Overview of Ayushman Bharat Jan Arogya Yojana
Ayushman Bharat Jan Arogya Yojana, launched on 23/09/2018, offers health insurance coverage of Rs 5 lakh per family annually with benefits for all family members without restrictions. It is cashless, paperless, and portable to over 14,000 hospitals nationwide.
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Presentation Transcript
Ayushman Ayushman Bharat Jan Jan Arogya Bharat Pradhan Arogya Yojana Pradhan Mantri Yojana Mantri UT of Dadra & Nagar Haveli & Daman & Diu.
Introduction Introduction Launch of scheme : 23.09.2018. Implementation Mode Insurance Mode Insurance Company The Oriental Insurance Com. Ltd. No of Hospitals Empanelled 4 DNH & 3 DD
Benefits of the Scheme Benefits of the Scheme A cover of Rs.5 lakh per Family Per Year. There is no restriction on family size, age or gender. All member of eligible families as present in SECC database are automatically covered. All pre-existing disease conditions are covered from day one of the policy.
Scheme is cashless & paperless at any empanelled hospitals. Scheme is portable all over India in all empanelled hospitals More 14000 hospitals empanelled all over India.
Beneficiaries Beneficiaries 1. SECC Families:- The premium would be paid by the National Health Authority and UT Administration. 2. Non SECC Families: Additional four category added by UT Administration.
Non SECC Families Non SECC Families A. Resident families whose family annual income is below 1.5 lakh- The premium will be paid by the U.T Administration B. Resident families whose annual income is above 1.5 lakh- The premium will be paid by the beneficiary. C. Building and Other Construction Workers (BOCW): The premium will be paid by BOCWWelfare Board. D. NFSA Families: Premium borne by UT Administration & NHA
REGISTRATION DATA TOTAL Category MEMBERS FAMILIES SECC FAMILIES 153413 26342 Enrolment of Income Above 1.5 lakh Families 54259 11420 Enrolment of Income below 1.5 lakh Families 104241 19998 BOCW Families 5214 1721 NFSA Families 8311 2066 Total 325438 61547 100% SECC families have been enrolled in the district
Renewal and New Enrollment policy SECC Families Auto renewal Non SECC Families 1)Resident families whose annual income is below 1.5 lakh Auto renewal 2)All resident families whose annual income is above 1.5 lakh Self Renewal after payment of premium. 3)BOCW (Building and Other Construction Workers) Renewal by producing labour card provided by the labour board. 4)NFSA Families- Policy creation of members whose name is provided by Food & Civil Supplies department.
Premium of the Policy Premium Rs. 1052/- per family would be paid by the National Health Authority and Premium share Rs. 1398/- per family would be paid by UT Administration for SECC Families. Premium Rs. 2450/- per family per annum+ GST 441, Admin Cost 200. Total-Rs 3091 per family per annum for families with annual income above 1.5 lakhs. Premium Rs. 2450/- per family per annum for families with annual income bellow 1.5 lakhs.Premium will be paid by UT Administration . Premium Rs. 2450/- per family per annum for Building and Other Construction Workers (BOCW) The premium will be paid by Labour Welfare Board. Premium Rs. 1052/- per family would be paid by the National Health Authority and Premium share Rs. 1398/- per family would be paid by UT Administration for NFSA Families.
List of Valid Resident Proofs List of Valid Resident Proofs Passport, Bank Statement/ passbook (6 months old or older) Post office Account Statement / Passbook (6 months old or older) Ration Card (6 months old or older) Voter ID (6 months old or older) AADHAR card (6 months old or older) Driving License (6 months old or older) Government Photo ID Card/ service photo ID issued by PSU Electricity Bill (from 6 months- 18 months old) Water Bill (from 6 months- 18 months old) Telephone Landline Bill (from 6 months- 18 months old) Property tax receipt (from 6 months- 18 months old) Credit Card Statement (from 6 months- 18 months old)
Insurance Policy Signed letter having photo from Bank on letter head Signed letter having photo issued by registered company on letter head (only for employees / family) Signed letter having photo issued by Recognized educational institution on letter head (only for current year ) NREGS Job Card Arms License Pensioner Card Freedom Fighter Card Kissan Passbook CGHS/ECHS Card
Income Tax Assessment Order (6 months old or older) Vehicle Registration Certificate (6 months old or older) Registered Sale/ lease / Rent Agreement (6 months old or older) Address Card having Photo issued by department of Posts Caste and domicile certificate having photo issued by state government Disability ID Card / handicapped medical certificate issued by respective state / UT Government / Administration Gas Connection bill (from 6 months - 18 months old) Passport of spouse Passport of parents (in case of minor)
