Ayushman Bharat in Delhi: Why the ₹10 Lakh Coverage?

In a significant policy shift, the newly elected Delhi government has approved the implementation of the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in the national capital. 

This move is poised to offer comprehensive health insurance coverage of up to ₹10 lakh per family, targeting the economically vulnerable sections of society. The scheme’s rollout is anticipated to benefit around 6.54 lakh families in Delhi, marking a substantial enhancement in the region’s healthcare infrastructure.

Collaborative Efforts Between Central and State Governments

The successful deployment of AB-PMJAY in Delhi is the result of collaborative efforts between the central and state governments. Under this scheme, the central government will contribute ₹5 lakhs, while the Delhi government will provide an additional ₹5 lakh, totalling ₹10 lakhs, effectively doubling the insurance coverage per family. 

Preparations are underway, with the National Health Authority (NHA) initiating training programs for Delhi’s health officials, personnel, and ASHA workers. These programs focus on creating Ayushman Bharat cards, settling claims, and registering hospitals to ensure a seamless implementation of the scheme. 

Expansion of Healthcare Facilities and Beneficiary Inclusion

Currently, 66 hospitals in Delhi, encompassing both private and government institutions, are empanelled under the Ayushman Bharat Yojana Scheme. With the formation of district committees and the State Health Agency, this number is expected to increase, providing beneficiaries with a broader network of healthcare facilities. 

The scheme aims to cover a diverse group of beneficiaries, including over six lakh senior citizens aged above 70, approximately 1,500 Anganwadi workers, and around 6,000 ASHA workers and is likely to have 6,50,000 beneficiaries if the government manages to sign 40% of the bottom population. The Delhi government is in the process of finalising the list of beneficiaries, ensuring that the most vulnerable sections of the population receive the intended benefits. 

Conclusion

Implementing the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana in Delhi signifies a pivotal advancement in the city’s healthcare landscape. By providing substantial health insurance coverage, the scheme is poised to alleviate the financial burdens associated with medical expenses for numerous families. 

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