The objective of PMJAY is to reduce the financial burden of poor and vulnerable groups arising out of catastrophic hospital episodes and ensure their access to quality health care services.
₹5 lakhs covered per eligible family per year for Secondary and Tertiary care as cashless treatment on family floater basis.
All families listed inthe SECC-2011 database as per defined criteria will be covered.
Currently 1394 packages covering surgery, medical and day care treatments, along with medicine and diagnostics will be covered under PMJAY as per norms and guidelines of the Scheme.
Yes. Altogether 221 procedures are reserved for Government hospitals only.
No, the card is free and no fee is to be paid for obtaining the card.
Government will issue a family Card, authorizing the beneficiary to use the same for cashless treatment of all the family members at the empanelled hospitals under this Scheme.
Government has issued the card to the beneficiary family directly as per SECC data of the year 2011 for availing Cashless Treatment.
Only one single card will be issued to particular eligible family.
Beneficiary family will approach the Joint Director, Health with relevant proof of FIR to issue Duplicate Card, in their respective Districts.
Hospitals which have signed MoU for providing patients with healthcare facilities under PMJAY both inthe Government and Private sectors.
For availing treatment under these scheme, a beneficiary can go directly to any empanelled hospital, both Government & Private sector or call the toll free number 18001027480 for guidance or for referral. The reserved procedures for Government hospitals will only be available in Government hospitals.
Beneficiary should approach Ayushman Mitra help desk at each of the empanelled hospitals, who will be there 24 x 7 for supporting and hand holding the beneficiaries and ensuring their treatment experienceisinaseamlessand cashless manner.
No, patient will get cashless treatment in empanelled hospitals up to ₹5 lakhs per annum per family and the amount will be reimbursed to the hospitals directly. No cash will be paid to patients.
No cap on family size and age of members.
In case of any queries or grievance, a beneficiary can always call toll free number 18001027480 at any time 24 x 7. Additionally, one can also send mail at firstname.lastname@example.org
Yes, all pre-existing diseases are covered under the Scheme and empanelled hospitals cannot deny treatment to the beneficiaries.
No, hospitals cannot charge any additional amount until ₹5 lakhs is completely exhausted by the beneficiary, if it gets exhausted it will get top up if covered in critical care under “AAA” card up to ₹2 lakhs. Hospitals will not be allowed to charge any additional money from beneficiaries for the treatment within the sum assured of ₹5 lakhs.
At the time of Hospitalization within and outside Assam, the Beneficiary will need to show his/her PMJAY Card along with one ID Proof ( Voter ID / PAN card / Licence etc.)
Government employees (Central or State / Serving or Retired) are not eligible for benefit under the Scheme “PMJAY” or “Atal Amrit Abhiyan”
They can approach District Kiosk in every district to know about their status of PMJAY card or call the toll free number 1800 102 7480.
They can approach directly to the District Kiosk of the respective Districts or get it from Mobile enrolment kiosk.