ayushman bharat health scheme eligibility

“Digitization has been happening in all sectors, and the health sector in particular stands to gain a lot from such initiatives. ayushman bharat health scheme For healthtech startups, the idea of initiating a national programme that will direct efforts in the area of artificial intelligence, machine learning including research and development of applications is very encouraging”

Key things to know about Scheme.
  • Cover of Rs 5 lakh per family a year for secondary and tertiary care.
  • No restriction on family size, age or gender.
  • All members of eligible families as present in SECC (Socio-Economic Caste Census ) database are automatically covered.
  • No money needs to be paid by the family for treatment in case of hospitalisation.
  • All pre-existing conditions are covered from day one of the  policy, this will include pre and post hospitalisation.
  • Public or panel private hospitals across the country are under the over.
  • Carry any prescribe ID to receive treatment at the hospital.
  • This will be the world’s largest government funded health care programme.
  • The government will also establish 1.5 lakh Health and Wellness Centres  under the Ayushman Bharat health scheme program.
  • To control costs, the payments for treatment will be done on package rate (to be defined by the Government in advance) basis.
  • One of the core principles of Ayushman Bharat – National Health Protection Mission is to co-operative federalism and flexibility to states.
  • States would need to have State Health Agency (SHA) to implement the scheme.

ELIGIBILTY CRiteria :
  1. The eligibility for the scheme is as per the loss criteria under the Socio-Economic Caste Census database. The deprivation categories for rural areas are D1, D2, D3, D4, D5 and D7. For urban areas, the entitlement depends upon commercial criteria.
  2. Eligibility can be checked by calling the helpline number 14555.
  3. As a first step, you need to verify your number mobile via an OTP. After this, you must select your State.
  4. Post this, you may check for eligibility by entering either of name, mobile number, ration card number, or Rashtriya Swasthya Bima Yojna URN number.

How can I avail of the scheme?
  1. To avail the scheme, approach an panel hospital. ‘Arogya Mitras’ will assist in admitting you.
  2. After this, a software based verification will be carried out to ensure that the patient is on the beneficiary list. The patient’s identity will be cross-checked using identification such as the Aadhaar card.
  3. The hospital selects an appropriate package and checks the balance. It provides any supporting evidence required for the treatment to the relevant authority. The treatment begins .
  4. The process is streamlined for the customer, with no cash payment expected from them.
  5. During , plans such as Aegon Life’s iTerm Plus are helping provide comprehensive and cost-effective coverage to users by combining the benefits of a term plan and health insurance. Its Life & Health Plus option offers cover against 36 critical illnesses and death benefits under one umbrella at only Rs. 932 per month.

For more infomation visit : www.abnhpm.gov.in

About the author

SOURABH DADHICH

Sourabh Dadhich is the founder of Swasthyajunction.com. Here he writes easy-to-digest info about Health and Fitness. Don't forget to share this site with your Family and Friends!

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