Punjab Mukh Mantri Sehat Bima Yojana (AB-PMJAY MMSBY) 2026: Ayushman Bharat PMJAY Mukh-Mantri Sehat Bima Yojana 2026 has been launched by the Punjab government. AB-PMJAY MMSBY is providing financial protection to 100% population of state of Punjab. Mukh Mantri Sehat Bima Scheme is entitlement based cashless health insurance cover of Rs. 10 Lakh per family per year. Under this scheme, cashless and paperless treatment is available at government and empanelled private hospitals. People can now check their name in the Punjab Ayushman Bharat scheme list of beneficiaries as well as hospitals at sha.punjab.gov.in
Anyone can visit the official website of AB-PMJAY MMSBY at sha.punjab.gov.in for list of hospitals, treatments and eligibility details. This Mukh Mantri Sehat Bima Yojana scheme was approved on 10 July 2025 as a state's flagship State Health Insurance Scheme. People can now check how to avail benefits of Ayushman Bharat Mukh Mantri Sehat Bima Yojana in Punjab. The complete details and highlights of this scheme are given in this post.
Latest Update - Sehat Bima Yojana Extended
Punjab government has extended the scheme by making several changes to the Sehat Bima Yojana, here are the key changes made:
- Eligibility Expanded: The scheme has been broadened to include coverage for single individuals.
- 17 New Procedures Added: Patients can now receive treatment for 17 additional medical procedures at empanelled private hospitals.
- ENT (Ear, Nose, and Throat): New inclusions cover nasal bone fracture reduction and adenoidectomy.
- General Surgery: Added procedures include hydrocele surgery, abscess treatment, appendectomy, and both open and laparoscopic gallbladder surgeries.
- Regulated Costs: The package rates for these newly approved procedures have been capped between ₹2,000 and ₹27,800.
These expansions are designed to reduce the burden on major government hospitals, shorten wait times, and allow patients to receive timely treatment closer to home.
List of 17 Newly Added Procedures
| Procedure Details | Package Information | Mandatory Documents |
|---|---|---|
|
SN: 1 Speciality: ENT Code: SL010A* Package: Fracture - setting nasal bone Procedure: Fracture - setting nasal bone |
Price: 8000 LOS: 2 Referral: No Auto Approved: Yes |
Pre-Authorization: MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture, X Ray/CT Claim Processing: Post procedure X-ray, Post procedure clinical photograph of affected part, detailed Procedure / Operative Notes. Detailed discharge summary |
|
SN: 2 Speciality: ENT Code: SL015A* Package: Adenoidectomy Procedure: Adenoidectomy |
Price: 5000 LOS: 1 Referral: No Auto Approved: Yes |
Pre-Authorization: Clinical notes with supporting investigation reports. X Ray Adenoids, Clinical Photograph Claim Processing: Histopathology report, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes. Detailed discharge summary |
|
SN: 3 Speciality: General Surgery Code: SG056A* Package: Operation for Hydrocele (U/L) Procedure: Operation for Hydrocele (U/L) |
Price: 15700 LOS: 1 Referral: No Auto Approved: Yes |
Pre-Authorization: Clinical notes and +/- Scrotal USG confirming the diagnosis Claim Processing: Histopath, Intra procedure clinical photograph, Detailed Operative notes and detailed discharge summary |
|
SN: 4 Speciality: General Surgery Code: SG084A* Package: Incision & Drainage of Abscess Procedure: Incision & Drainage of Abscess |
Price: 5000 LOS: 1 Referral: No Auto Approved: Yes |
Pre-Authorization: Clinical notes and USG report confirming large abscess. Claim Processing: C/S report of Wound or Pus, Intra operative clinical photograph, Detailed Operative notes & detailed discharge summary. |
|
SN: 5 Speciality: General Surgery Code: SG039A* Package: Cholecystectomy Procedure: Without Exploration of CBD - Open |
Price: 27800 LOS: 6 Referral: No Auto Approved: No |
Pre-Authorization: Clinical notes and USG confirming the diagnosis Claim Processing: Intra procedure clinical photograph, Detailed discharge summary, Detailed Operative notes |
|
SN: 6 Speciality: General Surgery Code: SG039C* Package: Cholecystectomy Procedure: Without Exploration of CBD- Lap. |
Price: 27800 LOS: 6 Referral: No Auto Approved: No |
Pre-Authorization: Clinical notes and USG confirming the diagnosis Claim Processing: Intra procedure clinical photograph, Detailed discharge summary. Detailed Operative notes |
|
SN: 7 Speciality: General Surgery Code: SG017A Package: Appendicectomy Procedure: Open |
Price: 19700 LOS: 3 Referral: No Auto Approved: No |
Pre-Authorization: Clinical notes and USG confirming the diagnosis Claim Processing: Histopathology report, Intra procedure clinical photograph of removed appendix, post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
|
SN: 8 Speciality: Obstetrics & Gynecology Code: SO053C* Package: Medical Termination of Pregnancy Procedure: MTP > 12 weeks |
Price: 6500 LOS: 1 Referral: Yes Auto Approved: Yes |
Pre-Authorization: Admission Notes comprising of history and examination with indications for the procedure, Relavant Investigations (establishing diagnosis), USG- Obstetric confirming the above package. Has medicolegal compliance been done? Claim Processing: Detailed Procedure/ Operative Notes, Intraop. stills HPE of specimen, Progress notes, Detailed discharge summary |
|
SN: 9 Speciality: Obstetrics & Gynecology Code: SO014A* Package: Hysterotomy Procedure: Hysterotomy |
Price: 5000 LOS: 1 Referral: Yes Auto Approved: No |
Pre-Authorization: Admission Notes comprising of history and examination with indications for the procedure, Relavant Investigations (establishing diagnosis), USG- Obstetric confirming the above package. Has medicolegal compliance been done? Claim Processing: Detailed Procedure/ Operative Notes, Intraop. stills with date & patient ID, HPE of specimen, Progress notes, Detailed discharge summary |
|
SN: 10 Speciality: Obstetrics & Gynecology Code: SO046A Package: Hospitalisation for Antenatal Complications Procedure: Hospitalisation for Antenatal Complications |
Price: 0 LOS: NA Referral: Yes Auto Approved: No |
Pre-Authorization: Admission Notes comprising of history and examination with indications for the procedure, Relavant Investigations (establishing diagnosis), Claim Processing: Detailed Procedure/ Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
|
SN: 11 Speciality: Obstetrics & Gynecology Code: SO045A* Package: EUA for (minor girls/ unmarried sexually inactive/ victims of sexual abuse) Procedure: EUA for (minor girls unmarried sexually inactive/ victims of sexual abuse) |
Price: 2000 LOS: 1 Referral: No Auto Approved: No |
Pre-Authorization: Admission Notes comprising of history and examination with indications for the procedure, Relavant Investigations (establishing diagnosis). and parental consent (incase of minor girls) Claim Processing: Detailed Procedure/ Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
|
SN: 12 Speciality: Ophthalmology Code: SE014A* Package: Pterygium+ Conjunctival Autograft Procedure: Pterygium + Conjunctival Autograft |
Price: 9300 LOS: 1 Referral: No Auto Approved: No |
Pre-Authorization: Clinical notes and Retinoscopy, Corneal topography (not mandatory). keratometry, Clinical Photograph Claim Processing: Still image of the the procedure with pt. ID and date, detailed discharge summary, detailed operative notes. |
|
SN: 13 Speciality: Ophthalmology Code: SE002A* Package: Entropion correction Procedure: Entropion. correction |
Price: 6600 LOS: 1 Referral: No Auto Approved: No |
Pre-Authorization: Clinical notes and Clinical Photograph Claim Processing: Detailed discharge summary, Still image of the the procedure with pt. ID and date, operative notes. |
|
SN: 14 Speciality: Ophthalmology Code: SE003A Package: Entropion correction Procedure: Entropion correction |
Price: 6500 LOS: 1 Referral: No Auto Approved: No |
Pre-Authorization: Clinical notes and Clinical Photograph Claim Processing: Detailed discharge summary, Still image of the the procedure with pt. ID and date, operative notes. |
|
SN: 15 Speciality: Orthopedics Code: SB047A* Package: Tendon Release / Tenotomy Procedure: Tendon Release/ Tenotomy |
Price: 5000 LOS: 1 Referral: No Auto Approved: Yes |
Pre-Authorization: Clinical notes and justifying need of surgery, clinical photograph of affected part Claim Processing: Post Procedure clinical photgraph, detailed Procedure/ Operative Notes. Detailed discharge summary |
|
SN: 16 Speciality: Orthopedics Code: SB029A Package: Open Reduction of Small Joint Procedure: Open Reduction of Small Joint |
Price: 8500 LOS: 2 Referral: No Auto Approved: Yes |
Pre-Authorization: Clinical and radiological investigations confirming the diagnosis (X-ray of affected joint), clinical photograph of child Claim Processing: Post procedure imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary, Invoice and barcode of implant |
|
SN: 17 Speciality: Orthopedics Code: SB020A* Package: Ankle Fractures Procedure: Open Reduction Internal Fixation |
Price: 15600 LOS: 5 Referral: No Auto Approved: Yes |
Pre-Authorization: Clinical notes and X-ray of ankle joint, clinical photograph of affected part Claim Processing: Detailed discharge summary Post Procedure clinical photgraph, detailed Procedure/ Operative Notes, Invoice and barcode of implant |
Punjab Ayushman Bharat Mukh Mantri Sehat Bima Yojana 2026 Details
Ayushman Bharat Mukh Mantri Sehat Bima Yojana was announced by the Chief Minister of Punjab. The main motive through the implementation of the scheme is to provide cashless treatment to all of the residents of Punjab state. The paperless treatment will be provided to the poor people of the state so that they can go to the hospital for their checkup and also undergo surgeries without any financial worries. Also, yearly incentives are provided under the scheme.
How to Check Punjab Mukh Mantri Sehat Bima Yojana List of Beneficiaries
Here is the complete process to know whether a family is entitled under Ayushman Bharat Mukh Mantri Sehat Bima Yojana (AB-PMJAY MMSBY) Scheme:
STEP 1: Firstly visit the official website at https://sha.punjab.gov.in/shapunjab/index.php
STEP 2: At the homepage, click at the "Check Your Eligibility" link.
STEP 3: Direct Link - https://sha.punjab.gov.in/shapb/publicPages/benSearchView.php
STEP 4: Afterwards, the AB-PMJAY MMSBY Scheme Beneficiary Search page will open as shown below:-
STEP 5: Here applicants can enter the Aadhar Card, enter the captcha image text and click the "Search" button.
Eligibility Criteria for Punjab Mukh Mantri Sehat Bima Yojana
The common eligibility criteria to avail the benefit of the Mukh Mantri Sehat Bima Yojana in Punjab is given below:-
- The applicant must be a resident of Punjab state
- The applicant must hold a valid Aadhar card.
Mukh Mantri Sehat Bima Yojana Registration Process
Offline registration process for the beneficiaries has started under the scheme. Citizens can visit the camps in their area with Aadhaar Card and Voter ID card.
However, you can also generate your Ayushman Bharat Card by visiting the official website beneficiary portal of NHA.
Core features of Mukh Mantri Sehat Bima Yojana Scheme
Here are the important features of Ayushman Bharat Mukh Mantri Sehat Bima Yojana Scheme in Punjab:
- Insurance Coverage - A cashless health insurance cover of Rs 10 Lakh per family per year.
- Number of Packages & Empaneled Hospitals - Cashless secondary care & tertiary care treatment (1579 packages) in public & empanelled private hospitals of Punjab & Chandigarh. 180 packages reserved for Government Hospitals.
- Registration Entitlement based Scheme.
- Coverage of Pre-Existing Diseases - Pre-existing diseases are covered and treatment package includes 3 day’s pre-hospitalization and 15 day's post hospitalization expenditure.
- Premium Cost Sharing - For Ayushman Bharat Yojana beneficiaries, central and state govt. will bear premium cost on 60:40 ratio. For remaining beneficiaries which are included exclusively in Mukh Mantri Sehat Bima Yojana, Punjab govt. will bear the entire premium expenses.
- Where to Avail Treatment - Beneficiaries can avail health services at empanelled private and government hospitals of Punjab and Chandigarh.
- Significance – MMSSBY Scheme will cover 100% of population of state in comparison to 12% covered under PMJAY scheme. Similar schemes in other states only covers around 30% of state’s population.
Category of Beneficiaries Covered under AB-PMJAY MMSSBY
Many types of beneficiaries are covered under the Mukh Mantri Sehat Bima Yojana which is launched by the Chief Minister of Punjab state. Here is the list of beneficiary categories covered under Ayushman Bharat Mukh Mantri Sehat Bima Yojana:
| NFSA Ration Card | 22.12 Lakh |
| SECC | 16.65 Lakh |
| Construction Workers | 0.23 Lakh |
| Small Traders | 0.33 Lakh |
| Journalist | 2794 |
| Farmers | 5.58 Lakh |
E-Cards Download for Beneficiaries
Now all the people who are eligible beneficiaries of Mukh Mantri Sehat Bima Yojana in Punjab can get their e-cards. They can take their e-cards from any public hospital or CSC. Punjab Mukh Mantri Sehat Bima scheme has received an overwhelming response from general public and thousands of people have already checked their eligibility on the official website.
Beneficiaries can download their health card visiting the official website beneficiary portal of NHA.
Empaneled Hospitals List under Mukh Mantri Sehat Bima Yojana
Here is the direct link to check the govt. and empanelled private hospitals list under the Sehat Bima Yojana - https://hem.nha.gov.in/search
Download Complete PDF of Hospitals List
Mukh Mantri Sehat Bima Yojana Treatment Package List
The complete specialty wise treatment packages list covered under this scheme is available on the official website at this link: https://sha.punjab.gov.in/shapb/publicPages/packageMasterView
Just select your specialty and the complete list of treatments will open, you can also download this list in PDF format by clicking on the "PDF" button.
Helpline Number / E-mail ID
Email ID: info@shapunjab.in
Helpline Number: For any type of clarification/ information/ complaints contact on Toll-Free No. 104 or 14555.
Address: State Health Agency Punjab, BSNL Circle Office, Sub. City Center, Sector 34A, Sector 34, Chandigarh, 160022.
