Lok Sabha Question No. 3036 (UNSTARRED), answered on 2024-12-13
Subject: Ayushman Bharat Yojana in Osmanabad
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Omprakash Bhupalsinh Alias Pavan Rajenimbalkar

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3036 TO BE ANSWERED ON 13 TH DECEMBER, 2024

## AYUSHMAN BHARATYOJANAIN OSMANABAD

## 3036. SHRI OMPRAKASH BHUPALSINH ALIAS PAVAN RAJENIMBALKAR:

Will the Minister of HEALTHAND FAMILYWELFARE be pleased to state:

- (a) the current status of Ayushman Bharat Yojana and the number of citizens of Osmanabad (Dharashiv) district in the State of Maharashtra who are eligible for this scheme;
- (b) the number of persons who have benefitted under the said scheme in the said district during the year 2020-24, year-wise;
- (c) the steps taken to promote health under the Ayushman Bharat Yojana in the aspirational districts;
- (d) the details of the diseases for which free treatment is provided under the said Scheme;
- (e) the details of empanelled hospitals/dispensaries which provides free treatment for cancer, HIV and heart disease under the Ayushman Bharat Yojana in the State of Maharashtra, districtwise;
- (f) the details of financial assistance provided to trauma patients for their treatment under Ayushman Bharat Yojana;
- (g) the details of the special provisions made so for improving the overall health in aspirational districts under Ayushman Bharat Yojana; and
- (h) the number of hospitals/dispensaries included under the said scheme in Osmanabad (Dharashiv) Parliamentary Constituency?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

(a): Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) provides health cover of Rs. 5 lakh per family per year for secondary and tertiary care hospitalization to approximately 55 crore beneficiaries corresponding to 12.37 crore families constituting economically vulnerable bottom 40% of India's population.

In the Osmanabad (Dharashiv) district of the State of Maharashtra, a total of 2.71 lakh beneficiary families corresponding to 12.35 lakh individuals are eligible to avail healthcare benefits under the scheme.

- (b): Year-wise details of number of beneficiaries who have availed healthcare benefits under the scheme in the Dharashiv district of Maharashtra are as under:

| Year    |   Number of hospital admissions |
|---------|---------------------------------|
| 2019-20 |                            3063 |
| 2020-21 |                            3556 |
| 2021-22 |                            4925 |
| 2022-23 |                            4950 |
| 2023-24 |                            5973 |

(c) to (g): The implementation of the scheme is closely monitored across the country, especially in the Aspirational Districts. For the hospitals in the Aspirational Districts, there is an additional incentive of 10% for the treatment provided. Further, States / UTs have been given flexibility to relax the empanelment criteria for hospitals in the Aspirational Districts to ensure adequate number of healthcare facilities for the beneficiaries. Beneficiaries from Aspirational Districts can also avail services from leading hospitals in metropolitan cities such as Mumbai, New Delhi etc. using the portability feature under the scheme.

As per the latest Health Benefit Package (HBP 2022), a total of 1,961 procedures across 27 specialties are available for scheme beneficiaries. Further, States/UTs have been given flexibility to add State-specific packages over and above National Health Package Master and to change the cost of the package as per the local requirement. National Health Package Master of AB-PMJAY is available at the following link:

https://pmjay.gov.in/sites/default/files/2022-10/HBP%202022.pdf

Speciality-wise details of hospitals empanelled under AB-PMJAY can be accessed via following link:

https://hospitals.pmjay.gov.in/Search/empnlWorkFlow.htm?actionFlag=ViewRegisteredHosptlNe w

AB-PMJAY provides 21 procedures in Polytrauma speciality under the scheme.

(h): 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. As on 10.12.2024, a total of 25 hospitals have been empanelled under the scheme in Osmanabad district of Maharashtra.

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