Pradhan Mantri Jan Arogya Yojana (PMJAY) is the health insurance component of Ayushman Bharat. It provides eligible beneficiaries with cashless health coverage of up to ₹5 lakh per family per year for secondary and tertiary hospitalisation. The scheme covers economically vulnerable families identified through government databases and, since September 2024, all senior citizens aged 70 years and above irrespective of income.
| Particulars | Details |
| Scheme Name | Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) |
| Launch Date | 23 September 2018 |
| Coverage Amount | Up to ₹5 lakh per family per year |
| Beneficiaries | 55 crore+ |
| Ayushman Cards Issued | 44 crore+ |
| Empanelled Hospitals | 36,000+ |
| Treatment Packages | 1,900+ |
| Coverage Area | All 28 States and 8 Union Territories |
| Senior Citizen Coverage | All citizens aged 70+ |
Pradhan Mantri Jan Arogya Yojana (PMJAY) was launched under the Ayushman Bharat initiative (Ayushman card) to improve access to affordable healthcare and reduce out-of-pocket medical expenses. The scheme provides financial protection against hospitalisation costs and enables eligible beneficiaries to receive cashless treatment at empanelled public and private hospitals across India.
PMJAY is jointly implemented by the Central Government and State Governments through insurance and trust-based models. It is one of the world's largest government-funded health assurance programmes.
Ayushman Bharat PMJAY is now operational across all 28 States and 8 Union Territories in India.
Recent implementation milestones include:
The scheme currently covers more than 55 crore beneficiaries and supports cashless treatment through a network of over 36,000 empanelled hospitals.
Pradhan Mantri Jan Arogya Yojana (PMJAY) is designed to provide financial protection against hospitalisation expenses while improving access to quality healthcare across India.
Following is a step-by-step guide on how to register for the Pradhan Mantri Jan Arogya Yojana:
Step 1: Visit the official PMJAY website.
Step 2: Click the 'Am I Eligible' tab from the top menu.
Step 3: Fill in the captcha code, mobile number, and OTP for verification.
Step 4: Fill in the same captcha and click 'Login'
Step 5: Select your state, district, and search criteria, then fill in all the details
Step 6: Your name will appear in the results if your family is eligible.
Step 7: If you do not have a PMJAY card, then click on the 'Apply' button under the column 'Action'
Step 8: Then authenticate your Aadhaar card through OTP received at your registered mobile number and fill in all the other required details
Step 9: Your Ayushman Bharat Yojana registration will be complete.
After you register for the Ayushman Bharat Yojana, you can get cashless treatment for various diseases and procedures at any private or public hospitals empanelled under the PMJAY. You can click here to find the nearest empanelled hospital.
You can also download the PMJAY hospital list by clicking here to avail cashless medical treatment.
The PMJAY includes critical diseases and pre- and post-hospitalization expenses. Here is a list of diseases covered under the Ayushman Bharat Yojana:
While this scheme provides financial support for most critical illnesses, specific treatments are not covered under PMJAY:
The eligibility criteria for registering on the Ayushman Bharat portal vary for rural and urban residents. Additionally, the Union Cabinet expanded the coverage of the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PMJAY) in September 2024 to include all senior citizens aged 70 and above.
Here is a list of documents needed for the Ayushman Bharat portal login process:
Beneficiaries can apply for the Ayushman Bharat Yojana Card, which offers the convenience of paperless, cashless, and portable transactions under the PMJAY scheme. Simply present the card at any hospital for quick and easy service. Here's how you can download the Ayushman Bharat Card:
Step 1: Visit the official PMJAY website.
Step 2: Click the ‘Am I Eligible’ link from the top menu.
Step 3: Enter the captcha code, mobile number and OTP for verification purposes and click ‘Login’.
Step 4: Choose the ‘State’, ‘Sub scheme’ as ‘PMJAY’, ‘District’, ‘Search By’ and enter the required information and click ‘Search’.
Step 5: After logging, click the ‘Download Card’ button against your name.
Step 6: Select the ‘Aadhaar OTP’ option. Your Aadhaar number will be visible. Click ‘Verify’.
Step 7: Tick the consent and click ‘Allow’. Enter the Aadhaar OTP and mobile OTP. Click on the download icon to download your Ayushman card.
To obtain a PMJAY patient card, follow these steps after qualifying for PMJAY benefits:
Step 1: Visit the nearest Common Service Centre (CSC) or an empanelled hospital for PMJAY.
Step 2: Present your ration card or Aadhaar card for verification at the PMJAY kiosk.
Step 3: Confirm the family details from the certified list using a PM letter and an RSBY card.
Step 4: Print the e-card with the unique AB PMJAY ID after verification.
Step 5: Use the e-card as valid proof for future use.
Follow the below steps to check PMJAY beneficiary list:
Step 1: Visit the official NHA beneficiary website.
Step 2: Enter the captcha code, mobile number and click ‘Verify’.
Step 3: Enter the OTP sent to your mobile number, captcha code and click ‘Login’.
Step 4: Choose the ‘State’, ‘Sub scheme’ as ‘PMJAY’, ‘District’, ‘Search By’ and enter your Family ID, Aadhaar number or PMJAY ID, captcha code and click ‘Search’.
Step 5: The PMJAY beneficiary list will be displayed on the screen.
Private insurance companies offer regular health insurance schemes, while government health insurance schemes are insurance coverages provided by the government for no or lower premiums, such as the PMJAY. Here are the differences between the two:
| Features | Private Health Insurance | Government Health Insurance |
| Eligibility | All individual citizens | Lower-income group families |
| Premium | Paid by the policyholder | 100% free; fully funded by the government with zero premiums or co-pays required from eligible beneficiaries |
| Insured amount | Maximum insurance coverage of up to ₹6 crores | Maximum insurance coverage of up to ₹5 lakh |
| Coverage | Broader coverage | Narrow coverage |
| Hospital room | Single hospital room available depending on the plan | Single hospital room may not be available under the plan |
| Empanelled hospitals | Wide network of empanelled private hospitals | Selected private and public hospitals |
| Ambulance charges | Available under most plans | Available under selected plans |
| Maternity benefits | Available under many plans, usually subject to waiting periods, sub-limits, and insurer-specific conditions. | Maternity-related hospitalisation, including normal delivery and C-section, may be covered under relevant PMJAY treatment packages where applicable. However, PMJAY is not a dedicated maternity insurance scheme and coverage depends on the approved package and eligibility criteria |
| Health check up | Covered under most plans | Not covered |
| Cumulative bonus | Available if there is no claim in the previous year | Not available |
| Tax benefits | Available under Income Tax Act | Not available |
PMJAY provides financial protection and access to quality healthcare for eligible beneficiaries across India.
Pradhan Mantri Jan Arogya Yojana (PMJAY) is one of India's largest government-funded health insurance schemes, providing cashless healthcare coverage of up to ₹5 lakh per family per year. Eligible beneficiaries can complete e-KYC, download their Ayushman Card, and avail cashless treatment at empanelled hospitals nationwide.
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