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