Ayushman Bharat PM-JAY: India's Largest Health Insurance Scheme
| Category | Details |
|---|---|
| Scheme Name | Ayushman Bharat PM-Jay Jan Arogya Yojana (AB-PM-JAY) |
| Launch Date | 2018 |
| Insurance Coverage | Rs. 5 lakh per family per year for secondary and tertiary care hospitalization |
| Health Benefits | Coverage includes surgery, medical and day care treatments, cost of medicines and diagnostics |
| Beneficiaries | Identified by the latest Socio-Economic Caste Census (SECC) data; flexibility for States/UTs to use non-SECC databases |
| Funding | Shared 60:40 for all states and UTs with their own legislature; 90:10 in Northeast states, Jammu and Kashmir, Himachal Pradesh, and Uttarakhand; 100% Central funding for UTs without legislature |
| Nodal Agency | National Health Authority (NHA) under the Society Registration Act, 1860; State Health Agency (SHA) for state-level implementation |
| Eligibility Expansion | Senior citizens aged 70 years and above, irrespective of socio-economic status |
| Total Beneficiaries | 55 crore individuals corresponding to 12.34 crore families |
| Hospital Admissions Covered | 7.37 crore admissions, including 49% women beneficiaries |
| Financial Benefit | Over Rs. 1 lakh crore benefited under the scheme |