Ayushman Bharat Pradhan Mantri Jan Arogya Yojna (AB-PMJAY) provides accessible and affordable health care to the common man in the country. 1. AB-PMJAY provides a cover up to Rs. three lakhs per family per year, for secondary and tertiary care hospitalization across the public and private empanelled hospitals in the country. 2. It provides cashless and paperless access to services for the beneficiary at the point of service. 3. Pre-existing conditions are covered from day one. 4. Benefits of the scheme are not portable across the country. Which of the following are correct about the scheme?

Ayushman Bharat Pradhan Mantri Jan Aarogya Yojna (AB-PMJAY)

• Ayushman Bharat, a flagship scheme of the Government of India, was launched as recommended by the National Health Policy 2017, to achieve the vision of Universal Health Coverage (UHC).
• This initiative has been designed to meet Sustainable Development Goals (SDGs) and its underlining commitment, which is to "leave no one behind."
• Ayushman Bharat is an attempt to move from a sectoral and segmented approach to health service delivery to a comprehensive need-based health care service.
• It offers a sum insured of Rs.5 lakh per family for secondary care (which doesn’t involve a super-specialist) as well as tertiary care (which involves a super-specialist). Hence statement 1 is incorrect.
• This scheme provides cashless and paperless access to health care services for the beneficiary at the point of service. Hence statement 2 is correct.
• Eligibility:
  • No restrictions on family size, age, or gender.
  • All pre–existing conditions are covered from day one. Hence statement 3 is correct.
• Covers up to 3 days of pre-hospitalization and 15 days of post-hospitalization expenses such as diagnostics and medicines.
• The benefits of the scheme are portable across the country. Hence statement 4 is incorrect.
• Services include approximately 1,393 procedures covering all the costs related to treatment, including but not limited to drugs, supplies, diagnostic services, physician’s fees, room charges, surgeon charges, OT and ICU charges, etc.
• Public hospitals are reimbursed for healthcare services at par with private hospitals.