This Scheme was first published on the “Press Information Bureau, Government Of India” website and for more info, you can visit “www.pmjay.gov.in” website.

Ayushman Bharat often referred to as ‘Modicare’, is expected to be launched by the Union government on August 15. According to a release issued by Press Information Bureau (PIB), this scheme has a benefit cover of Rs. 5 lakhs per family per year. The target beneficiaries of the scheme are more than 10 crore families belonging to poor and vulnerable populations based on SECC (Socio-Economic Caste Census) database. This benefit covered under the ‘Ayushman Bharat’ scheme will take care of almost all secondary care and most of the tertiary care procedures. Features & Benefits: ·‘Ayushman Bharat’ scheme will target about 10.74 crores of poor, deprived rural families and identified occupational category of urban workers families as per the latest Socio-Economic Caste Census (SECC) data covering both rural and urban populations. · There will be no cap on family size and age · Pre and post-hospitalization expenses: All pre-existing conditions will be covered from day one of the policy. A defined transport allowance per hospitalization will also be paid to the beneficiary. · Portable across the country and a beneficiary covered under the scheme will be allowed to take cashless benefits from any public/private impaneled hospitals across the country. ·To control costs, the payments for treatment will be done on the package rate (to be defined by the Government in advance) basis. The package rates will include all the costs associated with treatment. Keeping in view the state-specific requirements, states/ Union Territories will have the flexibility to modify these rates within a limited bandwidth. IMPLEMENTATION STRATEGY: · At the national level to manage, an Ayushman Bharat National Health Protection Mission Agency (AB-NHPMA) would be put in place. States/ UTs would be advised to implement the scheme by a dedicated entity called the State Health Agency (SHA). They can either use an existing Trust/ Society/ Not for Profit Company/ State Nodal Agency (SNA) or set up a new entity to implement the scheme. ·States/ UTs can decide to implement the scheme through an insurance company or directly through the Trust/ Society or use an integrated model. For more details, please visit: https://www.abnhpm.gov.in/ https://nha.gov.in/PM-JAY