Chhattisgarh to Increase Amount Under Ayushman Scheme

• 29 Aug 2024

Why in News?

According to the sources, The Chhattisgarh government is planning to enhance the treatment limit under the Ayushman Bharat Pradhan Mantri - Jan Arogya Yojana from the current Rs 5 lakh to Rs 10 lakh for all non-APL (Above Poverty Level) card holders in the coming months.

Key Points

• Under the scheme around 55 lakh Below Poverty Level (BPL) families and around 8 lakh (APL) families will benefit.
  • People that need specialised care for complex medical conditions in hospitals will also benefit.
• According to the health department, 35.41 lakh people availed the benefits under the scheme in Chhattisgarh.

Ayushman Bharat Pradhan Mantri - Jan Arogya Yojana

• About:
  • PM-JAY is the world’s largest health insurance scheme fully financed by the government.
  • Launched in 2018, it offers a sum insured of Rs.5 lakh per family for secondary care and tertiary care.
    • Health Benefit Packages covers surgery, medical and day care treatments, cost of medicines and diagnostics.
• Beneficiaries:
  • It is an entitlement-based scheme that targets the beneficiaries as identified by latest Socio-Economic Caste Census (SECC), 2011 data.
    • The National Health Authority (NHA) has provided flexibility to States/UTs to use non- Socio-Economic Caste Census (SECC) beneficiary family databases with similar socio-economic profiles for tagging against the leftover (unauthenticated) SECC families.
• Funding:
  • The funding for the scheme is shared 60:40 for all states and UTs with their own legislature, 90:10 in Northeast states and Jammu and Kashmir, Himachal and Uttarakhand and 100% Central funding for UTs without legislature.
• Nodal Agency:
  • The National Health Authority (NHA) has been constituted as an autonomous entity under Society Registration Act, 1860 for effective implementation of PM-JAY in alliance with state governments.
  • The State Health Agency (SHA) is the apex body of the State Government responsible for the implementation of ABPM-JAY in the State.