- > Annual per family Rs. Village cover up to 5 (five) lakhs.
- > There is no limit on the number and age of family members.
- > Health oriented cashless treatment.
- > All diseases are covered from day one.
- > Excellent cashless treatment for a total of up to 2700 scheduled procedures.
- > Includes hospital registration, consultation, laboratory report for diagnosis, surgery, post-surgery > follow-up services, medicines, admission charges, patient food, follow-up, travel expenses etc.
- > Under the scheme, the beneficiaries will be given Rs. 300/- assistance.
Beneficiaries of the scheme
( [ Notice ] Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana )
A total of 43.84 lakh households from rural and urban divisions registered under Socio-Economic and Caste Based Survey 2011.
( “MOTHER” PLAN )
Households living under the wild line. (Scores from 0 to 20)
( “Maa Vatsalya” scheme )
- > Annual Rs. 4.00 lakhs or middle class families with income below
- > All Asha sisters from rural as well as urban areas.
- > Accredited journalists.
- > Fixed salary employees appointed by direct recruitment to posts in all cadres of Class-III and Class-IV of the State Government.
- > U-WIN Card Holders.
- > Annual Rs. 6 lakhs or less from families of senior citizens.
- > Non-Government Chairman and Non-Government Vice-Chairmen of different public enterprises of the State Government.
- > Socially deprived groups (old people in old age homes, children in orphanages, widows and derelicts in widows' homes, monks and saints living a sattvic life, mentally ill and helpless people)
- > Group of Victims (Gujarat Victim Compensation Scheme-2019 Victims - Victims of incidents like rape victims, acid victims, sexual violence crimes)
- > Families of Corona Warriors (Policemen, Cleaners and Health Workers)
- > Children orphaned during the Covid-19 pandemic period
 |
SPECIALTIES COVERED UNDER SCHEME |
OPERATER: ( PATEL PRITAM SINGH NELU SINGH )
BIS - OFFICER ADI-GUJ ( 382445 )
| SR.NO. | SPECIALITY CODE | SPECIALITY NAME | TOTAL PROCEDURES FOR GUJARAT STATE |
|---|---|---|---|
| 1 | BM | BURNS MANAGEMENT | 20 |
| 2 | ER | EMERGENCY ROOM PACKAGES | 6 |
| 3 | ID | INFECTIOUS DISEASES | 1 |
| 4 | IN | Interventional Neuroradiology | 33 |
| 5 | JR | JOINT REPLACEMENT | 6 |
| 6 | MC | CARDIOLOGY | 46 |
| 7 | MG | GENERAL MEDICINE | 151 |
| 8 | MM | MENTAL DISORDER | 10 |
| 9 | MN | NEO-NATAL CARE | 10 |
| 10 | MO | MEDICAL ONCOLOGY | 305 |
| 11 | MP | PEDIATRIC MEDICAL MANAGEMENT | 157 |
| 12 | MR | RADIATION ONCOLOGY | 59 |
| 13 | OT | ORGAN & TISSUE TRANSPLANT | 105 |
| 14 | SB | ORTHOPAEDICS | 169 |
| 15 | SC | SURGICAL ONCOLOGY | 290 |
| 16 | SE | OPTHALMOLOGY | 54 |
| 17 | SG | GENERAL SURGERY | 202 |
| 18 | SL | ENT | 90 |
| 19 | SM | ORAL & MAXILLOFACIAL SURGERY | 15 |
| 20 | SN | NEUROSURGERY | 159 |
| 21 | SO | OBSTETRICS & GYNAECOLOGY | 104 |
| 22 | SP | PLASTIC & RECONSTRUCTIVE | 31 |
| 23 | SS | PAEDIATRIC SURGERY | 250 |
| 24 | ST | POLYTRAUMA | 43 |
| 25 | SU | UROLOGY | 203 |
| 26 | SV | CTVS | 181 |
| 27 | US | UNSPECIFIED SURGICAL PACKAGES | 1 |
| TOTAL | 2701 | ||
( Benefit Cover Under PM-JAY )
Benefit cover under various Government-funded health insurance schemes in India have always been structured on an upper ceiling limit ranging from an annual cover of INR30,000 to INR3,00,000 per family across various States which created a fragmented system. PM-JAY provides cashless cover of up to INR5,00,000 to each eligible family per annum for listed secondary and tertiary care conditions. The cover under the scheme includes all expenses incurred on the following components of the treatment.
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