The Union Cabinet has approved the launch of ‘Ayushman Bharat’ -National Health Protection mission. The Scheme has the benefit cover of 5 lakh rupees per family per year. The target beneficiaries under the scheme will be over 10 crore poor and vulnerable families. The scheme will subsume the ongoing centrally sponsored schemes- Rashtriya Swasthya Bima Yojana (RSBY) and senior citizen health insurance scheme (SCHIS).
AB-NHPM aims to target over 10 crore families belonging to poor and vulnerable population based on Socio Economic and Caste Census 2011 (SECC) database. It will cover of Rs 5 lakh per family per year, taking care of almost all secondary care and tertiary care procedures. There will be no cap on family size and age in the scheme.
The scheme allows the beneficiary to take cashless benefits from any public or private empanelled hospitals across the country. The payment for treatment will be done on package rate which will be defined by Government in advance basis. The package rates will include all the costs associated with treatment.
States/UTs will have also flexibility to modify these rates within limited bandwidth. For beneficiaries, it will be cashless and paper less transaction States will be required to form State Health Agency (SHA) to implement scheme and at district level also, a structure for implementation of the scheme will be set up.