Health Sector – UHC, National Health Policy, Family Planning, Health Insurance, etc.

Cabinet approves ₹5 lakh Health Cover for Senior Citizens

Note4Students

From UPSC perspective, the following things are important :

Prelims level: AB PM-JAY and its beneficiaries

Why in the News?

The Union Cabinet has approved health coverage of ₹5 lakh for all senior citizens aged 70 years and above, regardless of their income, under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY).

About Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY)

  • AB PM-JAY is the world’s largest publicly funded health assurance scheme, offering ₹5 lakh of coverage per family annually for secondary and tertiary care hospitalizations.
  • It was launched in February 2018.
  • It is a Centrally Sponsored Scheme having central sector component under the Ayushman Bharat Mission.
  • It covers surgery, medical and day care treatments, cost of medicines and diagnostics.
    • It covers up to 3 days of pre-hospitalization and 15 days post-hospitalization expenses.
  • It currently covers 55 crore people from 12.34 crore families, providing comprehensive health benefits regardless of the family members’ age.
  • 7.37 crore hospital admissions have been covered under the scheme, with 49% of the beneficiaries being women.

Eligibility Criteria:

  • All senior citizens aged 70 and above are eligible for the scheme, receiving a ₹5 lakh health cover on a family basis.
  • Additional Benefits:
    • Senior citizens belonging to families already under AB PM-JAY will get an extra top-up of ₹5 lakh, exclusively for their personal healthcare.
    • Those with private health insurance can also avail of the scheme.
  • Senior citizens covered under other public health insurance schemes, like CGHS, ECHS, or CAPF, must choose between their current plan and AB PM-JAY.
  • All eligible beneficiaries will be issued a distinct health card for easy access to the scheme’s benefits.

PYQ:

[2012] With reference to National Rural Health Mission, which of the following are the jobs of Asha, a trained community health worker?

1. Accompanying women to the health facility for antenatal care checkups

2. Using pregnancy test kits for early detection of pregnancy

3. Providing information on nutrition and immunization

4. Conducting the delivery of baby

Select the correct answer using the codes given below:

(a) 1, 2 and 3 only

(b) 2 and 4 only

(c) 1 and 3 only

(d) 1, 2, 3 and 4

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