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2019-07-16

Private Insurance Companies in Ayushman Bharat

Ministry of Health and Family Welfare

Private Insurance Companies in Ayushman Bharat

Posted On: 16 JUL 2019 by PIB Delhi

Under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), states have the flexibility to choose the mode of implementation. They can either implement it in insurance mode, or through a trust or in a mixed mode i.e. both the insurance and trust mode.  The States implementing scheme through Insurance mode select Insurance Company through open tendering process. The private insurance companies are allowed to bid in the open tendering process to allow level playing field. However, the decision lies with the State Government concerned and the Government has no role in the selection of Insurance company.

Under AB-PMJAY, 1393 procedures have been laid down for treatment of beneficiaries.  A statement indicating State-wise number of beneficiaries admitted for treatment and amount on account of hospitalization is given below:

Details of Hospitalization under AB-PMJAY

Sl. No.

State

No of Hospital Admissions

Amount for Hospital Admissions


Andaman And Nicobar Islands

23

69,900


Andhra Pradesh

147,378

4,149,416,562


Arunachal Pradesh

709

11,894,687


Assam

57,176

837,883,007


Bihar

56,139

565,105,942


Chandigarh

958

8,793,795


Chhattisgarh

611,216

4,467,368,971


Dadra And Nagar Haveli

13,327

84,385,920


Daman And Diu

5,031

42,497,182


Goa

1,415

45,784,121


Gujarat

523,011

9,152,275,799


Haryana

31,985

423,768,613


Himachal Pradesh

21,621

189,594,841


Jammu And Kashmir

23,712

143,539,076


Jharkhand

201,369

1,553,624,781


Karnataka

218,461

5,530,356,358


Kerala

574,448

2,863,340,460


Madhya Pradesh

107,718

1,505,484,559


Maharashtra

148,753

3,866,353,985


Manipur

3,801

61,403,820


Meghalaya

21,581

136,463,418


Mizoram

14,823

81,043,280


Nagaland

1,265

12,524,639


Sikkim

171

1,099,250


Tamil Nadu

256,395

6,186,951,217


Tripura

20,499

64,803,621


Uttar Pradesh

130,721

1,434,346,595


Uttarakhand

55,379

462,166,166


West Bengal

17,636

170,981,470

Grand Total

3,266,721

44,053,322,035

The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.

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Source: PIB
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