Private Insurance Companies in Ayushman Bharat

Ministry of Health and Family Welfare
Private Insurance Companies in Ayushman Bharat
Posted On: 16 JUL 2019 by PIB Delhi
Under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), states have the flexibility to choose the mode of implementation. They can either implement it in insurance mode, or through a trust or in a mixed mode i.e. both the insurance and trust mode.  The States implementing scheme through Insurance mode select Insurance Company through open tendering process. The private insurance companies are allowed to bid in the open tendering process to allow level playing field. However, the decision lies with the State Government concerned and the Government has no role in the selection of Insurance company.
Under AB-PMJAY, 1393 procedures have been laid down for treatment of beneficiaries.  A statement indicating State-wise number of beneficiaries admitted for treatment and amount on account of hospitalization is given below:
Details of Hospitalization under AB-PMJAY
Sl. No.
State
No of Hospital Admissions
Amount for Hospital Admissions
Andaman And Nicobar Islands
23
69,900
Andhra Pradesh
147,378
4,149,416,562
Arunachal Pradesh
709
11,894,687
Assam
57,176
837,883,007
Bihar
56,139
565,105,942
Chandigarh
958
8,793,795
Chhattisgarh
611,216
4,467,368,971
Dadra And Nagar Haveli
13,327
84,385,920
Daman And Diu
5,031
42,497,182
Goa
1,415
45,784,121
Gujarat
523,011
9,152,275,799
Haryana
31,985
423,768,613
Himachal Pradesh
21,621
189,594,841
Jammu And Kashmir
23,712
143,539,076
Jharkhand
201,369
1,553,624,781
Karnataka
218,461
5,530,356,358
Kerala
574,448
2,863,340,460
Madhya Pradesh
107,718
1,505,484,559
Maharashtra
148,753
3,866,353,985
Manipur
3,801
61,403,820
Meghalaya
21,581
136,463,418
Mizoram
14,823
81,043,280
Nagaland
1,265
12,524,639
Sikkim
171
1,099,250
Tamil Nadu
256,395
6,186,951,217
Tripura
20,499
64,803,621
Uttar Pradesh
130,721
1,434,346,595
Uttarakhand
55,379
462,166,166
West Bengal
17,636
170,981,470
Grand Total
3,266,721
44,053,322,035
The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.
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Source: PIB

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