Rs 86 cr spent on free treatment under AB PM-JAY SEHAT in JK

Rs 86 cr spent on free treatment under AB PM-JAY SEHAT in JK

SRINAGAR: The Jammu and Kashmir government has provided 86,000 free and cashless treatments worth Rs 86 crore to beneficiaries under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) SEHAT, since the first six months of launch of this health insurance scheme fully financed by the government.
A senior government official informed that out of 70,000 claims worth Rs 75 crore submitted by empanelled hospitals, 50,000 claims worth Rs 40 crore have been paid till date under AB-PMJAY and AB-PMJAY SEHAT schemes.
Chief Executive Officer, State Health Agency (SHA) J&K, Dr Doifode Sagar Dattatray said, “We are introducing several innovations in the ecosystem of the scheme, like implementation of Standard Treatment Guidelines, Establishment of District Implementation Units (DIUs), reforms in functioning of Pradhan Mantri Arogya Mitras, real-time based monitoring system for Insurance Company and Empanelled Hospitals, strengthening of supply side and introduction of smart Ayushman Cards.”
This prestigious scheme is being monitored regularly by Additional Chief Secretary Health and Medical Education, Atal Dulloo, who in a statement said, “This ambitious health insurance scheme is going to be the game changer as far as provision of healthcare services is concerned. It will on one hand help residents of J&K to avail quality healthcare services and on the other hand will strengthen and streamline the supply-side in the health service delivery paradigm.”
The AB PM-JAY SEHAT, launched by the Prime Minister on 26th December 2020, aims to provide Universal Health Insurance Coverage of Rs 5.00 lakh per family per year for secondary and tertiary care hospitalisation across public and private empanelled hospitals in India on a floater basis. AB PM-JAY SEHAT has the same benefits as available under AB-PMJAY. This scheme covers all residents of Jammu and Kashmir including employees and pensioners of Government of Jammu and Kashmir and their families.
The scheme covers up to 3 days of pre-hospitalisation and 15 days post-hospitalisation expenses, such as diagnostics and medicines. Benefits of the scheme are portable across the country, i.e., a beneficiary can visit any of the more than 24,000 empanelled public or private hospitals in India, including 218 hospitals empanelled within Union Territory of Jammu & Kashmir, to avail cashless treatment. Information Department

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