Ayushman Bharat PM-JAY Manipur

How PM-JAY Works in Manipur

Ayushman Bharat PM-JAY Scheme is autonomously run by the State Health Agency (SHA), Manipur, which operates within the ambit of the Department of Health & Family Welfare, Government of Manipur. The SHA serves as the main governing body which implements overall policies and handles the process of claims settlement, quality assurance, hospital empanelment, and fraud prevention throughout the state.

At the operational level, services are provided and operations carried out by the District Implementation Units (DIUs), which are run by the respective Deputy Commissioners (DCs).

Key Highlights: PM-JAY Manipur

Who Is Eligible for PM-JAY in Manipur

Eligibility is entitlement-based using the Socio-Economic Caste Census (SECC) 2011 database:

• Rural Households: Under SECC 2011, rural PM-JAY eligibility covers families meeting specific social and economic deprivation criteria such as single-room kucha housing, absence of working-age adults, female-headed households, disabled members without support, SC/ST status, or reliance on landless manual labour.
• Urban Households: These are classified into 11 occupational categories, such as street vendors, construction workers, domestic workers, sanitation workers, etc.
• Senior Citizens: Senior citizens over the age of 70 years are covered under the PM-JAY scheme through a separate top-up card.

Benefits and Coverage Under PM-JAY

• Finance Cover: Provides finance cover of up to ₹5 Lakh per family per year on a floater basis for hospitalisation under secondary and tertiary care.
• No Cap: No restrictions or limitations on the number of families, age or gender.
• Zero Waiting Period: All diseases, whether existing or not, are considered and treated without any waiting period.
• Nationwide Portability: Members get the benefit of cashless treatment at any public or private hospital that is enrolled within the country.
• Medical Consultations: Medical consultations for examinations, treatments and doctors are covered.
• Diagnosis & Pre-Care: Pre-hospitalisation costs are included along with diagnosis and laboratory tests.
• Medicines & Consumables: Coverage for all medicines, medical consumables, implants, etc.
• Hospitalization & Accommodation: ICU and Non-ICU beds charges along with accommodation and food costs during the hospitalization period.
• Post-Hospitalisation: Post-hospitalisation and complication treatments for a period of 15 days.

How to Apply for PM-JAY Manipur

1. Through Online Mode (Through NHA Beneficiary Portal or Ayushman App)

   Step 1: Log in to the Portal

   Log in to the Official NHA Beneficiary Portal website or install the Ayushman App through the Google Play Store.

   Step 2: Login and Mobile Number Verification

   • Choose the Beneficiary tab on the login page.
   • Enter your Mobile Number, click on Get OTP, then enter the OTP sent to you along with the Captcha code to log in.

   Step 3: Searching for Beneficiary Information

   • Choose your State (Manipur), Scheme (PMJAY), and District.
   • Choose Search by (Aadhar No., Ration Card/Family Id, or PMJAY Id) and search with your information.

   Step 4: e-KYC Verification

   • Find your family name among the search results. If card status appears as "Not Generated", click on the e-KYC/Action button.
   • Proceed with authentication through Aadhar OTP (generated to your linked mobile no), Fingerprint or Face authentication.

   Step 5: Verification and Download

   • Verify your information and upload a live photo, if asked, and submit the request.
   • Once your request is verified and authenticated by the concerned authority, go back to the portal, search for your information and click on Download Ayushman Card.

2. Through the Offline Method

   Step 1: Access an Authorised Centre or CSC

   Visit any Empanelled Public/Private Hospital (ask for the Ayushman Mitra counter) or any nearby Common Service Centre (CSC).

   Step 2: Document Verification

   Hand over your Aadhaar Card and your Ration Card/NFSA ID to the operator.

   Step 3: Biometric Verification

   The operator will verify your details on the website and perform biometric verification through your fingerprints or irises.

   Step 4: Finalisation & Generation of Ayushman Card

   After verification and validation, the operator will produce a hard copy of your Ayushman Card.

Documents Required & Finding Empanelled Hospitals

The documents that need to be produced in order to apply for an Ayushman Card or check one’s eligibility for the same in Manipur are as follows:

• Personal Identification Documents: Aadhar Card (Mandatory for e-KYC), Voter ID, PAN Card, or Driving License.
• Family Identification Documents: Ration Card (NFSA/State Ration Card) or Marriage Certificate.
• Finding Hospital Network: Both public healthcare centres (RIMS, JNIMS, District Hospitals) and empanelled private hospitals in Manipur accept the card. The full list is viewable onshamanipur.mn.gov.in.

How to Avail Cashless Treatment

• Show your Ayushman Card/Ayushman ID at the PM-JAY Helpdesk/ Ayushman Mitra desk of the hospital.
• The desk or Ayushman Mitra verifies your identity via e-KYC, checks your family balance, and submits a pre-authorisation request.
• After approval, all hospitalisation expenses that come under coverage, be it operations, diagnostic procedures, or medications, will be directly paid by the plan to the hospital without involving any out-of-pocket cash expense for the insured.

Helpline and Support

Other Government Schemes

• Chief Minister-gi Hakshelgi Tengbang (CMHT): State Health Insurance scheme launched by the government of Manipur to provide cashless and quality medical care to poor and vulnerable families .
• Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY): a centrally sponsored health insurance scheme that offers coverage of up to ₹5 lakh to vulnerable families.
• Central Government Health Scheme: Acentral healthcare program which provides a comprehensive medical treatment to government employees, central Pensioners, and eligible dependent family members.
• Pradhan Mantri Suraksha Bima Yojana: Acentral government Health scheme that provides coverage of up to ₹2 lakh for accidental death and permanent disability.
• Employees' State Insurance (ESI) Scheme: Provides comprehensive medical care to eligible insured workers and their dependents who are earning up to ₹21,000 per month. It does not have a fixed annual amount.