After months of consideration, the Rajasthan Government has finally agreed to implement Ayushman Bharat Pradhan Mantri Jan Arogya Yojana AB-PMJAY) with their existing healthcare scheme Bhamashah Swasthya Bima Yojana (BSBY).
With this existing health scheme, the Rajasthan government has been providing aid to almost 97 lakh families. With the flagship scheme in use, all eligible families under BSBY and AB-PMJAY will be eligible to avail health benefits up to 5 lakh per year.
Indu Bhushan, CEO AB-PMJAY and National Health Authority (NHA) said, “The National Health Authority has been constantly working closely with the Rajasthan government in finding ways to seamlessly integrate BSBY with AB-PMJAY. Rohit Singh, Additional Chief Secretary, Health, Rajasthan informed us about the approval for implementation of AB-PMJAY in the state,”
“The Centre will provide all policy related and technical support to the state”, she added.
Under this flagship scheme there are 1,393 health benefit packages with defined rates. Over 15,000 hospitals and health care providers have been selected across the country to provide healthcare services as per these benefit packages.
Technologically, the Rajasthan government is planning to roll out the scheme in accordance with the current software implementation, and systemic API-based integration with solution suite of NHA for benefits to be delivered under AB-PMJAY.
The Rajasthan government is taking all the measures to map all the packages specified under PM-JAY and BSBY. Also, Rajasthan has the resilience to expand beyond the AB-PMJAY packages. However, NHA would forsee that no registration process will be undertaken for hospitals registered under BSBY in the state.
AB-PMJAY provides a cover of up to ₹5 lakhs per family per year, for secondary and tertiary care hospitalisation to over 10.74 crore vulnerable entitled families (approximately 50 crore beneficiaries). PM-JAY provides cashless and paperless access to services for the beneficiary at the point of service.
Union minister of health and family welfare Harsh Vardhan recently wrote to the chief ministers of Delhi, Odisha, Telangana and West Bengal, urging them to join the AB-PMJAY. These states had, after major deliberations, refused to adopt the scheme under the previous central government.