Context

The Ministry of Health and Family Welfare has announced the formation of an expert committee to review the implementation of the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY).

Committee On Ayushman Bharat Scheme Implementation

• Composition: The 16-member committee, chaired by Dr V K Paul, Member (Health) at NITI Aayog.
• Tasks: 
  • It will oversee the progress of AB-PMJAY in beneficiary identification, hospitalisation, and modes of implementation.

• • Reviewing the roles and responsibilities of the Centre and state in terms of scheme policy, design and implementation.
  • To suggest measures to prevent fraud or misuse of the scheme.
  • Suggest ways to provide linkages with Ayushman Bharat Digital Mission (ABDM) and Ayushman Arogya Mandirs (AAMs).

Ayushman Bharat Scheme – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY): 

• It is a Centrally Sponsored Scheme
• It is an umbrella of two major health initiatives, namely Health and Wellness Centres and the National  Health Protection Scheme.

Benefits:

• Insurance cover of Rs. 5 lakh per family year. 
• The benefit covers almost all secondary care and most tertiary care procedures including pre and post-hospitalisation expenses. 
• No cap on family size and age
• All pre-existing conditions will be covered from day one of the policy. 
• Other Benefits: Transport allowance per hospitalization, portable across the country and cashless benefits from any public/private empanelled hospitals nationwide.

News Source: Business Standard

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