AYUSHMAN BHARAT – PRADHAN MANTRI JAN AROGYA YOJANA (AB-PMJAY)

June 23, 2019

The Rajasthan government has given an official go-ahead to implement the Central government’s flagship health insurance scheme, Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY).

States joining it:

  • AB-PMJAY will be integrated with Rajasthan’s existing state health scheme, Bhamashah Swasthya Bima Yojana (BSBY).
    • Rajasthan is currently providing benefits to 97 lakh families under the BSBY scheme, and many of the eligible families under AB-PMJAY are already covered under BSBY.

    • All eligible families will be made eligible to avail health benefits up to ₹5 lakh per year under the scheme.



  • This leaves only Delhi, Telangana, Odisha and West Bengal out of the scheme.

Price Review:

  • The Central scheme is also undergoing a price review of the over 1,000 medical packages being offered to patients to ensure sustainability and quality healthcare.

  • For this, the government has set up committees of leading doctors from across the country.

  • The Indian Medical Association has long been demanding a “reasonable and fair package rate” under Ayushman Bharat while consultants such as PricewaterhouseCoopers had said the rates were not sustainable for quality healthcare.

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