Odisha settles 22,13,702 claims worth Rs 6,081.05 crore

Odisha processed and settled 22,13,702 treatment claims worth Rs 6,081.05 crore under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) and Gopabandhu Jan Arogya Yojana (GJAY) over the 18 months from April 2025 to September 2026. The figures were shared at a review meeting chaired by State Health Assurance Society (SHAS) CEO Dr Gavali Parag Harshad.

So far, 3.46 crore people have been brought under AB-PMJAY-GJAY's universal health care cover. The ABPMJAY online portal generated 3.45 lakh cards, and 1.79 crore physical co-branded cards were distributed. Odisha ranks first nationally in physical card distribution.

Individual cards are also generated through Aadhaar-based e-KYC at Common Service Centres (CSCs), with help from ASHA workers. People without a physical co-branded card can get care at empanelled hospitals by showing a ration or Aadhaar card. Odisha has 774 empanelled private hospitals, and efforts are underway to speed up empanelment of government hospitals.

Under PM-RAHAT, road accident victims of any economic status are entitled to free treatment of up to Rs 1.5 lakh for seven days if registered under the scheme within 24 to 48 hours of the accident. Non-empanelled hospitals can treat eligible victims by logging into the HEM Lite portal, where applications are auto-approved.