Lok Sabha Question No. 404 (STARRED), answered on 2025-03-28
Subject: Beneficiaries under PM-JAY
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Smt. Bharti Pardhi, Dr. Hemant Vishnu Savara

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. +*404 TO BE ANSWERED ON 28 TH MARCH, 2025

## BENEFICIARIES COVERED UNDER AB-PMJAY

## +*404. SMT. BHARATI PARDHI Dr. HEMANT VISHNU SAVARA:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

(a) the total number of beneficiaries covered and availed treatment under the Pradhan Mantri Jan Arogya Yojana (PM-JAY) across the country, State-wise including Chhattisgarh, Haryana, Jharkhand, Karnataka, Maharashtra, Uttar Pradesh and Madhya Pradesh, particularly in Balaghat and Bhopal districts, Sidhi Parliamentary Constituency of Madhya Pradesh and Azamgarh district, Amroha and Phulpur Parliamentary Constituencies in Uttar Pradesh;

(b) the current number of Accredited Social Health Activist (ASHA) Workers, Anganwadi Workers (AWWs) and Anganwadi Helpers (AWHs) successfully enrolled under the PM-JAY from February, 2024 to February, 2025 across the country, State-wise and in the said districts particularly in Balaghat District of Madhya Pradesh and Azamgarh district and Amroha Parliamentary Constituency of Uttar Pradesh;

(c) the number of hospitals including private hospitals empanelled under the above scheme, State-wise particularly in Balaghat district of Madhya Pradesh and Amroha Parliamentary Constituency of Uttar Pradesh;

(d) the total number of hospitalizations recorded in the hospitals empanelled under the said scheme along with the financial cost incurred thereupon during the financial year 2024-2025; and

(e) the details of steps taken/new initiatives introduced by the Government to strengthen the implementation of PM-JAY, organise the treatment procedures for the beneficiaries and improve healthcare accessibility in the country including Haryana?

## ANSWER THE MINISTER OF HEALTH AND FAMILYWELFARE (SHRI JAGAT PRAKASH NADDA)

(a) to (e): A statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHASTARRED QUESTION NO. 404 FOR REPLY ON 28 TH MARCH, 2025

***

(a) to (e): As on 01.03.2025, more than 8.9 crore hospital admissions worth ₹1.26 lakh crore have been authorized under AB-PMJAY. State/UT-wise details of number of eligible beneficiary families and number of hospital admissions under Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) are at Annexure-I and Annexure-II respectively.

Parliamentary Constituency-wise data is not captured under the scheme; instead, districtwise data is available.

District-wise estimated number of beneficiary families covered and number of hospital admissions in Balaghat, Bhopal, Sidhi districts of Madhya Pradesh and Azamgarh, Amroha and Prayagraj districts of Uttar Pradesh are at Annexure-III .

As on 20.03.2025, more than 10.21 lakh, 14.47 lakh, and 14.76 lakh Ayushman cards have been created for Accredited Social Health Activists (ASHAs), Anganwadi Workers (AWWs) and Anganwadi Helpers (AWHs) beneficiary families respectively under the scheme. State/UTwise details of number of Ayushman cards created for ASHAs, AWWs and AWHs under the scheme are at Annexure-IV .

District-wise details of number of Ayushman cards created for ASHAs, AWWs and AWHs in Balaghat district of Madhya Pradesh and Azamgarh, Amroha districts of Uttar Pradesh are at Annexure-V.

As on 01.03.2025, a total of 30,957 hospitals, including 13,866 private hospitals and 17,091 public hospitals, have been empanelled under the scheme.

As on 01.03.2025, more than 2.21 crore hospital admissions worth ₹34,954 crore have been authorized under AB-PMJAY for FY 2024-25.

In Balaghat district of Madhya Pradesh, 13 hospitals have been empanelled, including 3 private and 10 public hospitals. In Amroha district of Uttar Pradesh, a total of 51 hospitals have been empanelled, including 22 private and 29 public hospitals.

State/UT-wise details of number of public and private hospitals, including Haryana, empanelled under AB-PMJAY are at Annexure-VI .

Regular updation such as expansion of beneficiary base, inclusion of new procedures, empanelment of new hospitals and other improvements are done in the scheme as per requirements from time to time. Some of the steps taken/new initiatives introduced are as below:

Expansion of scheme: As on 26.03.2025, except for West Bengal, all States/UTs across the nation have been onboarded on AB-PMJAY.

Expansion of Beneficiary Base: Under AB-PMJAY, the eligibility criteria for the beneficiary families were initially identified from the Socio-Economic Caste Census (SECC) of 2011 on the basis of 6 deprivation and 11 occupational criteria across rural and urban areas respectively. Further, in January 2022, on the basis of decadal growth rate of 11.7%, Government of India revised the beneficiary base to 12 crore families and provided the flexibility to States/UTs to use other databases (of similar socioeconomic profile) for verification of beneficiaries against such SECC beneficiaries who could not be identified and verified. Many of the States and Union Territories (UTs) implementing AB-PMJAY have further expanded the beneficiary base under the scheme using non-SECC data sources (including National Food Security Act, State specific datasets).

In March 2024, the eligibility criteria under the scheme were expanded to include 37 lakh Accredited Social Health Activists (ASHAs), Anganwadi Workers (AWWs), Anganwadi Helpers (AWHs) and their families. Further, on 29.10.2024, the government expanded AB-PMJAY to provide free treatment benefits of up to ₹5 lakh per year to approximately 6 crore senior citizens aged 70 years and above, belonging to 4.5 crore families, irrespective of their socio-economic status.

Rationalization of HBP: Under AB-PMJAY, the health benefit packages have been revised five times since launch of the scheme. Initially, the scheme included 1,359 packages, but the Health Benefit Package (HBP) 2022 now comprises 1,961 packages across 27 medical specialties. A total of 365 new treatment procedures have been added and the rates for 832 packages have been increased. High-end procedures such as bone marrow transplants and cochlear implant surgeries have been introduced in addition to the already covered kidney transplants.

Revamped IT System: Revamped Beneficiary Identification System (BIS 2.0) which allows self / assisted verification and eliminates unnecessary intermediaries, the Ayushman Mobile Application enables on-the-go beneficiary verification and card creation using face-auth technology, supporting door-to-door outreach the Transaction Management System (TMS 2.0) enhances hospital processes, from registration to claims management, the User Management Portal (UMP) provides a unified login system for seamless access to PM-JAY applications. Additionally, the National Portal, Dashboard & Analytical Solution enables real-time monitoring, trend analysis and fraud detection, strengthening scheme implementation.

Hospital Empanelment: Hospital empanelment is a continuous process and is undertaken based on the requirements and availability of healthcare providers (meeting AB-PMJAY criteria) within a given State/UT. The Government of India encourages States/UTs to empanel more hospitals under the scheme to ensure access to quality healthcare to all eligible beneficiaries.

## Annexure-I

State/UT-wise details of number of eligible beneficiary families under AB-PMJAY

| State/UT                | Number of eligible beneficiary families   |
|-------------------------|-------------------------------------------|
| Andaman &Nicobar Island | 32,572                                    |
| Andhra Pradesh          | 78,65,341                                 |
| Arunachal Pradesh       | 1,33,249                                  |
| Assam                   | 37,25,630                                 |
| Bihar                   | 1,32,60,697                               |
| Chandigarh              | 1,04,084                                  |
| Chhattisgarh            | 45,70,670                                 |
| DNH&DD                  | 49,763                                    |
| Goa                     | 1,07,089                                  |
| Gujarat                 | 67,01,820                                 |
| Haryana                 | 24,78,787                                 |
| Himachal Pradesh        | 7,99,728                                  |
| Jammu And Kashmir       | 10,84,365                                 |
| Jharkhand               | 36,19,092                                 |
| Karnataka               | 87,51,412                                 |
| Kerala                  | 35,94,528                                 |
| Ladakh                  | 24,474                                    |
| Lakshadweep             | 3,498                                     |
| Madhya Pradesh          | 1,06,34,139                               |
| Maharashtra             | 1,32,92,650                               |
| Manipur                 | 3,73,701                                  |
| Meghalaya               | 4,30,702                                  |
| Mizoram                 | 2,26,156                                  |
| Nagaland                | 2,96,233                                  |
| Puducherry              | 1,52,164                                  |
| Punjab                  | 27,35,109                                 |
| Rajasthan               | 80,72,469                                 |
| Sikkim                  | 58,764                                    |
| Tamil Nadu              | 1,16,21,507                               |
| Telangana               | 39,78,169                                 |
| Tripura                 | 6,27,394                                  |
| Uttar Pradesh           | 1,80,17,007                               |
| Uttarakhand             | 9,73,184                                  |
| Delhi                   | 8,95,517                                  |
| Odisha                  | 77,79,939                                 |
| West Bengal             | 1,43,39,146                               |

State/UT-wise details of number of hospital admissions under AB-PMJAY

| State/UT                    | Number of hospital admissions   |
|-----------------------------|---------------------------------|
| Andaman And Nicobar Islands | 3,482                           |
| Andhra Pradesh              | 79,15,250                       |
| Arunachal Pradesh           | 6,819                           |
| Assam                       | 14,72,550                       |
| Bihar                       | 18,01,796                       |
| Chandigarh                  | 66,977                          |
| Chhattisgarh                | 71,77,245                       |
| DNH&DD                      | 1,43,592                        |
| Goa                         | 13,913                          |
| Gujarat                     | 65,05,616                       |
| Haryana                     | 21,96,287                       |
| Himachal Pradesh            | 3,37,769                        |
| Jammu And Kashmir           | 16,02,832                       |
| Jharkhand                   | 23,81,825                       |
| Karnataka                   | 1,12,17,090                     |
| Kerala                      | 68,85,523                       |
| Ladakh                      | 22,562                          |
| Lakshadweep                 | 1,430                           |
| Madhya Pradesh              | 54,21,743                       |
| Maharashtra                 | 28,21,618                       |
| Manipur                     | 2,20,305                        |
| Meghalaya                   | 9,77,082                        |
| Mizoram                     | 1,57,246                        |
| Nagaland                    | 96,728                          |
| Puducherry                  | 1,19,656                        |
| Punjab                      | 25,43,267                       |
| Rajasthan                   | 66,74,990                       |
| Sikkim                      | 28,058                          |
| Tamil Nadu                  | 1,10,95,951                     |
| Telangana                   | 21,13,518                       |
| Tripura                     | 4,22,393                        |
| Uttar Pradesh               | 60,13,870                       |
| Uttarakhand                 | 14,46,751                       |

## Annexure-III

District-wise estimated number of beneficiary families covered and number of hospital admissions in Balaghat, Bhopal, Sidhi districts of Madhya Pradesh and Azamgarh, Amroha and Prayagraj districts of Uttar Pradesh

| District       | Number of beneficiary families   | Number of hospital admissions   |
|----------------|----------------------------------|---------------------------------|
| Balaghat (MP)  | 4,22,647                         | 54,310                          |
| Bhopal (MP)    | 4,61,386                         | 3,97,310                        |
| Sidhi (MP)     | 2,89,993                         | 75,286                          |
| Azamgarh (UP)  | 4,19,118                         | 1,23,314                        |
| Amroha (UP)    | 1,63,725                         | 55,179                          |
| Prayagraj (UP) | 5,23,827                         | 73,299                          |

## State/UT-wise details of number of Ayushman cards created for ASHAs, AWWs and AWHs under AB-PMJAY

| State/UT                    | Number of Ayushman cards created   | Number of Ayushman cards created   | Number of Ayushman cards created   |
|-----------------------------|------------------------------------|------------------------------------|------------------------------------|
| State/UT                    | ASHA                               | AWW                                | AWH                                |
| Andaman And Nicobar Islands | 503                                | 943                                | 901                                |
| Andhra Pradesh              | 3,871                              | 82,258                             | 68,643                             |
| Arunachal Pradesh           | 1,797                              | 3,230                              | 2,870                              |
| Assam                       | 44,541                             | 73,211                             | 74,001                             |
| Bihar                       | 82,541                             | 1,29,279                           | 1,24,064                           |
| Chandigarh                  | 0                                  | 719                                | 989                                |
| Chhattisgarh                | 57,558                             | 1,42,558                           | 1,24,873                           |
| DNH&DD                      | 702                                | 1,980                              | 2,045                              |
| Goa                         | 0                                  | 958                                | 918                                |
| Gujarat                     | 75,467                             | 1,06,866                           | 1,19,588                           |
| Haryana                     | 29,815                             | 29,220                             | 44,953                             |
| Himachal Pradesh            | 6,249                              | 12,323                             | 18,333                             |
| Jammu And Kashmir           | 18,146                             | 82,464                             | 86,088                             |
| Jharkhand                   | 69,212                             | 16,288                             | 16,289                             |
| Karnataka                   | 42,053                             | 55,929                             | 51,278                             |
| Kerala                      | 17,996                             | 33,750                             | 36,368                             |
| Ladakh                      | 903                                | 4,132                              | 3,997                              |
| Lakshadweep                 | 0                                  | 170                                | 189                                |
| Madhya Pradesh              | 66,443                             | 2,35,228                           | 2,37,758                           |
| Maharashtra                 | 82,074                             | 1,07,418                           | 1,11,095                           |
| Manipur                     | 2,452                              | 12,542                             | 10,574                             |
| Meghalaya                   | 7,230                              | 7,517                              | 5,266                              |
| Mizoram                     | 2,126                              | 5,620                              | 5,420                              |
| Nagaland                    | 1,859                              | 7,174                              | 6,856                              |
| Puducherry                  | 104                                | 572                                | 874                                |
| Punjab                      | 28,038                             | 26,362                             | 37,333                             |
| Rajasthan                   | 44,349                             | 66,075                             | 80,314                             |
| Sikkim                      | 597                                | 1,545                              | 1,633                              |
| Tamil Nadu                  | 549                                | 12,608                             | 17,124                             |
| Telangana                   | 28,680                             | 23,113                             | 19,179                             |
| Tripura                     | 2,057                              | 14,222                             | 13,304                             |
| Uttar Pradesh               | 3,03,115                           | 1,25,600                           | 1,32,698                           |
| Uttarakhand                 | 952                                | 25,677                             | 20,477                             |

District-wise details of number of Ayushman cards created for for ASHAs, AWWs and AWHs in Balaghat district of Madhya Pradesh and Azamgarh, Amroha districts of Uttar Pradesh

| District      | Number of Ayushman cards created   | Number of Ayushman cards created   | Number of Ayushman cards created   |
|---------------|------------------------------------|------------------------------------|------------------------------------|
|               | ASHA                               | AWW                                | AWH                                |
| Balaghat (MP) | 2,227                              | 6,555                              | 6,806                              |
| Azamgarh (UP) | 5,940                              | 5,374                              | 4,975                              |
| Amroha (UP)   | 3,190                              | 949                                | 866                                |

State/UT-wise details of number of public and private hospitals empanelled under AB-PMJAY

| State/UT                    | Public Hospitals   | Private Hospitals   |
|-----------------------------|--------------------|---------------------|
| Andaman And Nicobar Islands | 7                  | -                   |
| Andhra Pradesh              | 1,414              | 1,079               |
| Arunachal Pradesh           | 46                 | 5                   |
| Assam                       | 182                | 170                 |
| Bihar                       | 587                | 528                 |
| Chandigarh                  | 7                  | 24                  |
| Chhattisgarh                | 1,041              | 620                 |
| Dadra And Nagar Haveli      | 11                 | 2                   |
| Daman And Diu               | 4                  | 3                   |
| Delhi                       | 11                 | 62                  |
| Goa                         | 23                 | 2                   |
| Gujarat                     | 1,752              | 914                 |
| Haryana                     | 557                | 758                 |
| Himachal Pradesh            | 138                | 149                 |
| Jammu And Kashmir           | 122                | 134                 |
| Jharkhand                   | 240                | 317                 |
| Karnataka                   | 2,972              | 588                 |
| Kerala                      | 202                | 386                 |
| Ladakh                      | 10                 | -                   |
| Lakshadweep                 | 5                  | -                   |
| Madhya Pradesh              | 497                | 587                 |
| Maharashtra                 | 508                | 1,129               |
| Manipur                     | 34                 | 35                  |
| Meghalaya                   | 155                | 19                  |
| Mizoram                     | 80                 | 8                   |
| Nagaland                    | 50                 | 27                  |
| Odisha                      | 11                 | 1                   |
| Puducherry                  | 12                 | 18                  |
| Punjab                      | 219                | 554                 |
| Rajasthan                   | 930                | 974                 |
| Sikkim                      | 14                 | 5                   |
| Tamil Nadu                  | 1,020              | 1,225               |
| Telangana                   | 1,015              | 410                 |
| Tripura                     | 133                | 5                   |
| Uttar Pradesh               | 2,949              | 2,927               |
| Uttarakhand                 | 106                | 185                 |
| West Bengal                 | 27                 | 16                  |