Ayushman Bharat Yojana – Eligibility, Procedure, Govt. Proposal | Answer Given by Govt. in Loksabha

(a) the details of eligibility criteria and procedure prescribed to provide benefits of medical facilities to the patients under AB-PMJAY;

(b) whether the Government has empanelled sufficient number of hospitals under the Yojana and if so, the details thereof, State/UT-wise;

(c) the criteria for empanelment of more Government/ private hospitals under the Yojana along with the details of hospitals proposed to be empanelled, State/UT-wise including Maharashtra;

(d) the steps taken by the Government for effective implementation, creating awareness and to make the Yojana user friendly;

(e) the appropriate steps taken by the Government to make the said Yojana more welfare oriented and people friendly; and

(f) whether the Government has received any suggestion/complaint from general public or State Governments regarding the said Yojana and if so, corrective measures taken/proposed to be taken by the Government in this regard, State/UT-wise?

Ayushman Bharat Yojana

Sanjay Haribhau Jadhav

Shiromani Ram

Omprakash Bhupalsinh alias Pawan Rajenimbalkar

Vinayak Bhaurao Raut

Bhavana Gawali (Patil)

Krupal Balaji Tumane

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:-

(a) the details of eligibility criteria and procedure prescribed to provide benefits of medical facilities to the patients under AB-PMJAY;

(b) whether the Government has empanelled sufficient number of hospitals under the Yojana and if so, the details thereof, State/UT-wise;

(c) the criteria for empanelment of more Government/ private hospitals under the Yojana along with the details of hospitals proposed to be empanelled, State/UT-wise including Maharashtra;

(d) the steps taken by the Government for effective implementation, creating awareness and to make the Yojana user friendly;

(e) the appropriate steps taken by the Government to make the said Yojana more welfare oriented and people friendly; and

(f) whether the Government has received any suggestion/complaint from general public or State Governments regarding the said Yojana and if so, corrective measures taken/proposed to be taken by the Government in this regard, State/UT-wise?

ANSWER

THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) to (f): Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is an entitlement-based scheme. Eligible beneficiaries can directly visit any empanelled public or private hospital to avail cashless treatment. The details of eligibility criteria for availing medical facilities by the beneficiaries under the scheme are at Annexure-I. State/UT-wise details of empanelled hospitals are at Annexure-II. All Government hospitals of and above the level of Community Health Centre (CHC) are deemed empanelled under the scheme. Details of criteria for empanelment of private hospitals are as under:

• General criteria – For hospitals that provide non-specialised general medical and surgical care with or without ICU and emergency services.

• Special criteria (for clinical specialties) – For each specialty, a specific set of criteria is identified. A hospital is not allowed to apply for selected specialties and must agree to offer all specialties to scheme beneficiaries. In order to offer a specialised clinical service, the hospital must have necessary infrastructure and HR in place.

Empanelment of private hospitals is voluntary on their part. Intending private hospitals apply for empanelment and get empanelled subject to fulfilment of laid down criteria.

Details of steps taken for effective implementation, creating awareness and to make the Yojana user-friendly are at Annexure-III. Feedback received from various stakeholders is duly incorporated in the steps taken to improve implementation of the scheme.

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Source : Loksabha