Lok Sabha Question No. 144 (UNSTARRED), answered on 2024-02-02
Subject: Ayushman Cards
Ministry: HEALTH AND FAMILY WELFARE
Asked by: C.N. Annadurai, Dhanush M Kumar, Supriya Sadanand Sule, Kuldeep Rai Sharma, Subhash Ramrao Bhamre, DNV Senthilkumar. S., Ganesan Selvam, Manjulata Mandal, Amol Ramsing Kolhe

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTHAND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 144 TO BE ANSWERED ON 02 ND FEBRUARY, 2024

## AYUSHMANCARDS

## 144. SHRI C.N. ANNADURAI:

SHRI DHANUSH M. KUMAR:

SHRIMATI SUPRIYA SULE:

SHRI KULDEEPRAI SHARMA:

DR. SUBHASH RAMRAO BHAMRE:

DR. DNV SENTHILKUMAR.S:

SHRI SELVAM G.:

SHRIMATI MANJULATAMANDAL:

DR. AMOLRAMSING KOLHE:

Will the Minister of HEALTHAND FAMILYWELFARE be pleased to state:

- (a) the details of the States that are implementing Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY);
- (b) the number of Ayushman cards that have been created during each of the last three years in the State of Tamil Nadu, Maharashtra, Andaman & Nicobar Islands and Odisha;
- (c) the number of persons benefited under ABPMJAY during each of the last three years along with the expenditure incurred on Out Patient Department (OPD) treatment and hospital admission of the beneficiaries, State/UT-wise;
- (d) the targets set and necessary steps taken for strengthening and expansion of the Yojana in the country;
- (e) the details of the eligibility criteria and process fixed to provide medical facility related benefits to the patients under the said Yojana; and
- (f) whether many households from rural areas have not been enrolled under AB-PMJAY thereby being deprived of the benefits therein and if so, the details thereof, State/UT-wise and corrective steps taken by the Government in this regard?

## ANSWER THE MINISTER OFSTATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (PROF. S. P. SINGH BAGHEL)

- (a) to (f): Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is the world ' s largest publicly funded health assurance scheme which aims to provide health cover of Rs. 5 lakh per family per year for secondary and tertiary care hospitalization to approximately 55 crore

beneficiaries corresponding to 12 crore families constituting the bottom 40% of India ' s population. AB-PMJAY is implemented in 33 States/UTs across the country except for Delhi, Odisha, and West Bengal. The number of Ayushman cards created during each of the last three years in the State of Tamil Nadu, Maharashtra, Andaman & Nicobar Islands are as under:

| State / UT               | FY 2020-21   | FY 2021-22   | FY 2022-23   |
|--------------------------|--------------|--------------|--------------|
| Tamil Nadu               | 179          | 373          | 32,44,708    |
| Maharashtra              | 2,70,786     | 3,72,001     | 17,67,038    |
| Andaman &Nicobar Islands | 18,795       | 6,095        | 813          |

The scheme provides free in-patient care only i.e. hospitalization. OPD services are not covered under the scheme. State/UT-wise details of number of persons benefited under the scheme along with the expenditure incurred during each of the last three years are at Annexure-I .

AB-PMJAY is an entitlement-based scheme and there are no set targets. All the eligible beneficiary families are covered from day one of the implementation of the scheme in the States/UTs. The scheme does not require enrolment. However, a beneficiary verification process is undertaken to verify the identity of the beneficiary. Further, verified beneficiaries are issued Ayushman Card, as a token of entitlement and empowerment.

Various initiatives have been undertaken under the scheme to ensure that the benefits of the scheme reach the last mile, including Aapke Dwar Ayushman, Ayushman Bhava campaign, launch of Ayushman App for Ayushman Card saturation etc. Ayushman card creation is one of the on-spot services being offered during Viksit Bharat Sankalp Yatra. As a result of the persistent efforts, as on 29.01.2024, more than 30.76 crore Ayushman cards have been created across the country.

Further, hospitals are empanelled under the scheme to ensure delivery of quality healthcare services to the beneficiaries. As on date, 27,742 hospitals have been empanelled under the scheme.

Initially, 10.74 crore beneficiary families under AB PM-JAY were targeted on the basis of the Socio-economic Caste Census (SECC) of 2011 using select deprivation and occupational criteria across rural and urban areas, respectively. In January 2022, Government of India revised the beneficiary base to 12 crore families and States/UTs have been given the flexibility to use other digitized databases of similar socio-economic for identification of beneficiaries under the scheme. Accordingly, States/UTs have provided Aadhaar-seeded databases of poor and vulnerable families for verification under the scheme. The beneficiary may directly visit any empaneled hospital (public or private) across the country to avail cashless treatment benefits.

Approximately 55 crore individuals corresponding to 12 crore families are covered under ABPMJAY. Further, States/UTs have expanded the beneficiary base at their own cost. Under the scheme, all eligible beneficiary families are covered since inception of the implementation of the scheme in the States/UTs. The absence of Ayushman Card does not hinder any eligible individual from taking treatment under the scheme. Ayushman cards are issued as a token of entitlement and empowerment. Since the nature of the scheme is demand-driven, beneficiaries generally create Ayushman cards when they are in need of any medical treatment.

As on 29.01.2024, over 30.8 crore Ayushman cards have been created. State/UT-wise details of Ayushman cards created under the scheme are at Annexure-II . Massive Ayushman card creation drive across the country is undertaken in tandem with the States. The details of different initiatives taken under the scheme to saturate Ayushman card are as follows:

- i. Ayushman Bhava: Ayushman Bhava, launched by Hon ' ble President, Smt. Droupadi Murmu, on 12.09.2023, is an initiative that is aimed at ensuring the saturation of various healthcare schemes at the village level, ultimately reaching the end beneficiaries. This initiative encompasses a series of interventions, including ' Aapke Dwar Ayushman 3.0 ' , ' Ayushman Sabhas ' , ' Ayushman Melas ' , and the ultimate goal of elevating villages to the status of ' Ayushman Gram ' .
- ii. Ayushman App: An Android based ' Ayushman App ' has been developed using latest technology that provides for modes of authentication i.e. face-auth, OTP, IRIS, and fingerprint for creation of Ayushman card. This ensures that any mobile device can be used for Ayushman card creation.
- iii. Aapke Dwar Ayushman: ADA 3.0 has been launched on 17.09.2023 as part of Ayushman Bhava campaign, wherein self-verification feature for beneficiaries through Ayushman App has been enabled.

*****

## State/UT-wise details of number of persons benefited under AB-PMJAY along with the expenditure incurred during each of the last three years

(Amount is in Rupees)

| State / UT                  | FY 2020-21   | FY 2020-21      | FY2021-22   | FY2021-22         | FY2022-23   | FY2022-23         |
|-----------------------------|--------------|-----------------|-------------|-------------------|-------------|-------------------|
| State / UT                  | Count        | Amount          | Count       | Amount            | Count       | Amount            |
| Andaman And Nicobar Islands | 311          | 1,02,36,710     | 794         | 2,16,52,485       | 695         | 2,60,63,932       |
| Andhra Pradesh              | 7,56,406     | 19,08,02,00,000 | 11,60,904   | 27,15,68,00,000   | 15,42,183   | 33,38,22,00,000   |
| Arunachal Pradesh           | 70           | 16,78,125       | 231         | 37,36,180         | 1,019       | 1,84,82,093       |
| Assam                       | 91,772       | 1,39,18,35,257  | 1,75,310    | 2,66,77,37,289    | 2,39,612    | 3,90,42,79,296    |
| Bihar                       | 84,812       | 76,55,02,124    | 1,14,882    | 1,35,00,47,086    | 2,12,504    | 2,29,17,53,024    |
| Chandigarh                  | 5,206        | 3,08,44,095     | 8,207       | 5,39,26,374       | 10,271      | 9,31,44,651       |
| Chhattisgarh                | 4,92,288     | 5,14,46,01,495  | 8,93,285    | 9,62,58,80,196    | 12,86,731   | 14,85,95,25,184   |
| DNHandDD                    | 18,862       | 11,54,41,342    | 20,526      | 14,62,88,819      | 21,422      | 16,31,60,019      |
| Goa                         | 139          | 28,72,856       | 167         | 38,00,809         | 407         | 78,68,621         |
| Gujarat                     | 8,23,589     | 11,32,66,54,900 | 5,58,564    | 15,97,46,99,223   | 9,08,184    | 26,23,95,63,868   |
| Haryana                     | 1,37,044     | 1,55,52,47,368  | 1,84,108    | 2,38,55,32,133    | 2,82,782    | 4,20,98,26,775    |
| Himachal Pradesh            | 28,394       | 35,24,67,427    | 46,548      | 69,43,69,380      | 62,142      | 79,69,65,530      |
| Jammu And Kashmir           | 62,519       | 57,20,07,889    | 2,46,823    | 4,46,38,33,680    | 3,79,759    | 6,97,46,07,643    |
| Jharkhand                   | 2,92,945     | 2,94,35,61,932  | 3,24,024    | 4,40,95,94,590    | 4,05,671    | 4,90,98,97,278    |
| Karnataka                   | 6,52,150     | 6,88,43,84,722  | 10,83,580   | 9,62,93,84,141    | 22,13,619   | 16,60,93,00,000   |
| Kerala                      | 10,40,111    | 7,61,45,62,339  | 16,96,845   | 15,68,87,61,430   | 12,22,500   | 17,00,57,58,025   |
| Ladakh                      | -            | -               | 505         | 67,07,803         | 5,186       | 8,39,27,662       |
| Lakshadweep                 | -            | -               | 64          | 19,40,020         | 401         | 1,17,19,130       |
| Madhya Pradesh              | 3,77,006     | 5,37,59,33,250  | 7,02,119    | 11,63,35,08,654   | 11,49,586   | 19,32,79,74,790   |
| Maharashtra                 | 1,42,631     | 3,90,33,32,609  | 1,29,700    | 3,46,16,57,858    | 3,17,164    | 7,90,19,77,518    |
| Manipur                     | 16,330       | 16,44,84,595    | 24,050      | 30,90,46,978      | 38,866      | 53,78,56,671      |
| Meghalaya                   | 1,23,680     | 95,44,41,138    | 1,45,224    | 1,17,33,12,963    | 1,85,112    | 1,72,73,02,809    |
| Mizoram                     | 16,915       | 20,90,05,800    | 13,904      | 17,75,48,426      | 23,309      | 31,45,54,215      |
| Nagaland                    | 7,344        | 10,71,67,010    | 5,650       | 11,26,28,183      | 12,456      | 26,90,13,037      |
| Puducherry                  | 2,477        | 1,04,12,784     | 11,863      | 7,43,66,025       | 24,733      | 20,29,34,373      |
| Punjab                      | 4,15,749     | 4,63,91,79,389  | 5,28,728    | 6,59,47,20,315    | 2,96,695    | 3,75,98,04,956    |
| Rajasthan                   | 4,18,192     | 2,46,86,55,573  | 12,34,819   | 8,31,58,39,855    | 16,40,401   | 17,24,81,95,311   |
| Sikkim                      | 1,937        | 1,56,62,360     | 2,753       | 1,89,63,767       | 4,792       | 4,34,43,238       |
| Tamil Nadu                  | 18,94,989    | 8,64,29,39,095  | 44,94,343   | 16,29,64,58,376   | 14,19,371   | 13,49,88,48,486   |
| Telangana                   | -            | -               | 2,71,016    | 6,28,78,44,173    | 5,59,443    | 11,55,68,83,812   |
| Tripura                     | 30,075       | 24,05,89,648    | 45,892      | 40,44,19,915      | 76,522      | 79,10,33,687      |
| Uttar Pradesh               | 3,14,580     | 2,97,67,00,084  | 4,94,345    | 5,68,31,01,349    | 8,22,346    | 12,45,84,57,823   |
| Uttarakhand                 | 1,12,217     | 1,64,08,71,366  | 1,81,034    | 4,04,23,75,654    | 2,58,843    | 5,89,78,59,780    |
| Total                       | 83,60,740    | 89,14,14,73,282 | 1,48,00,807 | 1,58,87,04,84,129 | 1,56,24,727 | 2,27,12,41,83,237 |

## State/UT-wise details of Ayushman cards created under the scheme

| State/UT                    | Ayushman Cards Created   |
|-----------------------------|--------------------------|
| Andaman and Nicobar Islands | 66,603                   |
| Andhra Pradesh              | 1,52,62,431              |
| Arunachal Pradesh           | 1,21,582                 |
| Assam                       | 1,66,45,359              |
| Bihar                       | 87,56,386                |
| Chandigarh                  | 1,74,819                 |
| Chhattisgarh                | 2,11,14,627              |
| DNH&DD                      | 4,34,860                 |
| Goa                         | 74,270                   |
| Gujarat                     | 2,34,51,379              |
| Haryana                     | 1,09,13,451              |
| Himachal pradesh            | 12,77,566                |
| Jammu and Kashmir           | 84,16,633                |
| Jharkhand                   | 1,18,93,379              |
| Karnataka                   | 1,55,61,248              |
| Kerala                      | 75,41,781                |
| Ladakh                      | 1,86,333                 |
| Lakshadweep                 | 30,406                   |
| Madhya pradesh              | 3,86,06,192              |
| Maharashtra                 | 2,52,60,891              |
| Manipur                     | 5,47,925                 |
| Meghalaya                   | 18,85,717                |
| Mizoram                     | 5,09,997                 |
| Nagaland                    | 6,67,433                 |
| Puducherry                  | 4,87,560                 |
| Punjab                      | 84,32,128                |
| Rajasthan                   | 1,95,11,646              |
| Sikkim                      | 69,240                   |
| Tamil nadu                  | 62,64,862                |
| Telangana                   | 82,48,068                |
| Tripura                     | 13,97,187                |
| Uttar Pradesh               | 4,89,37,809              |
| Uttarakhand                 | 54,76,455                |