ABHA Card
Ayushman Bharat Card Apply Online

What is Ayushaman Card?

Ayushman Card is a key component of the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), which is a health insurance scheme launched by the Government of India in 2018. The aim of the scheme is to provide financial protection and access to quality healthcare to economically vulnerable families across India. Under the scheme, eligible beneficiaries are provided with a unique identification card called the Ayushman Card, which can be used to avail cashless medical treatment at empaneled hospitals across the country.

The Ayushman Card is issued to eligible beneficiaries based on their socioeconomic status and other criteria, such as their inclusion in government welfare schemes, rural-urban Location, and gender. The card contains the beneficiary's name, photograph, and a unique identification number, along with details of the family members covered under the scheme. The card is linked to the beneficiary's Aadhaar number, which serves as a key identifier for availing benefits under the scheme.

Under the Ayushman Bharat scheme, eligible beneficiaries are entitled to free medical treatment up to a maximum of Rs. 5 lakh per family per year for a range of illnesses and medical conditions. This includes both pre-existing conditions and new illnesses, as well as secondary and tertiary care procedures such as hospitalization, surgeries, and chemotherapy. Beneficiaries can avail treatment at any of the empaneled hospitals across India, which are required to adhere to strict quality standards and pricing guidelines set by the government.

How to Apply for Ayushaman Card Online - ABHA Card Registration?

To apply for Ayushman Card online, follow these steps:

1. Visit the Visit Official Website of Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana at www.pmjay.gov.in.
2. Click on the 'Am I Eligible' tab on the homepage.
3. Enter your mobile number and captcha code, and click on the 'Generate OTP' button.
4. Enter the OTP received on your mobile number and click on the 'Submit' button.
5. You will be asked to provide details such as your name, date of birth, gender, and Aadhaar number. You may also be required to provide additional details such as your family's socioeconomic status and income level.
6. Once you have provided all the required details, click on the 'Submit' button.
7. Your eligibility for the scheme will be checked based on the details provided by you.
8. If you are found eligible, you will be provided with an Ayushman Card, which can be downloaded from the website or received by post.

Note: Alternatively, you can also visit a nearby Ayushman Bharat empaneled hospital or Common Service Center (CSC) to apply for the Ayushman Card. You will be required to provide your Aadhaar number and other details, and the hospital or CSC will assist you with the application process.

What are the Documents Required to Apply For Ayushman Bharat Yojana Scheme?

To apply for the Ayushman Bharat Yojana Scheme, you need to provide the following documents:

1. Aadhaar Card: The Aadhaar card is mandatory for availing of the benefits of the Ayushman Bharat Yojana Scheme. It serves as proof of identity and helps to verify your eligibility for the scheme.
2. Ration Card: A ration card is one of the necessary documents that you need to produce for the Ayushman Bharat Yojana Scheme application. The ration card will act as proof of income for you and your family.
3. Income certificate: An income certificate is mandatory for the Ayushman Bharat Yojana Scheme application. It will help the government verify your family's economic status and determine your eligibility for the scheme.
4. Bank Account Details: To receive the benefits of the Ayushman Bharat Yojana Scheme, you must provide your bank account details, including the account number and IFSC code.
5. Age proof: You need to provide proof of age, such as a birth certificate or Aadhaar card.
6. Medical history: If you have any pre-existing medical conditions, you need to provide relevant medical records and history.
7. Any other relevant documents: Any other documents required by the authorities for the Ayushman Bharat Yojana Scheme application, such as a medical certificate or referral letter from a government hospital.

Note: It is essential to note that the documents required for Ayushman Bharat Yojana Scheme may vary depending on the state in which you reside. Therefore, it is advisable to check with your local authorities or healthcare center to confirm the exact requirements.

Features of PMJAY: Ayushman Bharat Yojana Scheme?

The Pradhan Mantri Jan Arogya Yojana (PMJAY), also known as Ayushman Bharat Yojana Scheme, has several features that aim to provide financial protection and quality healthcare to the vulnerable sections of society. Some of the key features of PMJAY are:

• Coverage: PMJAY provides coverage of up to Rs. 5 lakh per family per year for secondary and tertiary care hospitalization. The scheme covers over 10.74 crore families, which amounts to over 50 crore individuals.
• Cashless Benefits: PMJAY provides cashless benefits to eligible beneficiaries at empaneled hospitals. This means that the beneficiaries do not have to pay anything out of their pocket for the treatment covered under the scheme.
• No Limitations: There is no cap on family size or age under PMJAY. All members of the eligible family can avail the benefits of the scheme irrespective of their age or gender.
• Paperless Transactions: PMJAY is a paperless scheme, which means that all transactions are cashless and paperless. This reduces the chances of fraud and misuse of the scheme.
• Pre-Existing Conditions: PMJAY covers pre-existing conditions and illnesses from the date of enrollment of the scheme. This provides financial protection to the beneficiaries in case of any unforeseen medical emergencies.
• Empaneled Hospitals: PMJAY empanels public and private hospitals to provide cashless benefits to eligible beneficiaries. These hospitals are required to adhere to the standards and guidelines set by the government to ensure quality healthcare services.
• Implementation: PMJAY is implemented through a robust IT platform that facilitates identification and verification of beneficiaries, claims management, and payment processing.

Overall, PMJAY aims to provide financial protection and quality healthcare to the vulnerable sections of society and reduce the financial burden of healthcare expenses on them.

What are the Benefits of Ayushman Bharat Yojana Scheme?

The Ayushman Bharat Yojana Scheme, also known as the Pradhan Mantri Jan Arogya Yojana (PMJAY), has several benefits for eligible beneficiaries. Some of the key benefits are:

• Financial Protection: PMJAY provides financial protection to eligible beneficiaries by covering the cost of hospitalization and treatment up to Rs. 5 lakh per family per year. This reduces the financial burden on the vulnerable sections of society and provides them with much-needed financial security.
• Access to Quality Healthcare: PMJAY empanels public and private hospitals to provide cashless benefits to eligible beneficiaries. This ensures that they have access to quality healthcare services without having to worry about the financial implications of their treatment.
• No Exclusions: PMJAY does not exclude any family on the basis of their income, occupation, or Location. This ensures that every eligible family, regardless of their socio-economic status, has access to quality healthcare services.
• Preventive Healthcare: PMJAY also provides coverage for select secondary and tertiary healthcare services for prevention and early detection of illnesses. This helps in early diagnosis and treatment of illnesses, which can reduce the burden of healthcare expenses in the long run.
• Reduces Out-of-Pocket Expenditure: PMJAY aims to reduce the out-of-pocket expenditure on healthcare for eligible beneficiaries. This can help in reducing the financial burden on households and provide them with much-needed financial relief.
• Comprehensive Coverage: PMJAY covers a wide range of illnesses and medical conditions, including pre-existing conditions. This ensures that eligible beneficiaries have comprehensive coverage and financial protection in case of any unforeseen medical emergencies.

Overall, the Ayushman Bharat Yojana Scheme provides financial protection and access to quality healthcare services to eligible beneficiaries, which can help in reducing the burden of healthcare expenses on vulnerable sections of society.

What is Covered under Ayushman Bharat Yojana Scheme?

The Ayushman Bharat Yojana Scheme, also known as the Pradhan Mantri Jan Arogya Yojana (PMJAY), provides coverage for a wide range of medical treatments and procedures. Some of the key treatments and procedures covered under PMJAY are:

• Hospitalization expenses: PMJAY provides coverage for hospitalization expenses, including room charges, nursing expenses, surgeon fees, and other medical expenses.
• Pre and post-hospitalization expenses: PMJAY also covers pre and post-hospitalization expenses for up to 3 days and 15 days respectively.
• Daycare procedures: PMJAY provides coverage for select daycare procedures, which do not require hospitalization for more than 24 hours.
• Critical illnesses: PMJAY provides coverage for select critical illnesses such as cancer, heart disease, and kidney disease, among others.
• Pre-existing conditions: PMJAY covers pre-existing medical conditions, which can be a relief for many beneficiaries who may have otherwise been excluded from health insurance coverage.
• Newborn and maternal care: PMJAY provides coverage for newborn and maternal care, including prenatal and postnatal care, delivery, and complications arising from childbirth.
• Diagnostic tests and imaging: PMJAY provides coverage for select diagnostic tests and imaging procedures, which can help in early detection and treatment of medical conditions.
• Medical procedures and surgeries: PMJAY provides coverage for select medical procedures and surgeries, including joint replacements, cataract surgery, and others.

Note: It is important to note that the specific treatments and procedures covered under PMJAY may vary depending on the empanelled hospital and the medical condition of the beneficiary.

Who is not eligible to avail coverage under the Ayushman Bharat Yojana?

While the Ayushman Bharat Yojana aims to provide coverage to as many people as possible, there are certain categories of individuals who are not entitled to avail coverage under the scheme. These include:

• Individuals who are already covered under another health insurance scheme.
• Individuals who own a motor vehicle, a mechanized farming tool or fishing boat, or who own more than 5 acres of irrigated land.
• Individuals who are beneficiaries of any other central or state government health scheme.
• Individuals who are income tax payers or who belong to households that pay income tax.
• Government employees and their dependents.
• Individuals who are employed in private sector organizations with more than 10 employees and are enrolled in Employee State Insurance (ESI) scheme.
• Individuals who are members of a registered cooperative society or a professional body, and who have access to medical facilities through such organizations.
• Those who hold a Kisan card

Note: It is important to note that the list of exclusions is subject to change, and individuals are advised to check the latest guidelines and regulations to determine their eligibility for coverage under the Ayushman Bharat Yojana.

What is Ayushman Bharat Eligibility Criteria Criteria for Rural and Urban People?

The eligibility criteria for the Ayushman Bharat Yojana are the same for both rural and urban people. To be eligible for coverage under the scheme, individuals must meet the following criteria:

• Socio-Economic Caste Census (SECC) Criteria: Socio-Economic Caste Census (SECC) Criteria: The beneficiaries will be identified based on the SECC 2011 database. The households included in the SECC database will be categorized into two categories – automatically included and those eligible based on deprivation criteria.
• Deprivation Criteria: The second category will include households that are deprived and whose information is not included in the SECC database. This will be determined based on the following criteria:
  • Households without shelter
  • Households with no adult member between 16 and 59 years of age
  • Households with a disabled member and no able-bodied adult member
  • SC/ST households
  • Households with no literate adults over 25 years
  • Landless households deriving major part of their income from manual casual labour
• Family Size:The scheme covers up to 5 members per eligible family.
• Age: There is no age limit for availing benefits under the scheme.

It is important to note that the eligibility criteria are subject to change, and individuals are advised to check the latest guidelines and regulations to determine their eligibility for coverage under the Ayushman Bharat Yojana.

What are the List of Critical Diseases covered under PM Jan Arogya Yojana (PMJAY)?

The PM Jan Arogya Yojana (PMJAY) provides financial protection to individuals and families for secondary and tertiary care hospitalization due to the following critical illnesses and medical conditions:

• Cancer
• Cardiovascular diseases
• Kidney diseases
• Neurological conditions
• Neonatal diseases
• Trauma cases
• Burns
• Polytrauma
• Sickle cell disease
• Musculoskeletal disorders
• Congenital disorders
• Diabetes complications
• Ear, nose and throat (ENT) conditions requiring surgical interventions
• Eye diseases requiring surgical interventions
• Gynaecological conditions requiring surgical interventions
• Communicable diseases requiring hospitalization

It is important to note that not all medical conditions and illnesses are covered under the PMJAY scheme. The specific medical conditions covered may vary depending on the state or union territory, and individuals are advised to check the latest guidelines and regulations to determine the exact scope of coverage under the PMJAY scheme.

How to contact For Ayushman Bharat Yojana Scheme?

If you have any queries or require any assistance related to the Pradhan Mantri Jan Arogya Yojana (PMJAY) scheme, you can contact the PMJAY Customer Care through the following methods:

• PMJAY Helpline Number: You can call the PMJAY toll-free helpline number at 14555 or 1800111565 from your registered mobile number. The helpline is available 24x7, and you can speak to a customer care executive to get your queries resolved.
• PMJAY Email: You can also send an email to the PMJAY support team at pmjay-info@gov.in, and they will respond to your queries.
• PMJAY Website: You can visit the official PMJAY website at www.pmjay.gov.in and navigate to the Contact Us page to find the contact details of the PMJAY National Health Authority.
• PMJAY Mobile Application: You can also download the PMJAY mobile application on your smartphone and use it to get information about the scheme and contact the customer care team.

Note: In case you have any issues or complaints, you can raise a grievance through the Grievance Redressal Mechanism available on the PMJAY website or by calling the helpline number. You will need to provide your PMJAY ID, registered mobile number, and other necessary details to help the customer care executive address your issue quickly.