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Ayushman Bharat Scheme in Kerala


Published on May 31, 2020

Ayushman Bharat Scheme in Kerala

Kerala joined Central government's ambitious health insurance scheme called Ayushman Bharat, which was launched on September 23. First Kerala was reluctant to join the scheme by saying that the programme a big hoax.

On inaugurating the installation ceremony of the new office bearers of Indian Medical Association (IMA) Kochi branch, Dr. Dinesh Arora, deputy chief executive officer, Ayushman Bharat Scheme, said that Kerala should implement the Ayushman Bharat Scheme of central government. He also said that a meeting will be scheduled soon with the State Health minister to discuss on the implementation of the scheme.

During the last one decade the insurance companies settled 120 lakh claims of which 53 lakhs have been from the State of Kerala. Thus, Kerala with a share of three per cent of the population accounts for 42 per cent of the claims in the country. It would appear that the insurance companies were the main beneficiaries of the public financed health insurance system. Kerala had carefully customised the RSBY scheme to ensure that the public health system in the State was not undermined by the insurance scheme. As a result, more than 80 per cent of the claims settled were in the public health system.

Ayushman Bharat List of Hospitals - Kerala

No
Hospital Name
Hospital Type
Hospital Address
Hospital E-Mail
Hospital Contact
1 THQH TIRURANGADI Public TALUK HEAD QUARTERS HOSPITAL, TIRURANGADI, MALAPPURAM, KERALA thqhtirurangadi@gmail.com 9847248452
2 THQH Ponnani Public NH 17 Ponnani Nagaram PO Malappuram, MALAPPURAM, KERALA thqhponnani@gmail.com 9745606098
3 CHC Thanur Public CHC TANUR P.O TANUR, MALAPPURAM, KERALA mophctanur@gmail.com 0000000000
4 CHC Edavanna Public Edavanna po, Malappuram, MALAPPURAM, KERALA mochcedavanna@gmail.com 9539309394
5 CHC EDAPAL Public EDAPALPO,MNALAPPURAM, MALAPPURAM, KERALA mochcedapal@gmail.com 9895265813
6 CHC Areekode Public Areekod po malappuram, MALAPPURAM, KERALA chcakd@gmail.com 9388001504
7 CHC Thruvangoor Public Community Health Centre, Thiruvangoor, KOZHIKODE, KERALA phcthiruvangoor@gmail.com 9446521863
8 CHC, BALUSSERI Public BALUSSERY P.O. KOZHIKODE, KOZHIKODE, KERALA chcbalussery@gmail.com 0000000000
9 CHC, Koduvally Public KODUVALLY,KOZHIKODE, KOZHIKODE, KERALA soorajkth@gmail.com 0000000000
10 CHC, Thamarassery Public THAMARASEERY KOZIKOED KERLA, KOZHIKODE, KERALA tsyrsby@gmail.com 0000000000
11 Government Hospital, Vadakara Public Kozhikode, KOZHIKODE, KERALA thqhvatakara@gmail.com 0000000000
12 Government Hospital, Nadapuram Public Kozhikode, KOZHIKODE, KERALA anivnbabu@gmail.com 0000000000
13 General Hospital, Koilandy Public KOYILANDY, KOZHIKODE, KERALA talukhospitalkoyilandi@gmail.com 0000000000
14 Primary Health Centre,Pookkottur Public pookkottur, MALAPPURAM, KERALA mobphcpookkottur@gmail.com 9947308456
15 CHC Kuttipuram Public CHC Kuttipuram, MALAPPURAM, KERALA mophckuttippuram@gmail.com 9447924586
16 CHC Thrikkanapuram Public CHC Thrikkanapuram, MALAPPURAM, KERALA mothavanur@gmail.com 9495369346
17 CHC MANKADA Public MANKADA, MALAPPURAM, KERALA phcmankada@gmail.com 9496914020
18 Public Health Center, Pothukal Public Pothukkallu,Nilambur, MALAPPURAM, KERALA mophcpothukal@gmail.com 9446102286
19 PHC Valanchery Public PHC Valanchery, Malappuram, MALAPPURAM, KERALA mophcvalanchery@gmail.com 9048001520
20 CHC NEDUVA Public CHC NEDUVA, CHETTEPADI, MALAPPURAM, KERALA mobphcneduva@gmail.com 9747211579
21 PHC Pang Public Pang, Near Karuvambalam, Mankada Block Panchayat, MALAPPURAM, KERALA phcpang@gmail.com 9495527745
22 CHC Chungathara Public Kotteppadam,Chungathara PO, MALAPPURAM, KERALA mochcchungathara@gmail.com 9447077691
23 CHC Valavannur Public Kalpakanchery, PO, Via Tanur, MALAPPURAM, KERALA mochcvalavannur@gmail.com 9447143998
24 I.M.C.H, Kozhikkode Public KOZHIKKODE, KOZHIKODE, KERALA superintendentimch@gmail.com 9447079570
25 Institute of Chest Diseases Public MEDICAL COLLEGE CALICUT, KOZHIKODE, KERALA icdclt.office@gmail.com 4952355465
26 CHC, Mukkam Public KOZHIKOED KERLA, KOZHIKODE, KERALA chcmukkam@gmail.com 0000000000
27 CHC, Perambra Public P.O. PERAMBRA KOZHIKODE, KOZHIKODE, KERALA sinila_nk@yahoo.com 0000000000
28 TALUK HEAD QUATERS HOPSITAL, VATAKARA Public VATAKARA,KOZHIKODE, KOZHIKODE, KERALA thqhvatakara@gmail.com 4962524259
29 TALUK HEAD QUARTERS HOSPITAL Public KOYILANDY,Kozhikode, KOZHIKODE, KERALA talukhospitalkoyilandi@gmail.com 0496262024
30 Women Children Hospital, Kozhikode Public KOTTAPARAMBA,KOZHIKODE-1, KOZHIKODE, KERALA wckozhikode@gmail.com 9745740396
31 Medical College, Kozhikode Public KOZHIKODE -8, KOZHIKODE, KERALA shijutpro@gmail.com 4952356531
32 Taluk Hospital, Mannarkad Public TALUK HEAD QUARTER HOSPITAL MANNARKKAD, MANNARKKAD PO , PALAKKAD, PALAKKAD, KERALA vijesh1122@gmail.com 9745536977
33 Tribal Special Hospital Public Govt.Tribal Specialty Hospital, Kottathara P. O, Mannarkkad taluk, Palakkad dist., PALAKKAD, KERALA gtshkatpy@gmail.com 0000000000
34 Govt General Hospital, Kozhikode Public Beach Road, Kozhikode -32, KOZHIKODE, KERALA gghkozhikode@gmail.com 9746601842
35 E M S Cooperative Hospital, Perambra Public PERAMBRA KOZHIKKODE, KOZHIKODE, KERALA emsmphpba@gmail.com 4962615040
36 CHC, Narikuni Public NARIKKUNI, KOZHIKODE, KOZHIKODE, KERALA chcnarikkuni@yahoo.in 0000000000
37 Taluk Hospital, Chittur Public Chittur, PALAKKAD, KERALA ghchittur@gmail.com 7403666999
38 THQH Alathur, Palakkad Public THQH ALATHUR PALAKKAD, PALAKKAD, KERALA pro.thqhalathur@gmail.com 8129340385
39 Women and Children Hospital , Palakkad Public Superintendent , Govt. women and children hospital , palakkad, PALAKKAD, KERALA wandcpkd@gmail.com 9847405466
40 Medical college Hospital Public KOZHIKODE -8, KOZHIKODE, KERALA shijutpro@gmail.com 0000000
41 CHC, Kuttyadi Public KUTTYADI, KOZHIKODE, KERALA shajitp2007@yahoo.com 0000000000
42 CHC ORAKATRI Public Community Health Centre, Orkkattery, Vatakara, Kozhikode, KOZHIKODE, KERALA chcorkkatteri@gmail.com 000000
43 C.H.C. Nadapuram Public NADAPURAM KOZIKODE, KOZHIKODE, KERALA anivnbabu@gmail.com 000000
44 CHC, Thalakulathur Public THALAKULATHUR KOZHIKODE, KOZHIKODE, KERALA chcthalakulathur@gmail.com 9048217311
45 Block Primary Health Centre Pazhambalakode Public Pazhambalakode,PO Alathur, PALAKKAD, KERALA bphcpazhamb@gmail.com 9446154350
46 Community Health Centre,Kongad Public Challikkal,Kongad, PALAKKAD, KERALA mophckongad@gmail.com 9447381567
47 CHC Ambalappara Public Ottappalam, PALAKKAD, KERALA procumlochc.ambalappara@gmail.com 9446230105
48 C.H.CENTRE,KATAMPAZHIPURAM Public C.H.CENTRE,KATAMPAZHIPURAM,, PALAKKAD, KERALA chcktpm@gmail.com 9447483107
49 COMMUNITY HEALTH CENTRE,VADAKKENCHERRY Public PALAYAM ROAD,COMMUNITY HEALTH CENTRE,VADAKKENCHERRY, PALAKKAD, KERALA CHCVADAKKENCHERRY@GMAIL.COM 9349834612
50 PHC Pudur Public Pudur, Attappadi, PALAKKAD, KERALA procumloagali@gamil.com 9895657245
51 CHC Alanallur Public Alanallur PO. Palakkad, PALAKKAD, KERALA phcalanallur@gmail.com 8086010828
52 Community Health Center, BADIADKA Public BADIADKA,PERDALA PO , Kasaragod, KASARAGOD, KERALA chcbadiadka@gmail.com 9747038765
53 DISTRICT HOSPITAL, KANHANGAD Public DISTRICT HOSPITAL,KANHANGAD,KASARAGOD, KASARAGOD, KERALA knghospital@gmail.com 9847923796
54 General Hospital, Kasaraod Public GENERAL HOSPITAL,KASARAGOD, KASARAGOD, KERALA shajijoseph1977@gmail.com 9495175454
55 CHC, THRIKARIPOOR Public CHC TRIKARIPUR, PO KASARAGOD, KASARAGOD, KERALA trikaripurchc@gmail.com 0000000000
56 CHC, Panathady Public RAJAPURAM PO,POODAMKALLLU,PANATHADY,KASARAGOD, KASARAGOD, KERALA chcpanathady@gmail.com 9747211622
57 CHC, NILESHWARAM Public CHC NILESHWAR,POST NILESHWAR,VALLIKUNNU,KASARGOD DKERALA,, KASARAGOD, KERALA chcnileshwar@gmail.com 9747211621
58 Taluk Hospital, Perinthalmanna Public SUPERINTENDENT,TALUK HEADQUARTERS HOSPITAL,HOSPITAL ROAD,PERINTHALMANNA, MALAPPURAM, KERALA thqhperinthalmanna@gmail.com 0493322727
59 Thaluk Hospital, Tirur Public Thrikkandiyoor.P.O, Tirur-4, MALAPPURAM, KERALA gthqhtirur@gmail.com 9544300213
60 CHC, Kondotty Public C.H.C,KONDOTTY,KONDOTTYP.O,MALAPPURAM, MALAPPURAM, KERALA mophckondotty@gmail.com 9446320017
61 CHC, Melatur Public Melattur CHC, Melattur P.O, Malappuram, MALAPPURAM, KERALA melatturphc@gmail.com 9946225503
62 CHC, Puratur Public POST MUTTANNUR PURATHUR MANGALAM TIRUR, MALAPPURAM, KERALA mochcpurathur@gmail.com 9605184999
63 CHC, Wandoor Public COMMUNITY HEALTH CENTER, WANDOOR ,WANDOOR PO , MALAPPURAM ,KERALA, TEL-04931-247378, MALAPPURAM, KERALA chcwndoor@gmail.com 9447382266
64 TALUK HOSPITAL FEROKE Public TALUK HOSPITAL FEROKE, FEROKE PO,KOZHIKODE-673631, KOZHIKODE, KERALA mophcferoke@gmail.com 9447342962
65 Govt Mental Health Centre,Kozhikode Public Kuthiravttom P O,, KOZHIKODE, KERALA gmhckkd@gmail.com 8547775033
66 COMMUNITY HEALTH CENTRE,CHERPU Public CHERPU, THRISSUR, KERALA chccherpu@gmail.com 9446316237
67 Taluk Hospital,Pudukad Public P O Pudukad ,Near Pudukad Railway Station, THRISSUR, KERALA chcpudukad@gmail.com 9447310466
68 Community Health Centre,Perinjanam Public Perinjanam. P.O,Thrissur, THRISSUR, KERALA bacpjnm@gmail.com 9747211548
69 Chc Mullassery Public Community Health Centre Mullassery,, THRISSUR, KERALA chc.mly@gmail.com 9446466061
70 chc thriprayar Public chc thriprayar,peringottukara p o,, THRISSUR, KERALA chcthriprayar@rediffmail.com 9567756233
71 CHC THOLUR Public CHC THOLUR, P O PARAPPUR, THRISSUR, KERALA bphctholur@gmail.com 9747211547
72 CHC PUTHENCHIRA Public CHC PUTHENCHIRA, THRISSUR, KERALA puthenchirachc@gmail.com 9747211542
73 Community Health Centre Vellanikkara Public Chc Vellanikkara, Kau -P.O, Thottapadi, Vellanikkara, THRISSUR, KERALA phcvellanikkara@yahoo.co.in 9539309394
74 K Karunakaran Smaraka CHC Mala Public K Karunakaran Smaraka CHC Mala, THRISSUR, KERALA govthosmala@gmail.com 9447362678
75 Community Health Centre ,Ollur Public Community Health Centre, Ollur, Thrissur Dist, THRISSUR, KERALA primaryhealthcentreollur@gmail.com 8589987309
76 Taluk Hospital, Chelakkara Public Taluk Hospital, Chelakkara, Thrissur Dist, THRISSUR, KERALA bactvmla@gamil.com 9747211550
77 Thaluk Head Quarters Hospital, Malappuram Public Taluk Head Quarters Hosipital, Kottappadi, Down Hill Post, Malappuram-676519, MALAPPURAM, KERALA muneerabdulcv@yahoo.co.in 9995881466
78 Govt. Dentl College, Kozhikode Public Medical College P.O, KOZHIKODE, KERALA govtdcc2@gmail.Com 8589987309
79 Community Health Centre,Melady Public Community Health Centre, KOZHIKODE, KERALA phcmelady@gmail.com 9446778961
80 Taluk Hospital, Nilambur Public Taluk Head Quarters hospital nilambur, MALAPPURAM, KERALA mothqhnilambur@gmail.com 7293035656
81 District Hospital, Manjeri Public Taluk Head Quarters hospital nilambur, MALAPPURAM, KERALA mothqhnilambur@gmail.com 7293035656
82 CHC OMANUR Public PONNAD, OMANUR POST, MALAPPURAM, MALAPPURAM, KERALA azeezmukkom@gmail.com 9747211569
83 CHC Kalikavu Public Community Health Centre, Kalikavu, Kalikavu Post, Malappuram District, MALAPPURAM, KERALA phckkv@gmail.com 9447539430
84 District Hospital, Aluva Public NEAR KSRTC BUS STAND ALUVA, ERNAKULAM, ERNAKULAM, KERALA rsbythqhaluva@gmail.com 4842629242
85 Govt. Maharajas Taluk Hospital Public Govt. Maharajas Taluk Hospital, Karuvelippady, Kochi, ERNAKULAM, KERALA gmhkaruvelippady@gmail.com 9846045211
86 COMMUNITY HEALTH CENTRE VENGARA Public COMMUNITY HEALTH CENTRE ,BLOCK ROAD VENGARA,Malappuram District, MALAPPURAM, KERALA movengara@gmail.com 8086640678
87 PHC,Marancherry Public Marancherry PO, Perumpadappa, MALAPPURAM, KERALA chcmaranchery@gmail.com 9895499251
88 Primary Health Centre Vazhikkadavu Public 24X7 Primary Health Centre,Vazhikkadavu, Munda PO, MALAPPURAM, KERALA phcvazhikkadavu@gmail.com 8589987309
89 Taluk Hospital, Pattambi Public PATTAMBI POST,PALAKKAD DIST,KERALA, PALAKKAD, KERALA pro.thqhalathur@gmail.com 8129340385
90 Chc Pandappilly Public Pandappilly P O ,Muvattuppuzha, ERNAKULAM, KERALA bphcpandappilly@gmail.com 9447510145
91 DISTRICT HOSPITAL Public DISTRICT HOSPITAL COURT ROAD PALAKKAD, PALAKKAD, KERALA dhrsbypkd@gmail.com 0000000000
92 Taluk Hospital, Ottappalam Public Ottappalam, PALAKKAD, KERALA thqhottapalam@gmail.com 9544648581
93 CHC koppam Public CHC Koppam, Pulassery Po, Palakkad Dist, PALAKKAD, KERALA chckoppam@gmail.com 9846938181
94 Community Health Centre,Ambalavayal Public Community Health Centre,Ambalavayal, WAYANAD, KERALA phc.ambalavayal@gmail.com 9961890197
95 COMMUNITY HEALTH CENTRE,PANAMARAM Public PANAMARAM P.O.,WAYANAD, WAYANAD, KERALA phc.panamaram@gmail.com 9744181556
96 Community Health Centre Pulpally, Wayanad Public Pulpally P O, Wayanad, WAYANAD, KERALA chcpulpally@gmail.com 9447338388
97 CHC Palarimangalam Public communitity health centre koovalloor p.o. Pallarimangalam, ERNAKULAM, KERALA pallarimangalamphc@gmail.com 8281496935
98 CHC Kadayiruppu Public CHC Kadayirippu, Kadayirippu P O,Ernakulam District, ERNAKULAM, KERALA phckadayirippu@gmail.com 9447786769
99 COMMUNITY HEALTH CENTRE MOOTHAKUNNAM Public CHC MOOTHAKUNNAM ERNAKULAM DIST, ERNAKULAM, KERALA chcmoothakunnam.ekm@gmail.com 9446493277
100 CHC, Menangady Public CHC, MEENANGADI PO WAYANAD, WAYANAD, KERALA chcmeenangadi@gmail.com 9747211604
101 Taluk Hospital, Vythiri Public TALUK HOSPITAL,VYTHIRI,WAYANAD, WAYANAD, KERALA admnklpta@afeh.org 9495622121
102 Taluk Hospital, Sulthan Bathery Public TALUK HOSPITAL,SULTHAN BATHERY,WAYANAD, WAYANAD, KERALA chcmeenangadi@gmail.com 9747211604
103 General Hospital, Kalpetta Public GENERAL HOSPITAL,KALPETA,WAYANAD, WAYANAD, KERALA thqh.bathery@gmail.com 0808914123
104 District Hospital, Manathavady Public DISTRICT HOSPITAL,MANANTHAVADY PO WAYANAD, WAYANAD, KERALA dh.mananthavady@gmail.com 8086476052
105 CHC PINARAYI Public CHC PINARAYI,PINARAYI, KANNUR, KERALA chcpinarayi@gmail.com 8943341406
106 Community Health Centre,Panoor Public Chc Panoor , Panoor,Kannur, KANNUR, KERALA chcpanoor@gmail.com 9447352827
107 CHC Oduvallithattu Public CHC Oduvallithattu, Kannur Dist, Kerala, KANNUR, KERALA oduvallythattuphc@gmail.com 9388184476
108 E K N M GOVT WOMEN AND CHILDREN HOSPITAL Public E K N M GOVT WOMEN AND CHILDREN HOSPITAL MANGATTUPARAMBA PARASSINIKADAVU PO, KANNUR, KERALA eknmwch@gmail.com 0000000000
109 MALABAR CANCER CENTRE, THALASSERY Public THALASSERY, MOOZHIKKARA P.O, KANNUR, KANNUR, KERALA mcctly@gmail.com 9496048821
110 Govt. Hospital, Payyannur Public GOVT. HOSPITAL,PAYYANNUR,KANNUR, KANNUR, KERALA govhos_pnr@yahoo.com 9846239364
111 Govt. Hospital, Koothuparamba Public GOVT. HOSPITAL,KOOTHUPARAMBA,KANNUR, KANNUR, KERALA ghkoothuparamba@gmail.com 9745167894
112 CHC, Peravoor Public COMMUNITY HEALTH CENTRE,PERAVOOR,KANNUR, KANNUR, KERALA sabithakanoop@gmail.com 9388397487
113 CHC, Pappinissery Public COMMUNITY HEALTH CENTRE,PAPPINISSERRY,KANNUR, KANNUR, KERALA sabithakanoop@gmail.com 9747211614
114 CHC, Iritty Public COMMUNITY HEALTH CENTRE,IRITTY,KANNUR, KANNUR, KERALA mochciritty@gmail.com 9961138317
115 Taluk Head Quarters Hospital, Taliparabu Public TALUK HOSPITAL,TALIPARAMBA,KANNUR, KANNUR, KERALA thqhtpba@gmail.com 9846239364
116 Taluk Hospital, Peravoor Public COMMUNITY HEALTH CENTRE,PERAVOOR,KANNUR, KANNUR, KERALA sabithakanoop@gmail.com 9388397487
117 General Hospital, Thalasserry Public GENERAL HOSPITAL,THALASSERRY,KANNUR, KANNUR, KERALA sijuckannur@yahoo.co.in 9747575340
118 District Hospital, Kannur Public DISTRICT HOSPITAL,KANNUR, KANNUR, KERALA dhkannur@yahoo.co.in 9961825616
119 Elavumkal Hospital,Chittarikkal Public Chittarikkal, Odayanchal-Cherupuzha Major District Road, Chittarikkal, KASARAGOD, KERALA elavumkalhospital@gmail.com 9747230634
120 CHC CHERVATHUR Public CHC CHERVATHUR,Chervathur PO,Kasaragod Dt, KASARAGOD, KERALA phcchervathur@gmail.com 0000000000
121 CHC PERIYE Public P.O Periye, ViaBeakkal Fort, Kasaragod District, KASARAGOD, KERALA chcperiye@gmail.com 8943244586
122 Taluk Hospital, Chalakudy Public THQH Chalakudy, Chalakudy, THRISSUR, KERALA thqhsuperintendent@yahoo.com 0482701823
123 Taluk Hospital, Chavakkad Public Thaluk Head Quarters Hospital Chavakkad, THRISSUR, KERALA rsbychavakkad@gmail.com 0487250110
124 Taluk Hospital, Irinjalakuda Public KOLOTHUMPADY, Irinjalakuda, THRISSUR, KERALA care@cooperativehospital.com 048026707
125 Taluk Hospital, Wadakanchery Public THQH- WADAKANCHERY KUMARANELOOR P.O OTTUPARA, WADAKANCHERY THRISSUR, THRISSUR, KERALA thqhwky@yahoo.com 048842322
126 Taluk Hospital, Kodungallur Public TALUK HOSPITAL KODUGALLUR,KODUNGALLUR P O,THRISSUR, THRISSUR, KERALA prokdlr@gmail.com 9446218050
127 Medical College Chest Hospital Public MULAMKUNNATHUKAVU. PO ,THRISSUR, THRISSUR, KERALA mpraihana@gmail.com 9633006159
128 District Hospital, Thrissur Public Round East ,Thrissur, THRISSUR, KERALA rsbydist.tsr@gmail.com 9400852918
129 MEDICAL COLLEGE CHEST HOSPITAL, THRISSUR Public MULAMKUNNATHUKAVU. PO ,THRISSUR, THRISSUR, KERALA mpraihana@gmail.com 9633006159
130 Govt.Mental Health Centre, Thrissur Public WestFort, Poothole.P.O, Thrissur, THRISSUR, KERALA mhcthrissur@gmail.com 7736557029

Salient Features

• Ayushman Bharat - National Health Protection Mission will have a defined benefit cover of Rs. 5 lakh per family per year.

• Benefits of the scheme are portable across the country and a beneficiary covered under the scheme will be allowed to take cashless benefits from any public/private empanelled hospitals across the country.

• Ayushman Bharat - National Health Protection Mission will be an entitlement based scheme with entitlement decided on the basis of deprivation criteria in the SECC database.

• The beneficiaries can avail benefits in both public and empanelled private facilities.

• 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.

• For giving policy directions and fostering coordination between Centre and States, it is proposed to set up Ayushman Bharat National Health Protection Mission Council (AB-NHPMC) at apex level Chaired by Union Health and Family Welfare Minister.

• States would need to have State Health Agency (SHA) to implement the scheme.

• To ensure that the funds reach SHA on time, the transfer of funds from Central Government through Ayushman Bharat - National Health Protection Mission to State Health Agencies may be done through an escrow account directly.

• In partnership with NITI Aayog, a robust, modular, scalable and interoperable IT platform will be made operational which will entail a paperless, cashless transaction.

Eligibility for Ayushman Bharat Scheme

Rural area categories

1. Households living in only one room with kucha walls and kucha roof.

2. Households with no adult member between age 16 to 59

3. Female headed households with no adult male member between age 16 to 59

4. Households having at least one disabled member and no able-bodied adult member

5. SC/ST households

6. Landless households deriving major part of their income from manual casual labour

7. Households without shelter

8. Destitute/ living on alms

9. Manual scavenger families

10. Primitive tribal groups

11. Legally released bonded labour

Urban area categories:

• Beggars;

• Rag-pickers;

• Domestic workers;

• Street vendors/cobblers/hawkers/other service providers working on the streets;

• Construction workers/ plumbers/ masons/ labor/ painters/ welders/ security guards/coolies and other head-load workers;

• Sweepers/ sanitation workers/ malis;

• Home-based workers/ artisans/handicrafts workers/ tailors;

• Transport workers/ drivers/ conductors/helpers to drivers and conductors/cart pullers/ rickshaw pullers;

• Shop workers/ assistants/ peons in small establishments/ helpers/ delivery assistants / attendants/ waiters;

• Electricians/ mechanics/ assemblers/repair workers;

• Washer-men/ chowkidars;

• Other work/non-work ;

• Non-work (pension/ rent/ interest, etc.) .

What is the hospitalisation process?

The beneficiaries will not be required to pay any charges and premium for the hospitalisation expenses. The benefit also include pre- and post-hospitalisation expenses.

Each empanelled hospital will have an 'Ayushman Mitra' to assist patients and will coordinate with beneficiaries and the hospital. They will run a help desk, check documents to verify the eligibility, and enrolment to the scheme.

Also, all the beneficiaries will be given letters having QR codes which will be scanned and a demographic authentication will be conducted for identification and to verify his or her eligibility to avail the benefits of the scheme.

Benefits of the scheme are portable across the country and a beneficiary covered under the scheme will be allowed to take cashless benefits from any public/private empanelled hospitals across the country.

What is the eligibility criteria for a beneficiary?

There is no enrolment process in AB-NHPM as it is an entitlement-based mission. Families who are identified by the government on the basis of deprivation and occupational criteria using the SECC database, both in rural and urban areas, are entitled for AB-NHPM. Currently the database is based on census for the year 2011.

A list of eligible families has been shared with the respective state governments as well as state level departments like the ANMs, BMO, and BDOs of relevant areas. A dedicated AB-NHPM family identification number will be allotted to eligible families. Only families whose name is on the list are entitled for the benefits of AB-NHPM.

Additionally, families with an active RSBY cards as of 28 February 2018 will covered. No additional new families can be added under AB-NHPM. However, names of additional family members can be added for those families whose names are already on the on the SECC list.

The official website of AB-NHPM is www.abnhpm.gov.in . One may visit the site to view and download the beneficiary eligibility and empanelled hospitals list as and when it gets updated.

Hospital Eligibility

Services under the scheme can be availed at all public hospitals and empaneled private health care facilities. Also, the basic empanelment criteria allows empanelment of a hospital with a minimum of 10 beds, with the flexibility providprovided to states to further relax this if required. Empanelment of the hospitals under AB-NHPM will be conducted through an online portal by the state government. Information about empaneled hospitals will be made available through different means such as government websites and mobile apps. Beneficiaries can also call the helpline number at 14555.

To control costs, the payments for treatment will be done on package rate (to be defined by the Government in advance) basis. However, hospitals with NABH/NQAS accreditation can be incentivised for higher package rates subject to procedure and costing guidelines.

Benefits of PM-JAY

Beneficiary Level

1. Government provides health insurance cover of up to Rs. 5,00,000 per family per year.

2. More than 10.74 crore poor and vulnerable families (approximately 50 crore beneficiaries) covered across the country.

3. All families listed in the SECC database as per defined criteria will be covered. No cap on family size and age of members.

4. Priority to girl child, women and and senior citizens.

5. Free treatment available at all public and empaneled private hospitals in times of need.

6. Covers secondary and tertiary care hospitalization.

7. 1,350 medical packages covering surgery, medical and day care treatments, cost of medicines and diagnostics.

8. All pre-existing diseases covered. Hospitals cannot deny treatment.

9. Cashless and paperless access to quality health care services.

10. Hospitals will not be allowed to charge any additional money from beneficiaries for the treatment.

11. Eligible beneificiares can avail services across India, offering benefit of national portability. Can reach out for information, assistance, complaints and grievances to a 24X7 helpline number - 14555

Health System

• Help India progressively achieve Universal Health Coverage (UHC) and Sustainable Development Goals (SDG).

• Ensure improved access and affordability, of quality secondary and tertiary care services through a combination of public hospitals and well measured strategic purchasing of services in health care deficit areas, from private care providers, especially the not-for profit providers.

• Significantly reduce out of pocket expenditure for hospitalization. Mitigate financial risk arising out of catastrophic health episodes and consequent impoverishment for poor and vulnerable families.

• Acting as a steward, align the growth of private sector with public health goals.

• Enhanced used to of evidence based health care and cost control for improved health outcomes.

• Strengthen public health care systems through infusion of insurance revenues.

• Enable creation of new health infrastructure in rural, remote and under-served areas.

• Increase health expenditure by Government as a percentage of GDP.

• Enhanced patient satisfaction.

• Improved health outcomes.

• Improvement in population-level productivity and efficiency

• Improved quality of life for the population

How to Check Eligibility

1. Go to NHA portal and Log in to mera.pmjay.gov.in

2. Enter your mobile number and captcha code.

3. A one-time password will be sent to your mobile number.

4. After entering the OTP, you will be taken to this screen.

5. Select the state: Fill all the fields like name, mobile number, ration card number, or Rashtriya Swasthya Bima Yojna URN number.

6. If your name is there in the list, it will show up on the right-hand side of the page.

7. Click on 'Family Members' tab to find the beneficiary details

Required Documents

• Respective special category certificates

• Age proof documents

• Family structure

• Identification details

• Contact information

• Scanned copy of Aadhar

• Income certificate

• Caste certificate

Background:

RSBY was launched in the year 2008 by the Ministry of Labour and Employment and provides cashless health insurance scheme with benefit coverage of Rs. 30.000/- per annum on a family floater basis [for 5 members], for Below Poverty Line (BPL) families, and 11 other defined categories of unorganised workers. To integrate RSBY into the health system and make it a part of the comprehensive health care vision of Government of India, RSBY was transferred to the Ministry of Health and Family Welfare (MoHFW) w.e.f 01.04.2015. During 2016-2017, 3.63 crore families were covered under RSBY in 278 districts of the country and they could avail medical treatment across the network of 8,697 empanelled hospitals. The NHPS comes in the backdrop of the fact that various Central Ministries and State/UT Governments have launched health insurance/ protection schemes for their own defined set of beneficiaries. There is a critical need to converge these schemes, so as to achieve improved efficiency, reach and coverage.


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