State

Ayushman Bharat: Over Rs.1 crore worth benefits availed till June

Ayushman Bharat: Over Rs.1 crore worth benefits availed till June
Correspondent KOHIMA, JUN 30 (NPN) | Publish Date: 6/30/2019 11:49:32 AM IST

Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) has emerged as one of the most successful Central schemes as patients had availed over Rs 1 crore worth of benefits till June this year.

Faith Hospital, Dimapur provided the highest number of treatments to beneficiaries with 194 pre-authorisations, followed by Naga Hospital Authority Kohima (167), CIHSR Dimapur (108) and Mon District Hospital (107). A total of 37 pre-authorisations were raised through patients from Nagaland being treated outside the State amounting to Rs 6.5 lakh. Six pre-authorizations were raised through patients from other States being treated in Nagaland, amounting to Rs 3.3 lakh.
The Central government had launched AB-PMJAY in September 2018 with an aim to reduce the financial burden on poor and vulnerable population due to exorbitant out of pocket expenses on healthcare.
According to information provided to Nagaland Post by State Health Agency (SHA), AB-PMJAY, the scheme covered 2.33 lakh poor and vulnerable households in Nagaland. 
The scheme seeks to provide cashless and free services in all public and private empanelled hospitals.
So far, 55 public and five private hospitals have been empanelled in the State and, with a PMJAY card, a beneficiary can avail benefit from any of empanelled public or private hospitals across the country.
There are altogether 1,534 treatment packages (including Nagaland-specific packages) under the scheme covering surgery, medical, day care treatments (including chemotherapy, radiotherapy, and dialysis), cost of medicines and diagnostics. There is no cap on family size and age of members, and all family members are covered.
Till June 30, a total of 37,127 households have been covered through beneficiary identification system and 75,316 cards generated. With a target to cover 2.33 lakh households, the target coverage was still low at 16%. And SHA, PMJAY has been undertaking beneficiary identification drives to generate cards for beneficiaries while common service centres have also been authorised to identify beneficiaries and make e-cards.
The scheme made rapid progress since its inception and within five months from its launch, 11,520 cards were generated and in the subsequent five months, 63,796 cards were generated.
In the first five months, 125 pre-authorisations were raised, i.e., the number of times the treatment procedures were booked. In the subsequent five months, there were 889 pre-authorisations and till June-end, 1,014 pre-authorisations were raised amounting to Rs 1.4 crore and 879 claims were submitted amounting to Rs 1.1 crore.
AB-PMJAY is the world’s largest government-funded health insurance scheme and its key feature is to provide hospitalisation cover up to Rs 5 lakh per entitled family per year.
 

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