Ayushman Bharat PM-JAY: ₹5 Lakh Free Treatment, Eligibility Check and Ayushman Card Kaise Banaye

Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (PM-JAY) is the world’s largest publicly funded health assurance scheme. It provides a health cover of ₹5 lakh per family per year for secondary and tertiary hospitalisation at empanelled public and private hospitals across India — completely cashless and paperless for the beneficiary.

Key Features

  • ₹5 lakh cover per family per year, with no cap on family size or age.
  • Cashless treatment at any empanelled hospital in any state (portability).
  • Covers pre-hospitalisation (up to 3 days) and post-hospitalisation (up to 15 days) expenses including diagnostics and medicines.
  • Pre-existing diseases are covered from day one.
  • Senior citizens aged 70 and above from all income groups were later brought under the scheme with a separate top-up cover — check current rules for this category.

Who Is Eligible?

  • Families identified under the deprivation and occupational criteria of SECC 2011 data (rural and urban lists).
  • Families already covered under the earlier RSBY scheme.
  • Several states have expanded coverage with their own funds, so your state list may be broader than the central list.

How to Check If Your Name Is in the List

  1. Visit the beneficiary portal beneficiary.nha.gov.in (or the “Am I Eligible” option on pmjay.gov.in).
  2. Verify with your mobile number and OTP.
  3. Search by your state and ration card number, family ID or Aadhaar.
  4. You can also call the helpline 14555 or ask at the Ayushman Mitra desk in any empanelled hospital.

Documents Required for the Ayushman Card

  • Aadhaar card (for e-KYC)
  • Ration card / family ID that matches the beneficiary database
  • Registered mobile number

How to Make Your Ayushman Card

  1. Complete e-KYC on the beneficiary portal or the Ayushman app yourself, or
  2. Visit a CSC centre or an empanelled hospital’s Ayushman Mitra desk, where the operator verifies your identity and generates the card free of cost.

How to Take Treatment

  1. Go to any empanelled hospital (list available on the portal or via helpline 14555).
  2. Show your Ayushman card at the Ayushman Mitra / PM-JAY kiosk.
  3. The hospital verifies your identity and raises a pre-authorisation; treatment listed in the scheme packages is then provided cashless.

Frequently Asked Questions

Does PM-JAY cover OPD? No. It covers hospitalisation and day-care procedures, not routine OPD consultations or medicines bought outside.

Is there any enrolment fee? No. Card generation and treatment under the scheme are free for eligible families.

Note: Package lists, eligibility categories and portals are updated by the National Health Authority. Verify current details on pmjay.gov.in or helpline 14555.

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