Lok Sabha Question No. 141 (STARRED), answered on 2022-12-16
Subject: Coverage under Ayushman Bharat Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Jaskaur Meena, Chunni Lal Sahu

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

## LOK SABHA STARRED QUESTION NO. 141 TO BE ANSWERED ON THE 16 TH  DECEMBER, 2022

## COVERAGE UNDER AYUSHMAN BHARAT YOJANA

## †*141. SHRIMATI JASKAUR MEENA: SHRI CHUNNI LAL SAHU:

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

- (a) the details of the targets fixed and achievements made so far under the Ayushman Bharat Yojana;
- (b) whether the Government proposes to cover senior citizens and disabled persons under the Yojana;
- (c)  if  so,  the  details  thereof  and  the  date  by  which  such  persons  are  likely  to  be covered under the Yojana;
- (d)  whether  the  Government has  issued  any  guidelines to the States/UTs  regarding the treatment of vulnerable, disabled persons under the Yojana and if so, the details thereof; and
- (e)  the  number  of  Ayushman  Cards  issued  to  the  vulnerable  and  disabled  persons along with the total number of beneficiaries in the country, State/ UT-wise including Chhattisgarh?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR MANSUKH MANDAVIYA)

- (a) to (  e) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 141* FOR 16 TH  DECEMBER, 2022

(a) to (e): Ayushman Bharat- Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is an entitlement based scheme. Targets are not fixed thereunder as the scheme operates on the basis of beneficiary demand for healthcare services. All the eligible beneficiaries of the implementing States/UTs are entitled for cashless services under the scheme from day one of the launch of the scheme. The scheme does not require enrolment. However, beneficiary verification process is undertaken to verify the identity of the beneficiary.  Further,  verified  beneficiaries  are  issued  Ayushman  Card  in  order  to create  awareness  about  the  scheme  and  to  improve  their  health  seeking  behaviour. Eligible beneficiaries cannot be denied treatment in absence of Ayushman Card.

The scheme provides health coverage of Rs. 5 lakh per beneficiary family per annum to approximately 10.74 crore poor and vulnerable families identified on the basis  of  select  deprivation  and  occupational  criteria  in  rural  and  urban  areas respectively as per SECC database of 2011. Senior citizens and disabled persons who meet the eligibility criteria are eligible to avail benefits under the scheme. Details of eligibility criteria are at Annexure-I.

As  of  4 th December  2022,  a  total  of  20.96  crore  beneficiaries  have  been provided  with  Ayushman  cards  and  over  4.18  crore  hospital  admissions  worth  Rs. 48,954.33 crore have been authorized through a network of 26,267 empanelled health care  providers  including  11,700  private  hospitals.  State/UT-wise  details  of  eligible beneficiary families in the country are at Annexure-II.

As  per  instructions  issued  by  Ministry  of  Health  &  Family  Welfare  to States/UTs on 23.06.2022, States/UTs may use their own datasets for identification of beneficiaries. Government of India shall, however, provide its share of funding for all such beneficiaries  limited  to  the  number  of  eligible  households  as  per  SECC  2011 database.  States/UTs  may  add  additional  beneficiaries  at  their  own  cost  under  the scheme.

## Detailed list of criteria for eligibility under AB-PMJAY as per SECC 2011:

## Automatically included:

1. Households without shelter
2. Destitute/ living on alms
3. Manual scavenger families
4. Primitive tribal groups
5. Legally released bonded labour

## Deprivation criteria in rural area:

- D1: Only one room with kutcha walls and kutcha roof
- D2: No adult member between age 16 to 59
- D3: Female headed households with no adult male member between age 16 to 59
- D4: Disabled member and no able-bodied adult member
- D5: SC/ST households
- D7: Landless households deriving major part of their income from manual casual labour

## Occupational criteria in urban area:

- 1) Rag picker
- 2) Beggar
- 3) Domestic worker
- 4) Street vendor/ Cobbler/hawker / Other service provider working on streets
- 5) Construction  worker/  Plumber/  Mason/  Labour/  Painter/  Welder/  Security guard/ Coolie and other head-load worker
- 6) Sweeper/ Sanitation worker / Mali
- 7) Home-based worker/ Artisan/ Handicrafts worker / Tailor
- 8) Transport worker/ Driver/ Conductor/ Helper to drivers and conductors/ Cart puller/ Rickshaw puller
- 9) Shop  worker/ Assistant/ Peon  in small establishment/ Helper/ Delivery assistant / Attendant/ Waiter
- 10) Electrician/ Mechanic/ Assembler/ Repair worker/Washer-man/ Chowkidar

Annexure-II

State/UT-wise details of the number of eligible beneficiary families in the country

| State / UT        | Number of Eligible Families under AB-PMJAY   |
|-------------------|----------------------------------------------|
| A&N Islands       | 11,500                                       |
| Andhra Pradesh    | 54,67,524                                    |
| Arunachal Pradesh | 88,611                                       |
| Assam             | 26,96,996                                    |
| Bihar             | 1,08,11,015                                  |
| Chandigarh        | 30,074                                       |
| Chhattisgarh      | 36,50,364                                    |
| DNH&DD            | 26,342                                       |
| Goa               | 36,431                                       |
| Gujarat           | 43,83,948                                    |
| Haryana           | 15,45,936                                    |
| Himachal Pradesh  | 4,78,985                                     |
| Jammu And Kashmir | 5,97,801                                     |
| Jharkhand         | 28,05,753                                    |
| Karnataka         | 62,09,073                                    |
| Kerala            | 22,05,505                                    |
| Ladakh            | 10,904                                       |
| Lakshadweep       | 1,425                                        |
| Madhya Pradesh    | 83,57,257                                    |
| Maharashtra       | 83,63,664                                    |
| Manipur           | 2,73,250                                     |
| Meghalaya         | 3,47,013                                     |
| Mizoram           | 1,94,859                                     |
| Nagaland          | 2,33,328                                     |
| Puducherry        | 1,03,434                                     |
| Punjab            | 14,64,802                                    |
| Rajasthan*        | 58,95,363                                    |
| Sikkim            | 39,738                                       |
| Tamil Nadu        | 77,70,928                                    |
| Telangana         | 25,90,010                                    |
| Tripura           | 4,90,964                                     |
| Uttar Pradesh     | 1,16,84,453                                  |
| Uttarakhand       | 5,23,536                                     |

Note: Above list does not include eligible beneficiary family count of SECC 2011 from West Bengal, Odisha and NCT of Delhi as they are not implementing AB-PMJAY.