Lok Sabha Question No. 3039 (UNSTARRED), answered on 2024-12-13
Subject: Health Coverage of Ayushman Bharat
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ms. Praniti Sushilkumar Shinde

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3039 TO BE ANSWERED ON 13 TH DECEMBER, 2024

## HEALTH COVERAGE OFAYUSHMAN BHARAT

## 3039. MS. PRANITI SUSHILKUMAR SHINDE:

Will the Minister of HEALTHAND FAMILYWELFARE be pleased to state:

- (a) the details on the current coverage and utilization of the Ayushman Bharat scheme across various States;
- (b) the total number of beneficiaries who have availed healthcare services under the scheme, State/UT-wise;
- (c) whether the Government has any plan to extend the scheme including OPD coverage; and
- (d) if so, the details thereof and if not, the reasons therefor?

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

(a) and (b): Ayushman Bharat- Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) was launched on 23.09.2018 with an aim to provide health cover of Rs. 5 lakh per family per year for secondary and tertiary care hospitalization to approximately 10.74 crore beneficiary families constituting the bottom 40% of India ' s population. AB-PMJAY is presently implemented in 33 States/UTs across the country except West Bengal, NCT of Delhi and Odisha.

Initially, 10.74 crore beneficiary families under AB-PMJAY 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 to identify the families. 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 States/UTs have been given the flexibility to use other databases for verification of beneficiaries against such SECC beneficiaries who could not be identified and verified.

In March 2024, 37 lakh families of ASHA, Anganwadi Worker and Anganwadi Helpers were also included in the scheme. Further, on 29.10.2024, the Government of India expanded the scheme to provide free treatment benefits of up to ₹5 lakh per year on a family basis to all senior citizens aged 70 years and above, irrespective of their socio-economic status. Additionally, many States/UTs implementing the scheme have expanded the beneficiary base at their own cost.

State/UT-wise details of number of hospital admissions under the scheme are at Annexure .

(c) and (d): Currently, AB-PMJAY provides only in-patient (IPD) treatment corresponding to a total of 1961 procedures under secondary and tertiary care which also include several day care procedures. Further, under National Health Mission, more than 1.75 lakh Ayushman Arogya Mandirs (previously known as Health and Wellness Centres) have been established to deliver healthcare services to address the primary healthcare needs of the entire population in their areas which include OPD consultations as well.

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Annexure

State/UT-wise details of number of hospital admissions authorized under the scheme

| State/UT                 | Number of hospital admissions authorized   |
|--------------------------|--------------------------------------------|
| Andaman &Nicobar Islands | 3,198                                      |
| Andhra Pradesh           | 72,76,194                                  |
| Arunachal Pradesh        | 4,602                                      |
| Assam                    | 13,17,537                                  |
| Bihar                    | 14,28,404                                  |
| Chandigarh               | 58,405                                     |
| Chhattisgarh             | 66,64,150                                  |
| DNH&DD                   | 1,37,575                                   |
| Goa                      | 10,221                                     |
| Gujarat                  | 60,54,212                                  |
| Haryana                  | 18,50,000                                  |
| Himachal Pradesh         | 3,06,464                                   |
| Jammu And Kashmir        | 14,50,572                                  |
| Jharkhand                | 22,28,199                                  |
| Karnataka                | 1,00,02,556                                |
| Kerala                   | 66,14,465                                  |
| Ladakh                   | 18,963                                     |
| Lakshadweep              | 1,245                                      |
| Madhya Pradesh           | 48,66,226                                  |
| Maharashtra              | 23,64,107                                  |
| Manipur                  | 1,92,932                                   |
| Meghalaya                | 9,04,992                                   |
| Mizoram                  | 1,44,835                                   |
| Nagaland                 | 86,691                                     |
| Puducherry               | 1,04,644                                   |
| Punjab                   | 23,43,754                                  |
| Rajasthan                | 60,95,165                                  |
| Sikkim                   | 24,131                                     |
| Tamil Nadu               | 1,07,53,037                                |
| Telangana                | 18,83,804                                  |
| Tripura                  | 3,80,720                                   |
| Uttar Pradesh            | 50,97,051                                  |
| Uttarakhand              | 13,04,312                                  |

Note: Data as on 31.10.2024