Latest news with #NationalHealthAuthority
Hans India
3 days ago
- Health
- Hans India
Ayushman Vay Vandana Scheme settles over 1.06 lakh claims: Govt
New Delhi: More than 1.06 lakh claims have been settled under the Ayushman Vay Vandana Scheme, said Prataprao Jadhav, Union Minister of State for Health and Family Welfare, on Tuesday. In October 2024, the scope of the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) was expanded to include all senior citizens aged 70 years and above, irrespective of their socio-economic status. Under this initiative, beneficiaries can receive free treatment benefits of up to Rs 5 lakh per year through Ayushman Vay Vandana cards. 'As on date, over 1.06 lakh claims have been settled under Ayushman Vay Vandana scheme since its launch,' Jadhav said. 'A total of 75.41 lakh Ayushman Vay Vandana cards have been created, out of which 32.3 lakh cards have been created for female beneficiaries,' he added. In addition, the portability feature of AB-PMJAY allows eligible beneficiaries -- including those under the Vay Vandana scheme -- to access healthcare services at any of the 31,466 empanelled hospitals across the country, regardless of their place of residence. 'This ensures seamless and equitable access to quality healthcare for the elderly population nationwide,' the MoS said. 'Vay Vandana scheme beneficiaries can also avail treatment through a vast network of 14,194 private healthcare providers empanelled under the scheme,' he noted. To ensure quality and consistency in service delivery, the National Health Authority (NHA) issued comprehensive Hospital Empanelment and Management (HEM) Guidelines for the empanelment of hospitals under the AB-PMJAY. The AB-PMJAY has emerged as one of the world's largest publicly funded health insurance schemes. It has enabled 8.59 crore hospital admissions worth Rs 1,19,858 crore, ensuring access to secondary and tertiary care without pushing families into debt, according to an official statement by the government. Meanwhile, Jadhav also shared the steps taken to strengthen the district-level health system, such as the Pradhan Mantri-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM). 'PM-ABHIM has been launched with an outlay of Rs 64,180 crore over five years (FY 2021-26). The mission focuses on strengthening the capacities of health systems across all levels -- primary, secondary, and tertiary care -- to ensure effective response to current and future pandemics and disasters,' the Minister said. Under the Centrally Sponsored Scheme (CSS) components of PM-ABHIM, provision has been made to provide support for establishment of 602 Critical Care Hospital Blocks (CCBs) 50/100 bedded in all the districts with population of more than 5 lakhs during the scheme period i.e. from FY 2021-22 to FY 2025-26 including the ICU beds, he noted.
The Hindu
18-06-2025
- Business
- The Hindu
State issues GO extending Medisep for three more months
The State government's Medical Insurance Scheme for State Employees and Pensioners (Medisep), the first phase of which is drawing to a close on June 30, will be extended till September 30 with the same terms and conditions stipulated in the original Memorandum of Understanding with the insurance firm implementing the scheme. With the three-year policy period of Medisep coming to an end on June 30, 2025, the government had set up a six-member expert committee to study the scheme and recommend appropriate revisions. It sought an extension of the original contract with the Oriental insurance company for another three months till it can scrutinise the expert committee's recommendations and float the new tender for the revised scheme The government order (GO) issued by the Finance department extending Medisep for three more months says that the premium charged for the extended period of the scheme will be ₹1,593, including GST, per family for the entire three months period for the existing number of families covered by Medisep. Slightly higher Though this works out to ₹531/month, slightly higher than the current actual premium of ₹472 per month, the government has decided to meet this additional expense from the balance in the corpus fund so that neither the beneficiaries nor the State exchequer will incur any additional payment. Though the insurance company had earlier taken the stand that while extending the contract, it can provide insurance cover to existing families only for whatever balance sum insured remains as on June 30, the State government re-negotiated with the insurance company Thus, families who have already exhausted their sum insured or those whose balance sum insured is less than ₹75,000 as on June 30 will also get a basic insurance coverage of ₹75,000 for the next three months. This has been fixed in proportion to the additional premium paid by the government per family for the extended period. The scheme will provide cashless treatment as well as the benefit of the package to the beneficiaries with the same terms and conditions of the existing Medisep scheme till September 30. Medisep, launched in July 2022, offered a basic insurance cover of ₹3 lakh, at a monthly premium of around ₹500. It covers over 30 lakh individuals, including some 5.45 lakh government employees, 5.89 lakh pensioners and their dependents. Enhanced coverage The expert committee constituted by the government to revise the terms of Medisep had recommended an enhanced basic insurance coverage from ₹3 lakh to ₹5 lakh, based on the framework of the Health Benefits Package (HBP) 2022 formulated by the National Health Authority. It had also recommended that the Medisep policy period be reduced to two years and that the scheme should be extended to employees and pensioners in public sector undertakings, Corporations, autonomous, statutory bodies and the cooperative sector, so that the increase in the overall risk pool can rein in the premium.
Time of India
01-06-2025
- Health
- Time of India
Ayushman enrolments see dip as private hospitals back off over rates, delays
Ayushman enrolments see dip as private hospitals back off over rates, delays (Picture credit: PTI) NEW DELHI: Empanelment of hospitals under the Ayushman Bharat-PM Jan Arogya Yojana has dropped significantly, from an average of 316 per month in 2024 to 111 per month in 2025, as of April. Data shared by National Health Authority (NHA) on scheme's dashboard shows that 443 hospitals were empanelled under the AB-PMJAY across India in four months - 161 in Jan, 187 in Feb, 40 in March and 55 in April. In May, the latest update shows, 20 hospitals were empanelled. Many healthcare associations point out that low package rates and delayed payments are key reasons behind the lukewarm response to government schemes from the private sector, especially large corporate hospital chains. However, a senior official of NHA - the implementing agency of the AB-PMJAY - said empanelment is taking place and that some of the new empanelments may not have been updated as they were migrating to a new system. AB-PMJAY, which is available in all states/UTs, except West Bengal, offers treatment worth Rs 5 lakh and, in some cases, more, per family for treatment of nearly 2,000 procedures involving specialties, including medical oncology (cancer treatment), emergency care, orthopaedic and urology (kidney-related ailments). by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like 5 Books Warren Buffett Wants You to Read In 2025 Blinkist: Warren Buffett's Reading List Undo The CEO of a top hospital chain in Delhi, the latest state to join the scheme, told TOI that package rates offered for various procedures under the AB-PMJAY were lower than their input cost. "We may join the scheme if the package rates are increased," he said. The Indian Medical Association has also stressed on the need to increase package rates to make treatment under the scheme more sustainable. "The rates should be raised to at least CGHS level," said an IMA office-bearer. As many as 609 private hospitals have opted out of the scheme since 2018, minister of state for health Prataprao Jadhav said in a written response to a Parliament question in March. "The reasons for hospitals voluntarily opting out include empanelment only for Covid period, hospitals were closed or non-functional, changes in hospital entity, hospital relocated, ongoing reconstruction or renovation, unavailability of specialist doctors, voluntary withdrawal from scheme, package rates, opting out due to certain treatment packages reserved for public hospitals only (Chhattisgarh and Gujarat), and no referral from public hospitals (Karnataka)," he added.
Economic Times
27-05-2025
- Health
- Economic Times
Ayushman Card for Senior Citizens: How 70+ senior citizens can get Rs 5 lakh free medical cover via App
The government is improving healthcare access for senior citizens. Individuals aged 70 and above can now get free medical treatment up to Rs 5 lakh. This is under the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana. The Ayushman Vay Vandana Card can be obtained through the Ayushman App. Aadhaar is mandatory for enrolment. Tired of too many ads? Remove Ads What is Ayushman Bharat PM-JAY? Tired of too many ads? Remove Ads Who can apply for Ayushman Bharat PM-JAY? What is the benefit for senior citizens (70+) under PM-JAY? Popular in Wealth 1. UPS benefits announced for these retired govt employees and their spouses: Know how to claim UPS benefits, deadline to apply How to apply for an Ayushman Vay Vandana Card? Tired of too many ads? Remove Ads Here are important FAQs on Ayushman Bharat PM-JAY In a major step towards improving healthcare accessibility for senior citizens, the government is now providing the Ayushman Vay Vandana Card through the Ayushman App . Under the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (PM-JAY), a national public health insurance scheme, the Indian government offers free medical treatment coverage of up to Rs 5 lakh for individuals aged 70 and government of India launched the Ayushman Bharat PM-JAY on September 23, 2018. The scheme, implemented by the National Health Authority (NHA), provides cashless treatment in secondary and tertiary-both public and empanelled private hospitals- across the Bharat Vay Vandana Card for senior citizens above 70 years: How to enroll to get Rs 5 lakh health insuranceRead more at: senior citizens aged 70 or above, regardless of economic status, are eligible for free medical treatment up to Rs 5 lakh under this government is now offering a special provision for senior citizens aged 70 and above, who can now get their Ayushman Vay Vandana Card issued via the Ayushman App or website to avail up to Rs 5 lakh in free medical treatment annually."Senior citizens aged 70 and above can now get their Ayushman Vay Vandana Card through the Ayushman App and access Rs 5 lakh of free treatment. Watch this video to learn how to create an Ayushman Vay Vandana Card and unlock essential healthcare benefits," said the Ministry of Health in a post on social media X (earlier Twitter).Step 1: Download the Ayushman 2: Log in as a beneficiary or 3: Enter the captcha, mobile number, and do 4: Enter OTP and captcha code, and then click 5: Allow access to the device's 6: Enter the beneficiary's data, including state and Aadhaar 7: If no beneficiary is located, proceed with the eKYC process. Give your agreement for 8: Provide a declaration and fill up the appropriate 9: Enter the beneficiary's mobile number and the 10: Fill in the details, including the category and PIN 11: Add family members' information and proceed to 12: Once e-KYC is complete, you will be able to download the Ayushman Vay Vandana Card after The only eligibility criterion is that the individual must be aged 70 years or above, as determined by the age recorded in their Aadhaar card, regardless of economic Aadhaar-based e-KYC is mandatory for the enrolment and issuance of Ayushman cards for eligible senior is the only document needed for enrolment in the AB PMJAY Senior Citizen the beneficiary can apply for the Ayushman Bharat Senior Citizen Scheme through our website portal - and the Ayushman App (available for Android on the Google Play Store).
Time of India
27-05-2025
- Health
- Time of India
Ayushman Card for Senior Citizens: How 70+ senior citizens can get Rs 5 lakh free medical cover via App
In a major step towards improving healthcare accessibility for senior citizens, the government is now providing the Ayushman Vay Vandana Card through the Ayushman App . Under the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (PM-JAY), a national public health insurance scheme, the Indian government offers free medical treatment coverage of up to Rs 5 lakh for individuals aged 70 and above. What is Ayushman Bharat PM-JAY? The government of India launched the Ayushman Bharat PM-JAY on September 23, 2018. The scheme, implemented by the National Health Authority (NHA), provides cashless treatment in secondary and tertiary-both public and empanelled private hospitals- across the country. Ayushman Bharat Vay Vandana Card for senior citizens above 70 years: How to enroll to get Rs 5 lakh health insurance Play Video Pause Skip Backward Skip Forward Unmute Current Time 0:00 / Duration 0:00 Loaded : 0% 0:00 Stream Type LIVE Seek to live, currently behind live LIVE Remaining Time - 0:00 1x Playback Rate Chapters Chapters Descriptions descriptions off , selected Captions captions settings , opens captions settings dialog captions off , selected Audio Track default , selected Picture-in-Picture Fullscreen This is a modal window. Beginning of dialog window. Escape will cancel and close the window. Text Color White Black Red Green Blue Yellow Magenta Cyan Opacity Opaque Semi-Transparent Text Background Color Black White Red Green Blue Yellow Magenta Cyan Opacity Opaque Semi-Transparent Transparent Caption Area Background Color Black White Red Green Blue Yellow Magenta Cyan Opacity Transparent Semi-Transparent Opaque Font Size 50% 75% 100% 125% 150% 175% 200% 300% 400% Text Edge Style None Raised Depressed Uniform Drop shadow Font Family Proportional Sans-Serif Monospace Sans-Serif Proportional Serif Monospace Serif Casual Script Small Caps Reset restore all settings to the default values Done Close Modal Dialog End of dialog window. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Pierce Brosnan's Wife Lost 120 Pounds - This Is Her Now Undo Read more at: Live Events Who can apply for Ayushman Bharat PM-JAY? All senior citizens aged 70 or above, regardless of economic status, are eligible for free medical treatment up to Rs 5 lakh under this scheme. What is the benefit for senior citizens (70+) under PM-JAY? The government is now offering a special provision for senior citizens aged 70 and above, who can now get their Ayushman Vay Vandana Card issued via the Ayushman App or website to avail up to Rs 5 lakh in free medical treatment annually. "Senior citizens aged 70 and above can now get their Ayushman Vay Vandana Card through the Ayushman App and access Rs 5 lakh of free treatment. Watch this video to learn how to create an Ayushman Vay Vandana Card and unlock essential healthcare benefits," said the Ministry of Health in a post on social media X (earlier Twitter). How to apply for an Ayushman Vay Vandana Card? Step 1: Download the Ayushman App. Step 2: Log in as a beneficiary or operator. Step 3: Enter the captcha, mobile number, and do authentication. Step 4: Enter OTP and captcha code, and then click Login. Step 5: Allow access to the device's location. Step 6: Enter the beneficiary's data, including state and Aadhaar details. Step 7: If no beneficiary is located, proceed with the eKYC process. Give your agreement for OTP. Step 8: Provide a declaration and fill up the appropriate fields. Step 9: Enter the beneficiary's mobile number and the OTP. Step 10: Fill in the details, including the category and PIN code. Step 11: Add family members' information and proceed to submit. Step 12: Once e-KYC is complete, you will be able to download the Ayushman Vay Vandana Card after approval. Here are important FAQs on Ayushman Bharat PM-JAY What are the eligibility criteria for senior citizens under this scheme? Answer: The only eligibility criterion is that the individual must be aged 70 years or above, as determined by the age recorded in their Aadhaar card, regardless of economic status. Is Aadhaar mandatory for enrolment in the scheme? Yes, Aadhaar-based e-KYC is mandatory for the enrolment and issuance of Ayushman cards for eligible senior citizens. What documents are required to enrol in the AB PM-JAY Senior Citizen Scheme? Aadhaar is the only document needed for enrolment in the AB PMJAY Senior Citizen Scheme. Can we apply for an Ayushman card online for our parents who are 70 or older? Yes, the beneficiary can apply for the Ayushman Bharat Senior Citizen Scheme through our website portal - and the Ayushman App (available for Android on the Google Play Store).
