Union Cabinet approves Ayushman Bharat

Poised to be the largest public funded health insurance scheme in the world, the beneficiaries can avail of the benefits in both public and empanelled private facilities

Union Cabinet approves Ayushman Bharat

Thanking the Prime Minister Narendra Modi for his visionary leadership and constant guidance, Union Minister of Health and Family Welfare, J P Nadda said that Ayushman Bharat National Health Protection Mission (NHPM) is a major step towards universal health coverage. It will protect around 50 crore people (from about 10 crore families) from catastrophic healthcare spending.

This shall boost our resolve to serve the poorest of the poor in the country as there is an increased benefit cover to nearly 40% of the population, covering almost all secondary and many tertiary hospitalisations, he added.

Nadda further stated that the coverage of Rs 5 lakh for each family has no restriction of family size and age. “This will give underprivileged families the financial support required when faced with illnesses requiring hospitalisation.”

Families belonging to poor and vulnerable population based on Socio Economic Caste Census database shall be benefitted through the Ayushman Bharat-NHPM. NHPM will subsume the on-going centrally sponsored scheme “RashtriyaSwasthyaBimaYojana” (RSBY) and Senior Citizen Health Insurance Scheme (SCHIS).

He added, “All public hospitals in the States implementing Ayushman Bharat-NHPM, will be deemed empanelled for the scheme. As for private hospitals, they will be empanelled online based on defined criteria.”

Nadda stated that the Ayushman Bharat-NHPM will leverage on Comprehensive Primary Health Care through Health and Wellness Centres for preventive, promotive and curative care and will ensure seamless continuum of care. He also said that this will avoid overcrowding and improve quality of care at secondary and tertiary facilities and provide universal health coverage and make services equitable, affordable and accessible.

He said, “NHPM provides ease to be merged with the ongoing health protection or Insurance schemes in various ministries and governments,” he said.

He further stated that all pre-existing conditions will be covered from day one of the policy.