The Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) stands as a pillar of India’s healthcare system, providing an annual health cover of ₹5 lakh per family for secondary and tertiary care hospitalization. Launched in 2018, this scheme targets around 55 crore individuals from over 12 crore vulnerable families, making it the world’s largest publicly funded health assurance program.
Expanded Coverage for the Elderly
Recent developments indicate that the government is planning to include treatments for Alzheimer’s, dementia, and heart failure, primarily benefiting senior citizens aged 70 and above. This expansion could impact approximately six crore elderly individuals across 4.5 crore families, addressing common geriatric issues like stroke and cancer.
A specialized committee, consisting of medical experts, will continually assess and identify health packages focusing on senior care, ensuring timely and effective treatment for age-related ailments.
Comprehensive Package Inclusions
The National Health Authority outlines several key features of the Ayushman Bharat Yojana, including:
- All-Inclusive Treatment Packages: Coverage includes all expenses associated with hospitalization, from registration charges to bed fees in general wards.
- Professional Fees: All payments for medical professionals involved, including surgeons and anesthetists, are bundled into the treatment package.
- Diagnostic Tests: Extensive coverage of necessary tests like X-rays, MRIs, and CT scans is included, ensuring patients receive comprehensive care.
- Pre- and Post-Hospitalization Costs: The scheme covers consultations and medications up to 15 days before and after hospitalization, emphasizing holistic care.
- Surgical and Day-Care Packages: Payments are structured to support both surgical and non-surgical procedures, ensuring patients receive appropriate care without financial burden.
With its ongoing efforts to enhance healthcare accessibility and inclusivity, the Ayushman Bharat Yojana is not just a safety net for the financially vulnerable but a robust initiative aimed at improving health outcomes across the nation. As the scheme continues to adapt and expand, particularly for the elderly, it sets a precedent for comprehensive healthcare in India.
