Ayushman Bharat

Date Published: March 23, 2021

Ayushman Bharat – National Health Protection Mission will have a defined benefit cover of Rs. 5 lakh per family per year. Benefits of the scheme are portable across the country and a beneficiary covered under the scheme will be allowed to take cashless benefits from any public/private empanelled hospitals across the country. Ayushman Bharat – National Health Protection Mission will be an entitlement based scheme with entitlement decided on the basis of deprivation criteria in the SECC database.The beneficiaries can avail benefits in both public and empanelled private facilities. One of the core principles of Ayushman Bharat – National Health Protection Mission is to co-operative federalism and flexibility to states.

Major Impact :

Ayushman Bharat – National Health Protection Mission will have major impact on reduction of Out of Pocket (OOP) expenditure on ground of:

  • Increased benefit cover to nearly 40% of the population, (the poorest & the vulnerable)
  • Covering almost all secondary and many tertiary hospitalizations. (except a negative list)
  • Coverage of 5 lakh for each family, (no restriction of family size)

This will lead to increased access to quality health and medication. In addition, the unmet needs of the population which remained hidden due to lack of financial resources will be catered to. This will lead to timely treatments, improvements in health outcomes, patient satisfaction, improvement in productivity and efficiency, job creation thus leading to improvement in quality of life.

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