As we all know, Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is a part of the Indian Government's National Health Policy. This government scheme aims to empower the poor and economically vulnerable population of the country to receive quality healthcare. In light of this, the PMJAY scheme provides free health coverage at secondary and tertiary level. To avail the benefits of this scheme, an individual must first identify the criteria. This can be done by the Beneficiary Identification System (BIS) which is a process of applying the identification criteria as per AB-PMJAY guidelines on the entitled database in order to approve or reject the applications of people that are entitled to gain the benefits and further create authenticated beneficiary registry. PMJAY BIS is being adopted in hospitals to further streamline the entire process. The system helps in verifying the individuals and their family members. Once this is cleared, the beneficiaries are issued an e-card.
So, wondering how the PMJAY BIS works? Here’s a broader view of the entire process flow of BIS for PMJAY.
A potential beneficiary needs to visit either a hospital or a designated Kiosk for his/her identification.
The operator, commonly known as the Arogya Mitra, searches the available list of beneficiaries if the person wanting to avail of the benefit is covered. This can be done by entering details such as name, location, Ration Card number, mobile number or even RSBY URN.
The operator searches the potential beneficiary in the entitled SECC, RSBY, State Health Scheme, Additional Data Collection Drive databases.
If the name is found in the list, identification process is carried out. For this, documents like Aadhaar or any Government ID and Ration Card or an alternative family ID is required to validate against the details available in the system. Scanned documents are then uploaded.
The Arogya Mitra then identifies the family records through ration card and the scanned documents are then uploaded. The Arogya Mitra then submits the individual and family records to the Trust/ Insurance Company for approval.
The Insurance Company or Trust may then approve or recommend for Rejection for the submitted beneficiaries. The cases that are recommended for rejection will be finally verified for approval or rejection by State Health Agency (SHA).
On the approval by SHS/ Insurance Company /Trust, an e-card is issued to the beneficiary.
The login process to the PMJAY BIS portal is very simple.
1. Login to the BIS PMJAY portal link: https://bis.pmjay.gov.in/BIS/mobileverify
2. Enter your registered mobile number and the CAPTCHA visible on screen
3. Click on ‘Generate OTP’ to receive an OTP on your mobile
4. Enter the OTP received and verify the same
5. You will land on the home page
6. Select the options present on screen as per your need
With several such schemes offered by government, it has become easy for the economically vulnerable individuals to seek good healthcare at preferred hospitals. Moreover, such schemes help empower these poor. However, in case you are not eligible for the PMJAY scheme, you need not worry! With a number of affordable health insurance plans available in the market, you can rest assured. The Health Insurance plans on Finserv MARKETS, starting at just Rs. 198/month could be a great pick.
In case the BIS portal in not functioning, you can raise a ticket on AB PMJAY support portal to get a resolution for any kind of technical difficulties.
Yes, after completing the login process, you can choose to add a member through the online portal.
In case the insurance company rejects the record, the cases that are recommended for rejection will be finally verified for approval or rejection by State Health Agency (SHA).
The documents required include any government ID such as Aadhaar Card and Ration Card.