Is Ayushman Bharat Implemented in Every State and UT? Know All About the Health Protection Scheme

Medically Reviewed by Dr. Aman Priya Khanna
Written by Sangeeta Sharma, last updated on 17 February 2023
Is Ayushman Bharat Implemented in Every State and UT? Know All About the Health Protection Scheme

The National Health Protection Scheme (NHPS), now known as the Ayushman Bharat Yojana or the Pradhan Mantri Jan Arogya Yojana (PMJAY), is a major step taken by the Indian government to improve the healthcare sector of the country. It aims to provide quality health services to the underprivileged section of society. 

The Ayushman Bharat National Health Protection Mission Council (AB-NHPMC) has been set up at the top level to give policy directions and maintain coordination between the centre and the states. Furthermore, the states need a State Health Agency (SHA) to effectively implement the Ayushman Bharat Yojana at the States/UTs level. The scheme is implemented in all states and UTs of India except West Bengal, Odisha, and the National Capital Territory (NCT) of Delhi, where the talks are still going for implementation.

List of Delhi Hospitals That Accept Ayushman Card

  1. Medanta - The Medicity
  2. Fortis Healthcare Ltd.
  3. Rathi Hospital
  4. Gupta Multispeciality Hospital
  5. Apex Healthcare and Research Center
  6. Narang Eye Institute
  7. Tarak Hospitals India Pvt. Ltd.
  8. Park Hospital
  9. Sonia Hospital
  10. Vision Eye Hospital
  11. Dr Chaudhary’s Moral Hospital Pvt. Ltd.
  12. Maharaja Agrasen Hospital
  13. Karuna Sindhu Charitable Hospital
  14. Shakuntala NH and Hospital
  15. Bhagwan Mahavir Hospital
  16. Goyal Hospital and Urology Center
  17. Rosewood Hospital
  18. Khandelwal Hospital and Urology Center
  19. Siwach Dental Hospital
  20. Jeewan Nursing Home and Hospital
  21. National Institue of Tuberculosis and Respiratory Diseases
  22. Ansari Hospital
  23. Tirath Ram Shah Charitable Hospital
  24. Kalra Hospital SRCNC Pvt. Ltd.
  25. Panchsheel Hospitals Pvt. Ltd.
  26. Center for Sight
  27. Cygnus MLS Superspeciality Hospital
  28. Surya Kiran Hospital Pvt. Ltd.
  29. Ayushman Hospital and Health Services
  30. Kukreja Hospital and Heart Center Pvt. Ltd.
  31. Dr Shroff’s Charity Eye Hospital
  32. Metro Hospital and Heart Institute
  33. RLKC Hospital Metro Heart Institute
  34. NKS Hospital
  35. World Brain Center Hospital
  36. Unit Hospital SS Battalion ITBP
  37. Batra Hospital and Medical Research Center
  38. Bhagwan Mahavir Hospital
  39. Oncoplus Hospital
  40. MGS Super Speciality Hospital
  41. Swasthik Hospital
  42. NDMC Charak Palika Hospital
  43. Bhatia Global Hospital and Endosurgery Institute
  44. Hakim Abdul Hameed Centenary Hospital
  45. Medlife Hospital
  46. Primus Super Speciality Hospital
  47. Makkar Multispeciality Hospital
  48. I-Create Hospital
  49. Anant Jyoti Eye Hospital
  50. Delhi Heart Hospital
  51. Sir Ganga Ram Hospital
  52. Samar Hospital
  53. Indus Valley Hospitals
  54. Metro Hospital and Cancer Institute
  55. Irene Hospital
  56. Ardent Ganpati Hospital
  57. Brahm Shakti Hospital
  58. Aakash Healthcare Super Speciality Hospital
  59. Divya Prastha Hospital
  60. National Heart Institute
  61. Institute of Brain and Spine
  62. Sri Balaji Action Medical Institute
  63. Jeewan Mala Hospital Pvt. Ltd.
  64. Mata Roop Rani Maggo Hospital
  65. Garg Hospital
  66. Ayushman Hospital and Health Services
  67. Composite Hospital CRPF
  68. RS Grover Memorial Hospital

The scheme is available for beneficiaries in both rural and urban areas. The Ayushman Bharat beneficiary list is based on the Socio-Economic Caste Census (SECC) database. Read on to find out the Ayushman Bharat Yojana eligibility for India’s rural and urban populations.

Eligibility of Ayushman Bharat Yojana

The scheme is available for beneficiaries in both rural and urban areas. The Ayushman Bharat beneficiary list is based on the Socio-Economic Caste Census (SECC) database. Read on to find out the Ayushman Bharat Yojana eligibility for India’s rural and urban populations.

Eligibility of Ayushman Bharat Yojana for Rural Areas

The following families can access PMJAY health cover in rural areas:-

  1. Households without shelter
  2. Scheduled Cast (SC)/ Scheduled Tribe (ST) households
  3. Particularly vulnerable tribal groups
  4. Legally released bonded labourers
  5. Families working as manual scavengers
  6. Beggars or people living on alms
  7. Families without adults between 16 to 59 years
  8. Families without an adult male between 16 to 59 years
  9. Households with at least one disabled family member and no non-disabled adult member
  10. Landless households that earn a major part of their income working as casual manual labourers
  11. Families living in one-room houses with kutcha roofs and walls
List of Delhi Hospitals That Accept Ayushman Card || image
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Eligibility of Ayushman Bharat for Urban Areas

According to the National Sample Survey Organisation, before PMJAY, 80.9% of urban Indians had no healthcare insurance. Furthermore, approximately 9% of the urban population borrowed money to pay for healthcare expenditures. In urban areas, families eligible to receive annual funding of up to Rs 5 lakh include:-

  1. Ragpickers
  2. Domestic workers
  3. Beggars
  4. Washerman, chowkidar, mechanic, electrician, repair worker, assembler
  5. Sweeper, sanitation workers, gardener
  6. Cobblers, hawkers, street vendors, and other service providers on the streets
  7. Tailors, handicraft workers, artisans, home-based workers
  8. Plumbers, masons, porters, weldors, construction workers, painters, security guards, coolies, and other head-load workers
  9. Peons in small establishments, shop workers, helpers, assistants, delivery assistants, waiters, attendants
  10. Drivers, conductors, transport workers, cart pullers, rickshaw pullers

The Ayushman Bharat Yojana eligibility list does not include those:-

  1. With a decent solid house
  2. With agricultural land of five acres or more
  3. Who are government employed
  4. Who works in government-managed non-agricultural enterprise
  5. With a two, three, or four-wheeler or a motorised fishing boat
  6. With merchandised farming equipment
  7. Who have refrigerators and landlines
  8. Who have Kisan cards with Rs 50000 credit limit
  9. With a monthly income above Rs 10000
Eligibility of Ayushman Bharat for Urban Areas || image

States/UTs Covered Under the Ayushman Bharat Scheme

A total of 33 states/UTs in India have implemented the PMJAY scheme. The scheme is completely government-funded, and the costs are shared among the Central and State governments as per the ratio decided by the Ministry of Finance. Furthermore, the states and UTs have the flexibility to implement the scheme as best suited for their local situation. Thus, the states can implement the Ayushman Bharat scheme in insurance, trust, and hybrid mode. 

  1. Insurance Mode: Under the insurance model, the state government pays a premium to the insurance companies that administer and pay the claim. 
  2. Trust Mode: Under the trust model, every state forms its own trust that not only manages and administers the scheme but also pays the claims. 
  3. Hybrid Mode: Under the hybrid or mixed model, a part of the premium is paid to the insurance company, and the balance gets pooled into a trust.

Additionally, the State government can alter the scheme specific to their state/UTs. For instance, earlier, the Ayushman Bharat Yojana in Rajasthan provided a cover of Rs 20,000 for general illness and Rs 3 lakh for serious diseases. Now, the cover has increased to Rs 50,000 for general illness and Rs 4.5 lakh for serious diseases.  

Summing it Up

To conclude, the National Health Protection Scheme, commonly known as the Ayushman Bharat Yojana, is a well-implemented government program that aims at benefitting the poor all across the country. With this scheme, the Indian government can successfully improve the healthcare sector in India. Stay tuned for more updates on the Ayushman Bharat Yojana. Or, you can consult an expert at HexaHealth for your concerns.

Contact our specialists at HexaHealth for queries on surgery, and our experts will answer with pleasure.

States/UTs Covered Under the Ayushman Bharat Scheme || image

Frequently Asked Questions on the Health Protection Scheme

Q. Who is the CEO of Ayushman Bharat?
A. Dr Indu Bhushan is the CEO of Ayushman Bharat.

Q. Why was Ayushman Bharat launched?
A. Ayushman Bharat (AB) was launched to provide a complete range of services such as preventive, curative/medicinal, promotive, rehabilitative, and palliative care. It also gives health insurance to vulnerable and low-income families looking for secondary and tertiary care.

Q. What is the National Health Protection Mission?
A. National Health Protection Mission is Ayushman Bharat, which provides insurance up to five lakh rupees per family per year to the poor and vulnerable families for secondary and tertiary hospital services.

Q. What has been the experience with Ayushman Bharat health insurance schemes?
A. A study conducted from January 2020 to March 2020 concluded that the financial burden for healthcare expenses was lower in families under the Health Insurance scheme. Due to improper awareness, many people could not avail or use the scheme properly. Therefore, creating awareness among people regarding the PM-JAY scheme is very important.

Q. Who is eligible to apply for Ayushman Bharat health insurance?
A. Poor, vulnerable rural families and identified occupational categories of urban workers’ families identified by the Socio-Economic Caste Census (SECC) are eligible to apply for Ayushman Bharat health insurance.

Updated on : 17 February 2023


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


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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