Lok Sabha Question No. 2160 (UNSTARRED), answered on 2025-12-12
Subject: Treatment of Patients under Ayushman Bharat Scheme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Patel Umeshbhai Babubhai

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2160 TO BE ANSWERED ON 12 TH DECEMBER, 2025

## TREATMENT OFPATIENTS UNDER AYUSHMAN BHARATSCHEME

## †2160. SHRI PATEL UMESHBHAI BABUBHAI:

Will the Minister of HEALTHAND FAMILYWELFARE be pleased to state:

(a) the total number of patients who have recevied treatment under the Ayushman Bharat scheme in the Union Territory of Dadra and Nagar Haveli & Daman and Diu (DNH & DD) during the last five years, district-wise;

- (b) the details of the total cost of the treatment of patients under the Ayushman Bharat Yojana borne by the Union Government and the UT of DNH & DD administration during the last five years;

(c) the number of patients from the UT of DNH & DD who have recieved treatment under the Ayushman Bharat Scheme in hospitals situated outside the UT during the last five years;

(d) whether the UT of DNH & DD Administration have to pay any outstanding dues to the hospitals located in Gujarat and other States across the country; and

- (e) if so, the amount of such outstanding dues along with the reasons therefor?

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

(a) and (b): The district-wise details of total number of patients who have received treatment under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) and the amount involved therein in the Union Territory of Dadra and Nagar Haveli & Daman and Diu (DNH &DD) during the last five years are at Annexure .

(c): 9458 hospital admissions have been authorized under AB-PMJAY in the hospitals situated outside the UT of DNH & DD during the last five years.

(d) and (e): Under the scheme, settlement of claims is an ongoing process and claims are settled by respective State Health Agencies. Portability (outside the State) treatments are paid by beneficiary's State/UT. National Health Authority has laid down guidelines for payment of claim to hospitals within 15 days of claim submission for the intra-state hospitals (hospitals located within State) and within 30 days in case of portability claims (hospitals located outside State).

| Financial Year   | Daman              | Daman                       | Diu                | Diu                         | Dadra and Nagar Haveli   | Dadra and Nagar Haveli      |
|------------------|--------------------|-----------------------------|--------------------|-----------------------------|--------------------------|-----------------------------|
|                  | Number of patients | Amount (in crore of Rupees) | Number of patients | Amount (in crore of Rupees) | Number of patients       | Amount (in crore of Rupees) |
| 2020-21          | 3556               | 2.08                        | 567                | 0.58                        | 14,820                   | 8.88                        |
| 2021-22          | 3997               | 2.90                        | 508                | 1.28                        | 16,112                   | 10.44                       |
| 2022-23          | 4495               | 3.48                        | 619                | 1.50                        | 16,378                   | 11.33                       |
| 2023-24          | 3653               | 3.06                        | 455                | 1.41                        | 13,312                   | 9.58                        |
| 2024-25          | 4247               | 4.66                        | 550                | 1.74                        | 17,374                   | 13.27                       |

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