Chhattisgarh

• 29 Aug 2024

Chhattisgarh to Increase Amount Under Ayushman Scheme

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.