Bhubaneswar: Chief Minister Mohan Majhi embarked on a two-day visit to New Delhi on Monday to sign an MoU for implementation of Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), integrating it with the state’s Gopabandhu Jan Arogya Yojana, in Odisha.
He is being accompanied by state Health Minister Dr Mukesh Mahaling.
The agreement will be signed in the presence of Union Health Minister J P Nadda at Vigyan Bhawan at 2 pm. Union Ministers from Odisha, Dharmendra Pradhan and Jual Oram, will also be present during the MoU signing event.
Under the new arrangement, a single health card will be issued to each eligible beneficiary, consolidating the benefits of both the schemes. Approximately 67.8 lakh families in Odisha will be eligible for health insurance coverage of up to Rs 5 lakh per family annually under AB-PMJAY. Women will continue to receive additional helth coverage of up to Rs 5 lakh as part of the initiative, sources said.
Earlier this month, a central team led by CEO of National Health Authority L S Changsan held discussions with Health secretary Aswathy S, mission director of NHM Dr Brunda Das and senior officials to finalise the modalities for integration of the two schemes.
Key Features of PM-Jana Aarogya Yojana (PM-JAY)
>> PM-JAY provides a cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization across public and private empanelled hospitals in India
>> PM-JAY provides cashless access to health care services for the beneficiary at the point of service, that is, the hospital.
>> PM-JAY envisions to help mitigate catastrophic expenditure on medical treatment which pushes nearly 6 crore Indians into poverty each year.
>> It covers up to 3 days of pre-hospitalization and 15 days post-hospitalization expenses such as diagnostics and medicines.
>> Over 12 crore poor and vulnerable entitled families (approximately 55 crore beneficiaries) are eligible for these benefits
>> There is no restriction on the family size, age or gender.
>> All pre–existing conditions are covered from day one.
>> Benefits of the scheme are portable across the country i.e. a beneficiary can visit any empanelled public or private hospital in India to avail cashless treatment.
>> Services include approximately 1,929 procedures covering all the costs related to treatment, including but not limited to drugs, supplies, diagnostic services, physician’s fees, room charges, surgeon charges, OT and ICU charges etc.
>> Public hospitals are reimbursed for the healthcare services at par with the private hospitals.
