Pradhan Mantri Jan Arogya Yojana: A Comprehensive Guide

What is “Pradhan Mantri Jan Arogya Yojana”?

Pradhan Mantri Jan Arogya Yojana (PMJAY) is a government-backed health insurance scheme aimed at providing affordable medical care to India’s economically vulnerable families. Launched in September 2018, PMJAY is a part of the Ayushman Bharat Mission and aims to cover over 50 crore Indian citizens, offering financial protection against medical expenses.

Benefits of “Pradhan Mantri Jan Arogya Yojana”

Benefit Description Details
Financial Coverage
Up to Rs. 5 lakh per family per year for secondary and tertiary care.
Wide Network of Hospitals
Access to both public and private hospitals across India.
Cashless and Paperless
Cashless treatment at empaneled hospitals and easy claim process.
Coverage for Pre-existing Conditions
All pre-existing conditions covered from day one of policy implementation.
Comprehensive Health Benefits
Includes coverage for over 1,500 medical conditions and procedures.

Eligibility for Pradhan Mantri Jan Arogya Yojana

Criteria Details
Socio-Economic Caste Census (SECC) 2011 data
Families identified based on deprivation criteria in SECC 2011.
Rural Area Eligibility
Families in rural areas with one room with kucha walls and kucha roof, no adult member between ages 16 to 59, female-headed households with no adult male member between ages 16 to 59, among other criteria.
Urban Area Eligibility
Occupation-based criteria such as beggars, rag-pickers, domestic workers, street vendors, etc.

How to Apply for Pradhan Mantri Jan Arogya Yojana

  1. Visit the Official Website: Go to the PMJAY official website (https://pmjay.gov.in).
  2. Check Eligibility: Use the eligibility check tool by entering your mobile number and CAPTCHA code.
  3. Visit Empaneled Hospitals: Eligible beneficiaries can visit any empaneled hospital with their identification documents.
  4. Provide Identification: Submit the required documents to verify identity and eligibility.
  5. Receive e-Card: Once verified, you will receive an e-card that can be used to avail cashless treatment at any empaneled hospital.
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Documents Required for Pradhan Mantri Jan Arogya Yojana

Document Type
Specific Documents Required
Identity Proof
Aadhaar Card, Voter ID, or any government-issued ID.
Address Proof
Ration Card, Utility Bills, or any valid proof of residence.
Eligibility Proof
SECC 2011 data reference or certificate from local authority.

How to Check Application Status

  1. Visit the PMJAY Website: Go to the official PMJAY website (https://pmjay.gov.in).
  2. Login: Use your registered mobile number and OTP to log in.
  3. Check Status: Navigate to the application status section and enter your application ID or other required details to view the current status.

Sources and References

Common FAQs on Pradhan Mantri Jan Arogya Yojana

Q1: Who is eligible for PMJAY?
A: Eligibility is determined based on the Socio-Economic Caste Census (SECC) 2011 data. Specific criteria apply for both rural and urban areas.

Q2: What medical treatments are covered under PMJAY?
A: PMJAY covers over 1,500 medical conditions, including surgeries, medical procedures, and pre-existing conditions.

Q3: How can I find an empaneled hospital?
A: You can find a list of empaneled hospitals on the PMJAY official website or through the Ayushman Bharat mobile app.

Q4: What documents are needed to apply for PMJAY?
A: You need identity proof, address proof, and eligibility proof based on SECC 2011 data.

Q5: How do I apply for PMJAY?
A: Check your eligibility on the PMJAY website, visit an empaneled hospital, and provide the necessary documents to receive an e-card.

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