Lok Sabha Question No. 1029 (UNSTARRED), answered on 2019-11-22
Subject: Funds to AB-PMJAY
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Mala Roy

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 1029 TO BE ANSWERED ON 22 ND NOVEMBER, 2019

## FUNDS TO AB - PMJAY

## 1029. MS. MALA ROY:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the Government has spent Rs. 500 cr. under Ayushman Bharat -Pradhan Mantri Jan Arogya  Yojna  (ABPMJAY) on  procedure  such  as  cataract, deliveries  and  dialysis  that  is available free of cost under national prog ramme, if so, the details thereof; and
- (b) the proposition of funds that may ve gone to the private sector, State -wise, details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a) & (b) : Hospitalization  cover  under  Ayushman  Bharat  Pradhan  Mantri  Jan  Arogya Yojana  (AB- PMJAY)  is  available  through  empanelled  hospitals.  Both  Public  and  Privat hospitals  have  been  empanelled  under  the  scheme.  A s  on  20.11.2019,  20,905  hospitals  are empanelled. O ut of these, 9,905 are private hospitals.

1392 treatment packages across 24 specialities and 1 unspecified package are avai under AB- PMJAY. Inclusion of some of these procedures, which are also available under t National Health Programmes, in packa ges of AB - PMJAY facilitates the access of beneficiary to both public and private hospitals and also ensures quality of treatment.

The  details  of  claim  submitted  by  empanelled  hospitals  for  treatment  of  AB - PMJAY beneficiaries State - wise as on 20.11.2 019 is attached as Annexure.

| State wise position of claim as on 20.11.2019   | State wise position of claim as on 20.11.2019             | State wise position of claim as on 20.11.2019               | State wise position of claim as on 20.11.2019            | State wise position of claim as on 20.11.2019              | State wise position of claim as on 20.11.2019   | State wise position of claim as on 20.11.2019   |
|-------------------------------------------------|-----------------------------------------------------------|-------------------------------------------------------------|----------------------------------------------------------|------------------------------------------------------------|-------------------------------------------------|-------------------------------------------------|
| State                                           | Number of claims submitted by private hospitals (in Lakh) | Amount of claims submitted by private hospitals (In Rs Cr.) | Number of claims submitted by public hospitals (in Lakh) | Amount of claims submitted by public hospitals (In Rs Cr.) | Total Claims submitted (in Lakh)                | Total Amount of claims (in Rs Cr.)              |
| Andaman And Nicobar Islands                     | 0.00                                                      | 0.00                                                        | 0.00                                                     | 0.02                                                       | 0.00                                            | 0.02                                            |
| Andhra Pradesh                                  | 3.07                                                      | 901.15                                                      | 1.02                                                     | 223.60                                                     | 4.09                                            | 1,124.75                                        |
| Arunachal Pradesh                               | 0.00                                                      | 0.08                                                        | 0.01                                                     | 0.87                                                       | 0.01                                            | 0.95                                            |
| Assam                                           | 0.28                                                      | 31.51                                                       | 0.44                                                     | 62.29                                                      | 0.72                                            | 93.81                                           |
| Bihar                                           | 0.29                                                      | 26.20                                                       | 0.82                                                     | 77.83                                                      | 1.11                                            | 104.03                                          |
| Chandigarh                                      | 0.01                                                      | 0.34                                                        | 0.01                                                     | 1.57                                                       | 0.02                                            | 1.91                                            |
| Chhattisgarh                                    | 4.78                                                      | 421.01                                                      | 1.74                                                     | 106.68                                                     | 6.52                                            | 527.69                                          |
| Dadra and Nagar Haveli                          | 0.01                                                      | 3.50                                                        | 0.21                                                     | 10.77                                                      | 0.22                                            | 14.27                                           |
| Daman and Diu                                   | 0.01                                                      | 2.87                                                        | 0.07                                                     | 3.48                                                       | 0.08                                            | 6.35                                            |
| Goa                                             | 0.00                                                      | 0.00                                                        | 0.09                                                     | 29.00                                                      | 0.09                                            | 29.01                                           |
| Gujarat                                         | 0.79                                                      | 167.86                                                      | 8.41                                                     | 1,351.29                                                   | 9.20                                            | 1,519.15                                        |
| Haryana                                         | 0.41                                                      | 54.72                                                       | 0.19                                                     | 28.44                                                      | 0.60                                            | 83.16                                           |
| Himachal Pradesh                                | 0.05                                                      | 4.49                                                        | 0.29                                                     | 27.10                                                      | 0.34                                            | 31.59                                           |
| Jammu And Kashmir                               | 0.25                                                      | 9.03                                                        | 0.14                                                     | 12.81                                                      | 0.39                                            | 21.84                                           |
| Jharkhand                                       | 3.00                                                      | 305.24                                                      | 0.41                                                     | 28.43                                                      | 3.41                                            | 333.67                                          |
| Karnataka                                       | 0.74                                                      | 390.03                                                      | 2.40                                                     | 250.86                                                     | 3.14                                            | 640.89                                          |
| Kerala                                          | 1.37                                                      | 86.29                                                       | 4.13                                                     | 280.40                                                     | 5.50                                            | 366.69                                          |
| Lakshadweep                                     | -                                                         | -                                                           | 0.00                                                     | 0.00                                                       | 0.00                                            | 0.00                                            |
| Madhya Pradesh                                  | 0.58                                                      | 143.05                                                      | 1.17                                                     | 83.40                                                      | 1.74                                            | 226.45                                          |
| Maharashtra                                     | 1.63                                                      | 402.29                                                      | 0.39                                                     | 83.76                                                      | 2.02                                            | 486.05                                          |
| Manipur                                         | 0.02                                                      | 3.34                                                        | 0.05                                                     | 8.46                                                       | 0.07                                            | 11.80                                           |
| Meghalaya                                       | 0.36                                                      | 33.98                                                       | 0.43                                                     | 23.92                                                      | 0.78                                            | 57.90                                           |
| Mizoram                                         | 0.01                                                      | 1.70                                                        | 0.24                                                     | 19.89                                                      | 0.25                                            | 21.59                                           |
| Nagaland                                        | 0.02                                                      | 3.27                                                        | 0.03                                                     | 3.87                                                       | 0.05                                            | 7.14                                            |
| Puducherry                                      | 0.00                                                      | 0.02                                                        | 0.00                                                     | 0.09                                                       | 0.00                                            | 0.10                                            |
| Punjab                                          | 0.20                                                      | 31.55                                                       | 0.26                                                     | 20.88                                                      | 0.46                                            | 52.44                                           |
| Rajasthan                                       | -                                                         | -                                                           | 4.23                                                     | 226.83                                                     | 4.23                                            | 226.83                                          |
| Sikkim                                          | 0.00                                                      | 0.26                                                        | 0.00                                                     | 0.53                                                       | 0.01                                            | 0.79                                            |
| Tamil Nadu                                      | 3.19                                                      | 853.35                                                      | 2.92                                                     | 387.36                                                     | 6.11                                            | 1,240.71                                        |
| Tripura                                         | 0.00                                                      | 0.83                                                        | 0.40                                                     | 20.89                                                      | 0.40                                            | 21.72                                           |
| Uttar Pradesh                                   | 1.71                                                      | 187.59                                                      | 0.50                                                     | 60.14                                                      | 2.21                                            | 247.74                                          |
| Uttarakhand                                     | 0.52                                                      | 52.92                                                       | 0.37                                                     | 34.40                                                      | 0.89                                            | 87.32                                           |
| West Bengal                                     | -                                                         | -                                                           | 0.15                                                     | 14.15                                                      | 0.15                                            | 14.15                                           |
| Grand Total                                     | 23.28                                                     | 4,118.49                                                    | 31.53                                                    | 3,484.02                                                   | 54.81                                           | 7,602.51                                        |