Ayushman Bharat Hospital List

Overview

These days health care insurance has become an important part of every family. In a country like India, the cost of healthcare facilities is arising at such a level that without insurance it is impossible to bear the cost. Talking of which those who want to know more about the Ayushman Bharat Hospital List first should understand the insurance coverage that can be available for yourself and the family to deal with the health risk. If you are not secured with health insurance yet then look out for health insurance from the experts. You can avail some of the best features such as a cashless claim facility, easy online process and even tax benefits to name some. 

The role of Healthcare for the vulnerable sections of Indian society

There is no denial of the fact that India’s major number of populations lives below the line of poverty. Besides, more than 365 million Indian citizens are living in poverty to date. Even if India is progressing from the past few years but there is still a long way to go. One of the government’s efforts for ending all such cruises is Ayushman Bharat Golden Card through the PMJAY scheme which is also referred to as the Ayushman Bharat Yojana scheme that works against healthcare for the poor people.

What is the PMJAY scheme?

Launched in the year 2018, the PMJAY scheme focuses on providing better healthcare facilities that are accessible and affordable to more than 50 crores of Indian citizens. There is a Jan Arogya Hospital List that shall be known to you so that you can avail the advantages of the scheme from those hospitals. The scheme is started to offer the economically margined Indian society, better financial support. There is an e-card which is given on enrolment of this scheme. This card can give cashless treatment. It has been designed to offer the coverage of Rs 5 lakh in a year to the family that has been registered under this scheme. So far 10 crore people have Ayushman Bharat Golden Card on the name registered.

Features

• The cooperative federalism principle is to work stringently while following the adequate flexibility to the states in terms of expense incurred.

• The payment shall be made as per the package. The overall price, certain services and the process can also be included in such a package but that must be defined by the government in charge.

• There will be an Ayushman Bharat National Health Protection Mission Council that shall be set for facilitating with central and state governments. There will be an apex body that shall be handled by the Union minister for health and family welfare.

• Every state shall be asked to create a health agency to seamlessly implement the scheme.

• There is advancement with an advanced IT platform that will be designed under the leadership of NITI Aayog, to ensure all the transactions covered in the plan are paperless and scalable.

The Benefits of the PMJAY Scheme

• It covers the routine expenses within the insurance package.

• It makes provisions for the follow-up treatments to ensure the complete recovery of the patient.

• It provides a cashless facility to its beneficiaries.

• It handles all the uncovered hospital expenses with ease.

• It covers the transport allowances of the beneficiary during the pre-hospitalization and post-hospitalization period.

• It also covers the pre-existing ailments of the beneficiary, which are included under the PMJAY plan.

What Is The Hospitalisation Process?

When the beneficiary is in the hospital for some intensive care and cannot deal with the monetary expense that is when this scheme can be useful. In this, every Ayushman Bharat Hospital that is empanelled will be considered as Auyushman Mitra. The primary focus of such a hospital is to assist the eligible families at the primary level. There will be a help desk that such hospitals shall run to verify the documents of the patient and go-ahead for their enrolment process. 

Once this is accomplished the beneficiary will be given letters with some QR code. Such letters would work as the demographic authentication that shall enable them to have the complete set of post and pre-hospitalization advantages. The scheme along with some associated benefits are quite printable across the country. This makes sure even if there is a location change it will not be a problem for the beneficiary.

Where can one find the list of hospitals under PMJAY?

After the implementation of the Ayushman Bharat Yojana scheme has been announced, there have been quite a few hospitals that were empanelled. The estimation states that more than 15000 hospitals are now part of such a scheme out of which 50% are private hospitals already. If you want to check the whole list of hospitals then you first must visit the government’s official PMJAY website hospitals.pmjay.gov.in to get the hospital in your jurisdiction.

• Visit the following link https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew

• Choose your state and your district

• Choose the type of hospital you’re looking for (public, private and for-profit, private and not for profit) 

• Choose the medical speciality you need. Suppose, general, paediatric, neurosurgery, cancer, gynaecology, etc.

• A captcha will appear where you need to type it in the box below.

• Click on search And the list of de-empanelled hospitals under the PMJAY scheme will appear in front of you which you can download later too.

What is covered under the PMJAY scheme?

• A tissue expander (related to disfigurement caused by burns)

• Drug rehabilitation

• Fertility related procedures

• OPD

• Individual diagnostics (evaluation)

• Around 1400 procedures

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

• OT expenses and other related expenses

• Critical diseases covered under the scheme

• Coronary artery bypass grafting

• Double valve replacement

• Anterior spine fixation

• Exclusions under the scheme

• Cosmetic related procedures

• Organ transplants

• Carotid angioplasty

• Pulmonary valve replacement

• Laryngopharyngectomy (gastric pull-up)

• Surgical and medical treatment cannot be simultaneously reimbursed

• Prostate cancer

• Skull base surgery

What is Needed for Ayushman Bharat registration?

There is no special process as such for the Ayushman Bharat registration. But you must check the eligibility criteria and come up with some relevant documents to get an e-card. This includes:

• Scanned Copy of Aadhar

• Special Category Certificates

• Caste Certificate

• Age proof

• Id Proof

• Income Certificate

• Contact Information

Documents Need to claim Ayushman Bharat Yojana

There are empanelled hospitals that shall have the 'Ayushman Mitras' who shall be assisting the patients. They shall even further coordinate with not just the beneficiaries but also the hospital. They further will have a help desk where they shall verify the documents and see if the person is eligible. The eligible beneficiaries will then be given letters that have QR code that needs to be scanned.

Then comes the demographic authentication that shall be conducted for the identification purpose to avail the benefits of the scheme. If there are medical packages then it is important to upload the details and even hand over the pre-and post-op investigations for pre-authorization/claims' settlement.

How to check eligibility for the PMJAY scheme?

• Visit the official PMJAY website hospitals.pmjay.gov.in and click ‘Am I eligible’

• Fill in your contact number and enter the captcha 

• Click on ‘generate OTP’

• Choose your state

• Enter your name/ ration card number/ HHD number/ mobile number

• Check search results to know if you and your family are eligible

• You can visit an Empanelled Health Care Provider (EHCP) or call 14555 or 1800-111-565.

Who is covered under PMJAY Rural?

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

• Landless families who are casual manual labourers

• Manual scavengers and their families

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

• Scheduled tribe and scheduled caste families

• Homeless individuals

• Families with at least one person who is physically challenged

• Tribal communities that are primitive

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

• Bonded labourers

Who is covered under PMJAY Urban?

• Ragpickers

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

• Domestic help

• Washerman /chowkidars

• Mechanics, repair workers, electricians

• Artisans based out of home, tailors, handicraft workers

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

• Owning a two, three, or four-wheeler or a motorized fishing boat

• Gardeners, sweepers, sanitation workers,

• Drivers, helpers, conductors, rickshaw or cart pullers

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

• People Who are Not Entitled to Health Coverage under PMJAY Scheme

People who are not eligible for availing PMJAY health services include the ones 

• Have a Kisan card with a credit limit of INR 50,000

• Have a mechanized farming equipment

• Owning refrigerators and landlines

• Owning 5 acres or more of agricultural land

• Employed by the government

• Earning a monthly income above INR 10,000

• With decently build houses

• Working in government-managed non-agricultural enterprises

Conclusion

With the uncertainties in life that have been growing to quite an extent in the healthcare industry, there is no doubt that the demand for health insurance plans has increased to a great extent over some time now. The Indian government is quite keen to offer the citizens the best healthcare solution to deal with medical emergencies. Rather, the authority is even coming up with a better solution to improve the public health expense to 2.5% of the overall GDP of the country by the 2025 year. Because of this Indian Government has come up with Pradhan Mantri Jan Arogya Yojana that subsumes Ayushman Bharat Yojana offering financial protection to the poor during unannounced medical exigency.

Question and Answers

How to Check AB-PMJAY Hospital List?

After 2018, when the scheme was launched, there have been quite a several hospitals across the country that were empanelled under this scheme. Currently, more than 15,000 hospitals are part of it. To find the empanelled hospitals list, you need to follow given below steps:

• Visit the link provided below https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlsNew

• Select your state and district area 

• Choose the type of hospital you are looking for and the medical guidance you need

• Enter the captcha code

• Hit search tab

The system will show the list of the PMJAY empanelled hospitals with respective addresses, contact details, and the official website. It is even possible to check the Ayushman Bharat Hospital List for understanding Ayushman Bharat Hospital List.

What is Ayushman Bharat Golden Card?

Those beneficiaries who are part of the PMJAY scheme can avail of the cashless healthcare solution at any point in time with the help of the Ayushman Bharat Golden Card. The beneficiaries are given this card during registration that has all the important details and is important to show it while availing the treatment under such scheme.

How to get the Ayushman Bharat Yojana Card?

Some steps need to be followed to get the Ayushman Bharat Yojana Card. The guidelines are simple. Simply focus on going with the process given below:

• Visit the official PMJAY website hospitals.pmjay.gov.in

• Login with your registered contact number 

• Enter the captcha code 

• There will be an OTP (One-Time-Password) generated

• OTP for the HHD code

• Give the correct HHD code to the Common Service Centre (CSC)

• All the details will be checked and verified

• The CSC representative will finish the remaining process

• Pay INR 30 to get the Ayushman Bharat Golden Card