Lok Sabha Question No. 2224 (UNSTARRED), answered on 2025-08-01
Subject: Public and Private Hospitals Empanelled Under Ayushman Bharat
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Arun Bharti

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2224 TO BE ANSWERED ON 01 ST AUGUST, 2025

## PUBLICANDPRIVATEHOSPITALSEMPANELLEDUNDERAYUSHMAN BHARAT

## 2224. SHRIARUNBHARTI:

Will the Minister of HEALTHAND FAMILYWELFARE be pleased to state:

(a) the total number of families and individuals in the Jamui Lok Sabha Constituency who have been issued Ayushman Bharat (PM-JAY) cards and are eligible for benefits under the scheme;

(b) the number of public and private hospitals empanelled under Ayushman Bharat within the constituency and whether this number meets the prescribed population-to-hospital ratio, if so, the details thereof;

- (c) the total value of claims settled for treatments provided to beneficiaries from Jamui during the last three years along with the major ailments for which treatments were sought; and
- (d) the steps being taken by the Government to increase awareness about the scheme and empanel more specialty hospitals in the region to ensure comprehensive and accessible cashless healthcare?

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

(a): Under Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), constituency-wise data is not captured in the scheme, instead, district-wise data is available. As on date, the total number of families and individuals for which Ayushman cards have been created in Jamui District are 2.94 lakhs and 6.63 lakhs respectively.

(b): As on date, a total of 16 hospitals have been empanelled under AB-PMJAY in Jamui District, including 10 public hospitals and 6 private hospitals.

All public hospitals providing in-patient services or day care facilities are deemed empanelled under the scheme. As public health is a State subject, the responsibility of empaneling hospitals under the scheme, lies with the respective State/UT. Further, 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.

(c): Under AB-PMJAY, claims worth Rs 34.38 crore have been settled for treatments provided to beneficiaries from Jamui District during the last three years.

Cataract, Dysentery, Kidney Failure (Acute and Chronic), Acute Febrile Illness, and Neonatal Care are the major ailments for which treatment was sought in the district in the last three years.

(d): AB-PMJAY has a comprehensive media and outreach strategy to spread awareness and empower beneficiaries for their rights and entitlements. This includes advertisement over traditional media platforms including newspapers, community radio, street plays, digital displays, radio campaigns, mass messaging, telecast of beneficiary testimonials via Doordarshan, etc. In addition to this, State Health Agencies have also engaged the wide network of frontline workers i.e., ASHAs, AWWs and VLEs (Village level Entrepreneurs) who are pivotal in creating mass awareness at the grassroot level. In addition to this, beneficiaries can call to 24x7 call centre (14555) for any assistance/queries.

In order to improve the participation of hospitals, following actions have been taken:

- i. NHA (National Health Authority) has released a revised Health Benefit Package (HBP) with increased number of procedures (1961).
- ii. Claim settlement is monitored at the highest level and it is ensured that claim is settled within defined turnaround time.
- iii. NHAhas launched an improved version of the Hospital Engagement Module (HEM2.0) for enhancing the empanelment process of the hospitals.
- iv. Ahospital-specific call center (14413) has been set-up to address their concern on a real-time basis.
- v. District Implementation Units (DIUs) have been set-up to regularly visit empaneled hospitals to understand the issues faced by beneficiaries and hospitals.

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