How Many Family Members Can Be Covered Under an Ayushman Card?

Dear Ashish Varma ji,

No, there is no limit on the number of family members covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY). If your family is eligible under the scheme, all eligible members of the household can be covered, regardless of their age or gender.

The scheme provides health coverage of up to ₹5 lakh per family per year for approved treatments and surgeries at PM-JAY empanelled hospitals.

Key Features of Family Coverage

• There is no restriction on family size under PM-JAY.

• There is no age limit, so children, adults, and senior citizens can all be covered if they are part of the eligible family.

• Both male and female family members are eligible.

• The ₹5 lakh annual coverage is provided on a family floater basis, which means the total amount can be used by one member or shared among multiple eligible family members during the policy year.

• Each eligible family member can generate their own Ayushman Card after successful verification.

How Can You Check Whether Your Family Is Covered?

You can verify your family's eligibility by

• Visiting the official PM-JAY Beneficiary Portal.

• Logging in using your registered mobile number and OTP.

• Searching using your Aadhaar Number, Family ID, or Ration Card Number.

• Checking whether all eligible family members are listed.

• Completing verification and generating Ayushman Cards for each eligible member.

What If a Family Member's Name Is Missing?

If an eligible family member is not listed, you should

• Visit a nearby Common Service Centre (CSC).

• Visit the Ayushman Mitra Help Desk at a PM-JAY empanelled hospital.

• Carry the required identity and family documents for verification.

• Request verification or update as per the applicable PM-JAY guidelines.

How to Check Whether the Hospital Accepts Ayushman Bharat (PM-JAY)?

Before taking treatment, verify whether the hospital is empanelled under PM-JAY.

Online Verification

• Visit the PM-JAY Hospital Finder.

• Select:

  • State

  • District

  • Hospital Name (or Specialty, if required).

• Click Search.

• Confirm that the hospital is PM-JAY empanelled.

How HexaHealth Can Assist You

• Ayushman Bharat Guidance: We help you understand family coverage, eligibility, and PM-JAY benefits.

• Eligibility Support: We assist you in checking whether all eligible family members are covered under the scheme.

• Documentation Guidance: We explain the documents required for beneficiary verification and Ayushman Card generation.

• Hospital Selection: We help you find PM-JAY empanelled and HexaHealth partner hospitals near your location.

• Treatment Guidance: We explain how to use the Ayushman Card for cashless treatment and approved medical procedures.

• Appointment Assistance: We help connect you with experienced doctors and coordinate consultations and treatment.

Please share your state and let us know whether you want to check your family's eligibility, add a missing family member, or generate a new Ayushman Card. We will guide you through the next steps accordingly.

Wishing you and your family good health always.
Warm regards,
Team HexaHealth