To apply for an Ayushman card (also known as the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana or AB-PMJAY card) in India, you can follow these steps
1. Visit the Official Website
Go to the official website of Ayushman Bharat PMJAY (https://pmjay.gov.in/).
2. Check Eligibility
Check if you are eligible for the scheme. Generally, households listed in the Socio-Economic Caste Census (SECC) database are eligible.
3. Locate Common Service Centers (CSCs)
Locate the nearest Common Service Centers (CSCs) using the CSC Locator tool on the website.
4. Visit CSC
Visit the CSC with necessary documents (proof of identity, proof of address, Aadhaar card, and other relevant documents).
5. Enrollment Form
Fill out the Ayushman Bharat PMJAY enrollment form available at the CSC.
6. Verification and Registration
Your documents will be verified, and you will be registered for the scheme.
7. Ayushman Family Card
Once your application is processed, you will receive an Ayushman family card.
8. Avail Benefits
You can now avail cashless treatment at empanelled hospitals under the Ayushman Bharat PMJAY scheme
Note: The process may vary slightly depending on your state, so it’s advisable to check the specific guidelines for your region.
Eligibility criteria for ayushman health card
The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) provides health coverage to economically weaker sections of society. Eligibility criteria include:
1. Socio-Economic Criteria
Families listed in the Socio-Economic Caste Census (SECC) database are eligible.
2. Income Criteria
Families with an annual income below a specified threshold are eligible. The income criteria vary by state.
3. Categories Covered
The scheme covers both rural and urban poor households.
4. Household Criteria
The scheme covers families with no adult members between 16 and 59 years of age, families with a disabled member and no able-bodied adult, and female-headed households with no adult male member between 16 and 59 years.
5. Priority Households
The scheme gives priority to families with senior citizens, disabled members, and those with no able-bodied adult member.
It’s important to note that the eligibility criteria may vary slightly by state, so it’s advisable to check the specific guidelines for your region.
Limit of Ayushman Card
The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) provides coverage of up to ₹5 lakh per family per year for secondary and tertiary care hospitalization. This coverage includes expenses related to medical and surgical treatments, diagnostic procedures, medicines, and other related costs.
Is Ayushman Card free
Yes, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is free for eligible beneficiaries. There is no enrollment fee or premium to be paid by the beneficiary for availing the benefits of the scheme.
How long does it take for Ayushman Card approval
The approval process for Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) can vary depending on the location and specific circumstances. Generally, once you submit your application and necessary documents at a Common Service Center (CSC), it may take a few days to a few weeks for your application to be processed and approved. It’s advisable to follow up with the CSC or the relevant authorities for updates on your application status.
Ayushman Card be used in private hospital
Yes, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) can be used in private hospitals that are empanelled under the scheme. Empanelled hospitals must meet certain quality standards and agree to the pricing guidelines set by the scheme. Eligible beneficiaries can avail cashless treatment at these empanelled private hospitals for covered medical conditions.
Diseases are not covered under Ayushman Bharat
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) covers a wide range of medical conditions, but there are some exclusions. The following are some diseases or treatments that are generally not covered under the scheme:
- Cosmetic surgeries or procedures that are not medically necessary
- Fertility treatments and assisted reproductive techniques
- Organ transplant procedures, except for kidney transplants as per the scheme guidelines
- Drug rehabilitation and de-addiction programs
- Treatment for gender reassignment
- Treatment for injuries resulting from hazardous activities or participation in illegal activities
- Treatment for congenital anomalies in children, unless specified in the scheme guidelines
It’s important to check the specific guidelines and exclusions for your region, as they may vary.
Processing fee for Ayushman Card
There is no processing fee for the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) card. Eligible beneficiaries can avail the benefits of the scheme free of cost, including the enrollment process and any medical treatments covered under the scheme.
Can we claim Medical bills in Ayushman Card
Yes, under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), beneficiaries can claim reimbursement for medical expenses incurred for treatments covered under the scheme. However, the process and requirements for reimbursement may vary, so it’s advisable to check with the relevant authorities or the hospital where the treatment was received for specific instructions on how to claim reimbursement.
Ayushman card valid for all family members
Yes, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) card is valid for all family members covered under the scheme. Each eligible family will receive a single Ayushman family card that can be used by all family members to avail the benefits of the scheme.
Ayushman Card cover pregnancy
Yes, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) covers expenses related to childbirth and pregnancy complications. The scheme provides coverage for both normal deliveries and cesarean sections, as well as treatment for any complications that may arise during pregnancy or delivery.
Difference between Ayushman Card and ABHA card
The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) card and the Ayushman Bharat Health and Wellness Centers (AB-HWC) card, also known as the ABHA card, are two components of the Ayushman Bharat scheme but serve different purposes:
1. AB-PMJAY Card
This card is issued to eligible beneficiaries under the AB-PMJAY scheme. It provides access to cashless treatment for specified medical conditions at empanelled hospitals.
2. ABHA Card
The ABHA card is issued under the AB-HWC component of Ayushman Bharat. It is meant to facilitate access to primary healthcare services at Health and Wellness Centers (HWCs) across the country. The ABHA card allows beneficiaries to avail free primary healthcare services, including essential drugs and diagnostics, at HWCs.
MRI Covered by Ayushman Card
Yes, Magnetic Resonance Imaging (MRI) is covered under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) for eligible beneficiaries when prescribed by a doctor as part of the treatment for a covered medical condition. The cost of the MRI scan will be covered under the scheme, and beneficiaries can avail the service at empanelled hospitals.
How to add a family member to Ayushman Card
To add a family member to your Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) card, you will need to follow these steps
1. Visit CSC
Visit the nearest Common Service Center (CSC) with your AB-PMJAY card and the necessary documents for the family member you want to add.
2. Fill out Form
Fill out the form for adding a family member to your card. You may need to provide details such as name, age, relationship with the primary cardholder, and Aadhaar number.
3. Document Verification
Submit the form along with the necessary documents for verification. Documents may include proof of identity, proof of relationship, and Aadhaar card of the family member.
4. Update Process
The CSC operator will update the information in the system and issue a new or updated AB-PMJAY card with the added family member.
5. Collect New Card
Once the process is complete, collect the new or updated AB-PMJAY card with the added family member’s details.
It’s important to check the specific requirements and procedures at your CSC, as they may vary.
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