PM rolls out Ayushman Bharat for Citizens aged 70 and above

  • 01 Nov 2024

In News:

Prime Minister Narendra Modi has expanded the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) to provide health coverage to citizens aged 70 years and above, regardless of their income or economic status. This move is aimed at addressing the healthcare challenges faced by India's elderly population, which has been growing rapidly.

Key Highlights of the Ayushman Bharat Expansion:

  • Health Coverage for Elderly:
    • Ayushman Vaya Vandana Card: This new health card offers Rs 5 lakh annually for individuals aged 70 and above. The coverage is shared within the family, so if there are multiple elderly beneficiaries in one household, the total cover will be split.
    • Scope: This initiative is designed to provide a safety net for elderly people, many of whom had previously been unable to access treatment due to high costs.
  • Significance of the Scheme:
    • India’s elderly population is rapidly growing, with the number of people over 60 expected to reach 319 million by 2050, up from 103 million in 2011.
    • The expansion of PM-JAY to include those aged 70+ is a critical step in making universal health coverage more inclusive as India’s population ages.
  • Eligibility and Registration:
    • Individuals aged 70 years and above must register on the PM-JAY portal or through the Ayushman app. Those who already have an Ayushman Bharat card must complete an eKYC process to receive the new card and coverage.
    • Exclusions: The scheme is not available in Delhi and West Bengal, as these states have not adopted the Ayushman Bharat scheme.
  • Financial Details:
    • The initial outlay for this expansion will be Rs 3,437 crore, covering the remainder of the current financial year and the next year.
    • Cover for Overlapping Health Schemes: Elderly individuals who are already covered under other government schemes (e.g., CGHS, Ex-Servicemen Contributory Health Scheme) will have the option to either continue with their current coverage or choose Ayushman Bharat. Those with ESIC or private insurance can access both Ayushman Bharat and their existing cover.
  • Coverage Scope:
    • The expansion is expected to benefit approximately 6 crore individuals across 4.5 crore families.
    • Existing Coverage: Around 1.78 crore elderly people are already covered under the scheme. Additional coverage will be provided to those not currently included in the scheme.
  • Interoperability with Other Schemes:
    • Those under the Central Government Health Scheme (CGHS), Ex-Servicemen Contributory Health Scheme (ECHS), or other similar schemes will need to choose between their current insurance and the Ayushman Bharat scheme.
    • However, individuals enrolled in Employees' State Insurance Corporation (ESIC) can have both their existing cover and the Ayushman Bharat coverage.
  • Rollout and Reach:
    • The scheme will be implemented across 33 states and Union Territories, except Delhi, Odisha, and West Bengal.
    • Over 29,600 hospitals, including more than 12,600 private facilities, are empanelled to provide treatment under PM-JAY.

Other Key Announcements:

  • U-WIN Portal: A pan-India digital platform for routine vaccinations, aimed at enhancing the efficiency of vaccination programs.
  • Critical Care Facilities: The Prime Minister also launched critical care infrastructure, including new facilities in AIIMS Bhubaneswar, Kalyani, and super-specialty units in Himachal Pradesh and Madhya Pradesh.