Cabinet Approves Ayushman Bharat – National Health Protection Mission (AB-NHPM)

Views: 37998Ministry: Ministry of Health and Family WelfareBeneficiaries: Everyone,

Cabinet Committee of Central government has approved the launch of Ayushman Bharat National Health Protection Mission (AB-NHPM). National Health Protection Scheme has the benefit cover of Rs. 5 lakh per family per year. This Centrally sponsored scheme will cover all the secondary care and most tertiary care procedures. AB-NHPM will subsume the ongoing centrally sponsored schemes Rashtriya Swasthya Bima Yojana (RSBY) and Senior Citizen Health Insurance Scheme.

Beneficiaries will be allowed to take cashless benefits from any Public / Private empanelled hospitals. Central govt. will provide payment on Package Rate basis. Package Rates will include all the costs associated with treatment. It will be a cashless, paperless transaction for beneficiaries. See List of Services at Health and Wellness Centres.

Latest Update – Check Ayushman Bharat List of Indian Hospitals to find PMJAY empanelled hospitals.

Pradhan Mantri Jan Arogya Yojana (PMJAY) – Complete Details

Pradhan Mantri Jan Arogya Abhiyan to start from 25 September 2018.

The target beneficiaries of the proposed scheme will be more than 10 crore bpl families belonging to poor and vulnerable population based on Socio Economic Caste Census – SECC-2011 Data. See Ayushman Bharat Yojana List of Beneficiaries. Treatment Package Rates for 1352 medical inspection and surgeries are finalized by the govt. and will soon be uploaded on the NHPM Portal. Ayushman Bharat Beneficiaries can now make registration at Common Service Centers (CSCs)

Ayushman Bharat National Health Protection Mission (AB-NHPM)

The important features and highlights of Ayushman Bharat Programme are as follows:-

  • To ensure that nobody is left out, there will be no cap on the family size and age in this scheme.
  • The benefit cover will also include pre and post-hospitalization benefits.
  • AB-NHPM will have a defined benefit cover of Rs. 5 Lakh per year per household.
  • NHPS benefits are portable across the country.
  • Beneficiaries can avail benefits in both Public and Private empanelled facilities.
  • Under this Ayushman Bharat Scheme, govt. will make payment for treatment on “Package Rate Basis”.
  • All the treatment cost will get included in Package Rates.

Ayushman Bharat Scheme is a Mega Health Insurance Scheme which will cover 10 crore families which includes around 50 crore people.

AB-NHPM Implementation

Cabinet Committee has made the following decisions to successfully implement the Ayushman Bharat Scheme.

  1. One of the core principles of AB-NHPM is Co-operative Federalism and Flexibility to states. There is a provision to partner the states through co-alliance.
  2. Under AB-NHPM, states will be free to choose the modalities for implementation. States can implement through Insurance Company or directly through Trust / Society or a Mixed Model.
  3. For giving policy directions and fostering coordination between Centre and States, cabinet committee proposed to setup Ayushman Bharat National Health Protection Mission Council (AB-NHPMC) at apex level chaired by Union Health and Family Welfare Minister.
  4. State would need to have State Health Agency (SHA) to implement the scheme.
  5. In partnership with NITI Aayog, a robust, modular, scalable and Inter-operable IT Platform will become operational which will entail a paperless and cashless transaction.

State / Districts Covered under AB-NHPM

AB-NHPM will get rolled out in all States / UTs in all districts with an objective to cover all targeted beneficiaries. NHPS Council will cooperate with various central government ministeries and State / UT governments who have already launched their own Health Protection Schemes for their own defined set of beneficiaries. There is a critical need to converge these schemes to achieve improved efficiency, reach and coverage.

Other Major Cabinet Decisions

— Cabinet Committee approves moving amendments in the “Surrogacy (Regulation) Bill, 2016”. This bill proposes to regulate surrogacy through establishment of National Surrogacy Board at the central level and State Surrogacy Board / Authorities in States / UTs. This bill prohibits commercial surrogacy but allows surrogacy for the needy infertile couples.
— Cabinet Committee also approves the inclusion of Parivara and Talavara Communities in the List of Scheduled Tribes (ST) in Karnataka.
— The other decision was to approve the North East Industrial Development Scheme (NEIDS), 2017 with an outlay of Rs. 3000 crore till March 2020.
— Moreover, govt. will continue Rashtriya Uchchatar Shiksha Abhiyan (RUSA) Till March 2020.
— Cabinet Committee has also approved “Integrated Scheme for Development of Silk Industry” for the next 3 years (2017-2020).
— Central Govt. also approves the Revision of Energy Norms under the New Urea Policy.
— Furthermore, Cabinet Committee also approves revision of agreement between India and Qatar for the avoidance of Double Taxation and for the prevention of Fiscal evasionwith respect to taxes on income.

References

— For all other details, visit the official website www.pmjay.gov.in

Also ReadAyushman Family Cards for Health Insurance under PMRSSM

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24 thoughts on “Cabinet Approves Ayushman Bharat – National Health Protection Mission (AB-NHPM)”

  1. This plan is good. But the economic census of 2011 is not correct.The beneficiary does not benefit from this plan.2011 that the economic census was done by the teacher who showed negligence.
    And did not play your responsibility fully sincerely.Because of which the real beneficiary was deprived of this wonderful scheme Government should think this.
    Maheshbhai Solanki(Gujarat)

    Reply
  2. मैं भी यहीं कहुँगा, ” ये योजना वास्तव में बहुत ही अच्छा और आज देश की स्थिति अनुसार आवश्यक भी हैं। ” सरकार को जरुरी कदम के साथ जरूरतमंद लोगों तक पहुँचा कर इस योजना को सफ़ल बनाना चाहिए। जिसकी सफ़लता सामाजिक स्तर पर एक ऐतिहासिक जीत होगी।
    !! धन्यवाद !!

    Reply
  3. scheme yearly fee not mention. half information given. IAS officers should know this. but i think they are not serious when they put it on cloud

    Reply
  4. AH-NHSM STILL IN BHARAT NO HOSPITAL ARE AVAILABLE. HOSPITALS ARE NOT MANAGED IN GOOD ENVIRONMENT AND HYGENIC. DOCTORS ARE LESS IN BHARAT. AGE FACTOR OF BHARTIYA AVERAGE 55 AS PER MY KNOWLEDGE. BHARAT HIGH POPULATED AREA DUE TO CASTE AND REILGION. POPULATION PROJECT OF INDIA LOST ITS FAITH. I BUILT PPP PROJECT BUILDINGS IN KARNATAKA 20 YEARS BACK ARE THEY DELIAPALATED.

    I SUGGEST 24X7 DUTY BOUND HOSPITALS NEED FOR BHARAT.
    WITHIN PERIMETER OF 2 KM WITH GOOD ACCESS OF ROAD IN THE INTENSILY POPULATED AREA OF 150 BEDEED HOSPITAL NEED BY GOI.
    PRIVATE HOSPITALS TAKE TECHNOLOGY FROM ABRAOD WE GOI GOK WILL TAKE HIGH TECH MACHINES AND GOOD KNOWLEDGE DOCTORS TO MISSION SUCCESSSFUL.

    Reply
  5. Namaste

    Kindly Add medical procedures covered Under Swasthya Beema Yojana

    [1] Blood Transfusion (for Anemic whose Blood Hemoglobin Count reach 5) Rs 9000+

    [2] Saline DRIP till Sodium (Na) Level Stabilises for Lowering of Sodium and fainting

    [3] If Possible INCREASE cataract Operation cost cover to Rs 15000 to be able to USE flexible Lens with Laser procedure

    pranaams pramodkaimalatgmail 9496872890

    Reply
  6. Under Prime Minister’s Swastya Beema Yojana

    Blood Transfusion for Elderly 85+ years OLD is NOT included NOW
    SO it cost me Rs 7000 (seven THOUSAND) plus to get the Transfusion for my 87 year old Father when His Hemoglobin COUNT went down to 5 and he got Breathless with Palpitations (He got Anemic)

    Also it cost Rs 3000 WHEN HIS SODIUM WENT LOW and he fainted on the ROAD and had to be given Saline for 3 days till the Sodium Level Stabilized

    Thank YOU my Heart felt Thanks that Cataract is Included for a Cost up to Rs 9000 one eye . At a time (then 3 years or so later for other eye)

    NOW may take for my 78+ Mother’s Left eye (the rigfh eye was already treated for Cataract Removal at a Police Arranged Camp to be conducted at a Missionary Hospital for FREE (rigid lens) NOT flexible that which would set the cost go up to Rs 15000 (one eye)

    Dandwath PRANAM 9496872890

    Pramod Purushotham Kaimal
    (Uniquely
    Sri Atmanda Memorial school
    Malakkara P.O.
    Between Edayaranmulla and Chengannur
    Pathanamthitta District
    Kerala, Bharat 689532

    A unique SCHOOL with THE UNIQUE APPROACH TO EDUCATION worth ONE STUDY VISIT by EDUCATIONISTS across the world

    Reply

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