IMA expresses displeasure over revised rates of Ayushman Bharat

Earlier this week, the Ministry of Health and Family Welfare has revised the rates of packages in the Ayushman Bharat scheme. There has been an increase in the rate of 270 packages, addition of 237 new packages

Ayushman-Bharat

The Governing Board of National Health Authority took a serious note of that and decided to undertake an exercise to remove the aberrations and anomalies in the Health Benefits Packages.

The Indian Medical Association (IMA) has stated that it is not satisfied with the revised rates which have been included in the Ayushman Bharat scheme.

A day after PM-JAY revised rates the IMA has shown strong displeasure over the new rates, although it has long been demanding for new rates. The organisation is not happy with the new rates laid down by the union government.

While speaking to My Medical Mantra Dr Anil Pachnekar, Vice President, Indian Medical Association said, “We have gone over the new ratings which have been put forth by the central government. The revised rates are still lesser than expected. We cannot provide adequate services to patients with this rate. It just isn’t possible.”

He added, “Ayushman Bharat is a good scheme. It helps the poor access treatment at affordable rates. But the expenses of the cost of treatment and instruments is high and we cannot bear it. Treatments at such low rates can affect doctors.”

The new revised rates of Ayushman Bharat also includes rates for mental disorders, schizophrenia has been included in this. And its rate for treatment is around Rs 1,800 to 4,500.

Dr Pravin Navkare, a psychiatrist from Bhandara District Hospital, said, “There are insurance covers for physical health conditions. But there was no coverage for mental disorders. Now the Mental Healthcare Act, has mentioned that insurance policies should be available for mental diseases.”

He added, “The central government needs to decide policies for mental health disorders by consulting private insurance companies. So far, there are no policies in the market for mentally-ill people.”

Dr Navkare informed, “Schizophrenia is a serious mental disorder and the patient doesn’t make a full recovery. They have to be on life-long medication. The medicines are expensive. It is a good move to include schizophrenia in the Ayushman Bharat scheme. This will ensure free of cost treatment and it will also benefit the patients.”

Ayushman Bharat revised rates:

Angioplasty – Rs 37,400

Caesarean – Rs 11,500

Medical Termination of Pregnancy (MTP) prior to 12 week – Rs 6,500

Hysterectomy – Rs 20,000

High risk delivery – Rs 11,500

Hysterectomy Laproscopy – Rs 20,000

Cataract 2 types – Rs 5,000 and 7,500

Pneumonia Rs 1,800 to 4,500 in ICU with ventilator

Asthma – Rs 4,500 including ventilator

Snake bite – Rs 1,800 to 4,500

Hernia operation – Rs 16,900

Brain biopsy – Rs 15,000

Hip replacement – Rs 91,000

Knee replacement – Rs 80,000

Schizophrenia treatment – Rs 1,800 to 4,500