How to Get Benefits of Ayushman Bharat Scheme in West Bengal?

Dear Aliya Mirza ji

Yes, West Bengal has implemented the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY). Under the scheme, eligible beneficiaries can receive cashless health coverage of up to ₹5 lakh per family per year for secondary and tertiary care hospitalisation. The scheme also enables cashless treatment at empanelled government and private hospitals across India, offering greater portability for beneficiaries, including migrant workers.

Who Is Eligible for Ayushman Bharat in West Bengal?

You eligible for the scheme if you belong to any of the following categories

• Existing Swasthya Sathi beneficiaries, whose details are being integrated into the Ayushman Bharat system.

• Senior citizens aged 70 years or above, who are eligible under the dedicated senior citizen provision.

• Families identified under the Socio-Economic Caste Census (SECC) criteria or other eligible beneficiary categories notified under AB-PMJAY.

Eligibility can be verified through the official Ayushman Bharat portal or at a nearby Common Service Centre (CSC).

Documents Required

Keep the following documents ready while applying:

• Aadhaar Card

• Active mobile number linked with Aadhaar

• Swasthya Sathi Card or 17-digit URN (if applicable)

• Ration Card or other eligible family identification document

How to Apply for an Ayushman Bharat Card in West Bengal

Method 1: Apply Online

1. Visit the Official Ayushman Bharat Beneficiary Portal:
   https://beneficiary.nha.gov.in

   Or download the Ayushman App from the Google Play Store.

2. Log in using your mobile number and verify the OTP.

3. Select:

   • State: West Bengal

   • District

4. Search using any one of the following:

   • Aadhaar Number

   • Ration Card

   • Swasthya Sathi URN

5. Complete the e-KYC using Aadhaar OTP or Face Authentication.

6. Once your verification is approved, download your Ayushman Bharat Card.

Method 2: Apply Offline

You can also visit:

• Common Service Centre (CSC)

• Empanelled Ayushman Bharat Hospital

• Ayushman Mitra Help Desk

Carry your Aadhaar Card and other required documents. The operator will complete your biometric verification and help generate your Ayushman Card.

How to Avail Cashless Treatment

After receiving your Ayushman Card :

1. Visit an Ayushman Bharat empanelled hospital.

2. Present your Ayushman Card and Aadhaar Card at the Ayushman Help Desk.

3. The hospital will verify your eligibility.

4. Once approved, eligible treatments are provided cashlessly, without paying the hospital directly for covered services.

The scheme generally covers :

• Hospitalisation expenses

• Major surgeries

• ICU charges

• Diagnostic investigations related to admission

• Medicines during hospitalisation

• Up to 3 days of pre-hospitalisation and 15 days of post-hospitalisation care, as per scheme guidelines.

How to Find an Empanelled Hospital

You can check the latest list of empanelled hospitals by:

1. Visiting the official PMJAY Hospital Search Portal:
   

2. Select:

   • State: West Bengal

   • District

   • Hospital Type

   • Speciality (Optional)

3. Click Search to view the latest empanelled government and private hospitals.

How Can HexaHealth Help?

If you need assistance, HexaHealth can help you :

• Check your Ayushman Bharat eligibility.

• Find the nearest empanelled hospital in West Bengal.

• Connect you with the right specialist or hospital based on your medical condition.

• Guide you through the Ayushman Card, hospital selection, and cashless treatment process.

Need Help?

Please share:

• Your District/City in West Bengal

• Whether you already have a Swasthya Sathi Card or Ayushman Card

• The treatment or surgery you are looking for

Based on your details, we will help you check your eligibility and connect you with the nearest empanelled hospital for cashless treatment.

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