell
Ayushman Bharat Yojana or PMJAY is considered one of the biggest health insurance scheme across the world. It covers the hospitalization expenses incurred by people belonging to the poor, vulnerable and economically weaker sections. They can also avail cashless treatment facility under network hospitals, provided they have the Ayushman Bharat Golden card. Make sure to follow the steps given above to apply for an Ayushman Golden card.
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