Ayushmaan Bharat (AB) - Full Benefit Details

Ayushmaan Bharat (AB) - National Health Protection Mission (NHPM) - Full Benefits

A high level benefits of Ayushmaan Bharat Scheme which has been launched by the Central Government of India under the NHPM - National Health Protection Mission.  So lets look at the various benefits for the citizens of India.

Ayushmaan Bharat (AB) Key Benefits

• A cover of Rs. 5 Lakhs per family per year for secondary and tertiary care
• There is no restriction on family size, age or gender
• All members of eligible families as present in SECC database are automatically covered
• No money needs to be paid by the family for treatment in case of hospitalization
• All pre-existing conditions are covered from day one of the policy. The benefit cover will include pre & post hospitalization
• You can go to public or empanelled private hospitals across the country and get free treatment
• You need to carry any prescribed ID to receive treatment at the hospital

Beneficiary Level Benefits of Ayushmaan Bharat 

• Government provides health insurance cover of up to Rs. 5,00,000 per family per year.
• More than 10.74 crore poor and vulnerable families (approximately 50 crore beneficiaries) covered across the country.
• All families listed in the SECC database as per defined criteria will be covered. No cap on family

size and age of members.

Priority to girl child, women and and senior citizens.

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

Covers secondary and tertiary care hospitalization.

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

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

Cashless and paperless access to quality health care services.

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

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 of Ayushmaan Bharat 

• 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

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