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Healthcare for Vulnerable Sections of Indian Society

Healthcare and health insurance are indisputable necessities in today’s time. Considering the astronomical costs of healthcare facilities and rising medical inflation, it is essential to have a comprehensive health insurance cover for you and your family to counter health risks.

However, a significant percentage of India’s population still lives below the poverty line (BPL). While there has been a considerable improvement in this section, a lot remains to be done. One aspect that the Government of India is keen on implementing is a robust healthcare system for low-income families and individuals.

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) is one of the many government-funded healthcare policies that work towards providing high-quality medical facilities to these people. Let us give you a quick walkthrough of what the PMJAY scheme is.

What is the PMJAY scheme?

Launched in 2018, the Pradhan Mantri Jan Arogya Yojana or Ayushman Bharat Yojana (PMJAY) aims to make healthcare accessible and affordable to around 50 crore economically backward Indian individuals. The policy provides top-notch medical facilities at thousands of empanelled private and government hospitals via the Ayushman card or e-card issued to the beneficiaries.

The eligible and registered families under the PMJAY scheme receive ₹5 lakh in health coverage every year. Hence, it is just as imperative to know about the empanelled PMJAY hospitals where beneficiaries can avail the benefits of this scheme. In this section, we have discussed the same in detail.

How to Search the List of Hospitals Under PMJAY?

Since the implementation of the Ayushman Bharat Yojana, a huge number of hospitals have been empanelled. As of September 6, 2020, an estimate of 23,311 hospitals was empanelled under the scheme. The complete list of Ayushman Bharat Yojana hospitals can be found on the official PMJAY website.

However, to find the nearest registered hospital under the PMJAY scheme, here’s what you need to do.

Step 1: Visit https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew.

Step 2: Select your state and your district.

Step 3: Select the type of hospital you’re looking for (public, private and for profit, private and not for profit).

Step 4: Select the medical specialty you need. For example, general, pediatric, neurosurgery, cancer, gynecology, etc.

Step 5: Type the captcha in the given box.

Step 6: Click on ‘Search’.

Additionally, you can download the Ayushman Bharat hospital list by clicking on the link below:

Ayushman Bharat Scheme - State-wise Empanelled Hospitals

Ayushman Bharat Scheme - State-wise De-Empanelled Hospitals

Note that hospitals mentioned in the PMJAY list will only allow you to avail treatment after verifying your Ayushman card.

What is Covered Under PMJAY?

  • Pre-hospitalisation (3 days) and post-hospitalisation (15 days)

  • Around 1,400 procedures

  • OT expenses and other related expenses

  • Surgical and medical treatment cannot be simultaneously reimbursed

Critical Diseases Covered Under PMJAY

  • Coronary artery bypass grafting

  • Prostate cancer

  • Carotid angioplasty

  • Skull base surgery

  • Double valve replacement

  • Pulmonary valve replacement

  • Anterior spine fixation

  • Laryngopharyngectomy (gastric pull-up)

  • Tissue expander (related to disfigurement caused by burns)

Exclusions Under PMJAY

  • Drug rehabilitation

  • OPD

  • Fertility-related procedures

  • Cosmetic-related procedures

  • Individual diagnostics (evaluation)

  • Organ transplants

Steps to Register for the PMJAY scheme

To successfully register under PMJAY, follow the steps below:

  1. Visit the official PMJAY website.

  2. Click on the ‘Am I Eligible’ tab.

  3. Provide your contact details, enter the captcha code, and generate an OTP to proceed.

  4. Enter your state, name, ration card number, household number, or contact information.

  5. The system will check whether you and your family members are eligible under the Ayushman Bharat Yojana.

  6. If yes, visit the nearest PMJAY Kiosk and verify your documents.

  7. Upon successful verification of the documents, the representative will issue an Ayushman card to you and your beneficiaries.

What is Required for PMJAY registration?

If you and your family are eligible under the PMJAY scheme, all you have to do is verify everyone’s identity. The documents required for the Ayushman Bharat Registration process are as follows:

  • Caste certificate

  • Special category certificates

  • Age proof

  • Contact information

  • ID proof

  • Scanned copy of Aadhaar

  • Income certificate

Who is Covered Under PMJAY Rural?

  • Scheduled tribe and scheduled caste families

  • Families without a male member between 16 to 59 years of age

  • Homeless individuals

  • Families without any members between 16 and 59 years of age

  • Families with at least one person who is physically challenged and without any able-bodied adults

  • Landless families who are casual manual labourers

  • Primitive tribal communities

  • Bonded labourers

  • Families who live in makeshift one-room houses without proper walls or roofs

  • Manual scavengers and their families

Who is Covered Under PMJAY Urban?

  • Washerman/chowkidars

  • Rag pickers

  • Mechanics, repair workers, electricians

  • Domestic help

  • Gardeners, sweepers, sanitation workers

  • Artisans based out of home, tailors, handicraft workers

  • Drivers, helpers, conductors, rickshaw, or cart pullers

  • Construction workers, plumbers, welders, masons, painters, porters, security guards

  • Hawkers, cobblers, and others who provide services on streets or pavements

  • Assistants, shopkeepers, peons working in small establishments, waiters, delivery boys

Final Takeaway

Ayushman Bharat is an effort to provide free healthcare facilities to low-income families in the country. However, if you are not eligible under the PMJAY scheme, it is still imperative that you buy a comprehensive health insurance plan.

In fact, you can check the health insurance plans available on Finserv MARKETS and benefit from features such as cashless claim settlement, reinstatement benefits, hassle-free renewal, tax benefits, extensive coverage, and more. Moreover, you can buy/renew the health insurance policy using our health insurance app at any time and from anywhere.

So, don’t wait. Insure yourself and your family members with the health insurance plans at Finserv MARKETS, today!

FAQs on List of PMJAY Hospitals

  • ✔️How many hospitals are empanelled under the PMJAY scheme?

    The PMJAY hospital list has over 23,311 government and private empanelled hospitals.

  • ✔️Can I use my Ayushman card to avail treatment at any private hospital?

    Beneficiary can use the Ayushman card to avail treatment at empanelled private hospitals under the PMJAY scheme.

  • ✔️What health services can I avail at the Ayushman Bharat-empanelled hospital?

    You can avail services such as hospitalisation, daycare surgeries, follow-up care, and newborn childcare under the PMJAY scheme. A detailed list of the services available under the Ayushman Bharat Yojana is available on the website.

  • ✔️Will I have to pay anything to avail healthcare at the empanelled PMJAY hospitals?

    No. All individuals eligible under PMJAY can avail the benefits for free at their nearest empanelled hospital. Moreover, you get to avail cashless health services as well.

  • ✔️Is it mandatory to carry the Ayushman card to the empanelled hospital?

    Yes. Beneficiaries need to present the Ayushman card to avail treatment at any of the empanelled institutions mentioned in the PMJAY hospital list.

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