Documents needed to apply for Pradhan Mantri Jan Arogya Yojana

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Medically Reviewed by Dr. Aman Priya Khanna
Written by Sangeeta Sharma, last updated on 17 February 2023
Documents needed to apply for Pradhan Mantri Jan Arogya Yojana

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana Scheme, often known as PMJAY, is one of the most extensive healthcare programmes supported by the Indian government. The Rashtriya Swasthya Bima Yojna (RSBY) and the Senior Citizen Health Insurance Scheme (SCHIS) are included in the Ayushman Bharat Yojana, which is also referred to as the AB-PMJAY programme. The Ayushman Bharat Yojana initiative benefits poor households in rural and urban areas.

Expenses Covered by the Ayushman Bharat Yojana Program

PMJAY covers the following costs related to the treatment:

  1. The Ayushman Bharat Yojana Program covers the cost of medical exams, treatments, and consultations.
  2. The Ayushman Bharat Yojana policy covers pre-hospitalisation costs.
  3. For 15 days, post-hospitalisation costs are reimbursed.
  4. The plan also includes coverage for the price of prescription drugs and medical supplies.
  5. The cost of hospital lodging is also covered.
  6. ICU and non-intensive services.
  7. The costs associated with the diagnostic procedures are also paid.
  8. Where necessary, medical implantation services are covered.
  9. Expenses related to complications that arise during treatment.
  10. Services for food.


Individuals who do not qualify for the Ayushman Bharat Yojana

The Ayushman Bharat Yojana excludes the following categories of entities:

  1. Owners of vehicles such as cars, motorcycles, or two-wheelers
  2. Workers in the government
  3. Individuals with monthly incomes of over Rs 10,000
  4. Those who own farming tools and machinery
  5. Residents of adequately constructed homes
  6. Those who own a motorised fishing boat
  7. Kisan cardholders
  8. People who own more than 5 acres of agricultural property
  9. Employees of government-run non-agricultural businesses
  10. People who live in homes with refrigerators and landlines

Eligibility Requirements

The SECC 2011 data (Socio-Economic Caste Census), done nationwide in both urban and rural areas, should include the beneficiary. The following set of factors is a list of how the socio-economic caste census works to count and rank:

  1. Rate of literacy
  2. The median income for a family
  3. Levels of poverty
  4. Occupational Profile
  5. Primary location
  6. Access to housing and education
  7. Electricity, drinkable water, and sanitisation
  8. Valid Card Aadhar
Expenses Covered by the Ayushman Bharat Yojana Program || image
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Documents Required for Availing the Benefits of Ayushman Bharat Yojana

The following list includes the documents that must be submitted for applying for the Ayushman Bharat Yojana: 

  1. A legitimate bank account and Aadhar ID are linked
  2. Respective certificates for special categories
  3. Age-verified documents
  4. Family size
  5. Identification information
  6. Contact details
  7. Caste certificate and income certificate

Checking the Verification on the Ayushman Bharat Yojana Scheme List

To check if your name is on the beneficiary list for the PM Jan Arogya Yojana or PMJAY, you can 

  1. Online Method: Beneficiaries may check the Ayushman Bharat online list by visiting the official website of the National Health Authority.
  2. Common Service Centers: If you are an Ayushman Yojna beneficiary, you can also go to your local Common Service Center. If it isn't impossible, you may alternatively pick up the information form by visiting any of the hospitals with an empanelled status. You can see your policy documentation or the Ayushman Bharat hospital list on their website.

Contact them via phone at one of the government-provided helplines (such as 1800111565) to speak with a representative regarding the PMJAY Scheme, Ayushman cards or e-cards, applications for Ayushman cards, card downloads, and  Ayushman Bharat Scheme registration.

Conclusion

In summary, the Ayushman Bharat Yojana is a positive step in improving India's healthcare system. The Ayushman Bharat card may make it simpler for economically disadvantaged groups to get high-quality healthcare. Access to a health ID, on the other hand, enables you to store all of your health-related data on a safe and secure online platform.
To find out more about these efforts, contact a professional at HexaHealth right now by logging on to www.hexahealth.com.

Frequently Asked Questions on the Documents for PMJAY

Q. A family will receive how many cards?
A. A particular qualifying family will only receive one card.

Q.In the event of either loss or theft, how will the beneficiary obtain this PMJAY card?
A. The beneficiary family should go to the Joint Director of Health with the necessary documentation to obtain a duplicate ID card in their district.

Q. What exactly is an empanelled hospital?
A. Hospitals have signed memoranda to offer patients healthcare services under PMJAY in the public and private sectors.

Q. Will the beneficiary be directly reimbursed for any portion of the treatment costs?
A. No, patients will receive cashless care in empanelled hospitals for up to 5 lakhs per year per household, with the money going straight to the hospitals. Patients won't receive any cash payments.

Q.What paperwork is necessary at the time of hospitalisation?
A. The beneficiary must present their PMJAY Card and one form of ID proof (such as a voter ID, PAN card, licence, etc) upon being hospitalised inside and outside Assam.

Updated on : 17 February 2023

Reviewer

Dr. Aman Priya Khanna

Dr. Aman Priya Khanna

MBBS, DNB General Surgery, Fellowship in Minimal Access Surgery, FIAGES

12 Years Experience

Dr Aman Priya Khanna is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic, Health First Multispecialty Clinic in Delhi. He has 12 years of experience in General Surgery and worke...View More

Author

Sangeeta Sharma

Sangeeta Sharma

BSc. Biochemistry I MSc. Biochemistry (Oxford College Bangalore)

6 Years Experience

She has extensive experience in content and regulatory writing with reputed organisations like Sun Pharmaceuticals and Innodata. Skilled in SEO and passionate about creating informative and engaging medical conten...View More

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