Ayushman Bharat PM-JAY Jharkhand

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) Jharkhand is a health Insurance Scheme which is a state version of Ayushman Bharat. It offers a cashless and paperless treatment of Rs. 5 lakh per family every year to all eligible beneficiaries. In Jharkhand PM-JAY does not operate as a single standalone program. Instead it serves as a multi layered health system.

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      How PM-JAY works in Jharkhand

      The PM-JAY initiative in Jharkhand runs under a joint scheme known as Ayushman Bharat-Mukhyamantri Jan Arogya Yojana (AB-MMJAY). The central flagship scheme Pradhan Mantri Jan Arogya Yojana (PM-JAY) has been adopted by the state in Jharkhand as Ayushman Bharat - Mukhyamantri Jan Arogya Yojana (AB-MMJAY). The scheme is implemented by the Department of Health, Medical Education & Family Welfare, Government of Jharkhand via their nodal agency State Health Agency (SHA) Jharkhand.

      In order to run the scheme efficiently, Jharkhand has adopted a Hybrid Model (Insurance + Trust) for the management of funds. In this system, the basic hospitalisation cost of up to ₹ 1 lakh per family per year is done by an empanelled insurance company. If the total limit of ₹5 lakh is exceeded, the remaining amount of hospitalization expenses are paid directly from a State Trust Fund run by the SHA after the initial amount of ₹1 lakh.

      Key Highlights - PM-JAY Jharkhand

      Highlight Details
      Scheme Name Ayushman Bharat - Mukhyamantri Jan Arogya Yojana (AB-MMJAY)
      Nodal Body State Health Agency (SHA) Jharkhand
      Parent Department Department of Health, Medical Education & Family Welfare, Government of Jharkhand
      Annual Health Cover Up to ₹5 Lakh per family per year (Cashless & Paperless)
      Financial Execution Model Hybrid Model: Insurance Liability (up to ₹1 Lakh) + Trust Liability (₹1 Lakh to ₹5 Lakh)
      Coverage Scope Secondary & Tertiary hospitalization; pre-existing conditions covered from Day 1

      Who is Eligible to Apply for PM-JAY Jharkhand

      • SECC-2011 Families: Low-income Households identified through the SECC 2011 data.
      • NFSA Ration Card Holders: Households eligible for subsidized food grains under the National Food Security Act.
      • Green Ration Card Holders: Beneficiaries covered by the new green ration card issued by the state government (~3 lakh families).

      Documents Required Apply for PM-JAY Jharkhand

      1. Proof of Primary Identification (Compulsory)

        • Aadhaar Card: Compulsory for each member of the family for biometric/OTP verification of e-KYC.
        • Active Mobile Number: Linked to Aadhaar Card: Compulsory for receiving OTP for verification.
      2. Proof of Family’s Eligibility (Either of the Two)

        • Ration Card: AAY Ration Card, NFSA Ration Card, or State Green Ration Card bearing names of each member of the family.
        • SECC-2011: Inclusion of the household in SECC-2011 or official PM/CM letter regarding Ayushman.
        • BoCW Certificate: Certificate issued under Building and Other Construction Workers (BoCW).

      Benefits and Coverage Under PM-JAY Jharkhand

      • Health Cover Amount: If the family is eligible, they can avail a free cashless health insurance cover of up to ₹5 lakh per family per year.
      • Hospitalization Scope: Secondary and tertiary care hospitalization.
      • Pre-Existing Diseases: All pre-existing diseases and medical conditions are included from Day 1 of enrolment.
      • Cashless & Paperless Treatment: All empanelled government & private hospitals are cashless & paperless with treatment under the scheme.
      • Funding: The ₹5 lakh health cover operates through a Hybrid Model split into two financial liabilities:
      • Insurance Liability: Provides coverage up to ₹1 lakh per family.
      • Trust Liability: The remaining ₹4 lakh is covered under the State Trust liability.

      Helpline and Support

      National Ayushman Helpline 14555 / 1800-11-1565
      State Help Desk / Support 1800-3000-3468
      Beneficiary Portal beneficiary.nha.gov.in
      Official Website jharkhand.gov.in/health
      Grievance Redressal Portal cgrms.pmjay.gov.in

      Other Government Schemes

      • Mukhyamantri Swasthya Sahayata Yojana (Jharkhand): State welfare scheme of Jharkhand that aims to provide financial assistance g from ₹1,500 to ₹25,000 to patients belonging to ST, SC, Minority, and Backward Class families.
      • Paripoorna Mediclaim Ayush Bima Yojana (Jharkhand): Medical assistance that offers ₹5 lakh for life threatening diseases.
      • Mukhyamantri Gambhir Bimari Upchar Yojan (Jharkhand): Health insurance scheme of Jharkhand government which offers up to ₹15 lakh per family per year for general and critical treatments
      • Pradhan Mantri Suraksha Bima Yojana: Acentrally sponsored health insurance scheme, which provides up to ₹2 lakh for accidental death and ₹1 lakh for partial permanent disability

      Frequently Asked Questions (FAQs)

      • Q. What is PM-JAY / AB-MMJAY in Jharkhand?

        Ans: It is a state-wide health insurance scheme that provides eligible families in Jharkhand with free, cashless, and paperless medical treatment up to ₹5 lakh per year for secondary and tertiary care hospitalisation.
      • Q. Who is eligible for the scheme in Jharkhand?

        Ans: Eligibility covers families listed in the SECC-2011 census, National Food Security Act (NFSA) ration cardholders, and Green Ration Cardholders.
      • Q. Is there a limit on family size or age under PM-JAY Jharkhand?

        Ans: No, there is no restriction or cap on family size, age, or gender. All eligible members of a registered family are covered.
      • Q. How much health cover does a family receive per year?

        Ans: Eligible families receive up to ₹5,00,000 per year on a family floater basis.
      • Q. Are pre-existing medical conditions covered?

        Ans: Yes, all pre-existing illnesses and medical conditions are covered from Day 1 of enrollment.
      • Q. Can I use the Ayushman Card outside Jharkhand?

        Ans: Yes, the scheme features nationwide portability, allowing beneficiaries to get cashless treatment at any empanelled public or private hospital across India.
      • Q. How can I apply for or download my Ayushman Card?

        Ans: You can check your eligibility and generate/download your Ayushman Card online through the NHA Beneficiary Portal or by visiting an Ayushman Mitra at any empanelled hospital or Common Service Centre (CSC).
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