Health Benefit Package of Ayushman Bharat PM-JAY revised

Union Health & Family Welfare Minister Mansukh Mandaviya. (File Photo-PIB)

New Delhi: The Centre on October 5, 2021, revised Health Benefit Package of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY).

In the revised version of Health Benefit Package (HBP 2.2), rates of some health packages have been increased by 20 percent to 400 per cent under PM-JAY. Around, 400 procedure rates have been revised and one new additional medical management package related to black fungus has also been added.

The National Health Authority (NHA), the apex body for implementing AB PM-JAY, has revised the package.

The HBP 2.2 is expected to be rolled out from November, 2021, the Ministry of Health and Family Welfare said.

Union Health and Family Welfare Minister Mansukh Mandaviya said that the revised version of HBP 2.2 will strengthen the empanelled hospitals to provide better healthcare services to the beneficiaries under Ayushman Bharat PM-JAY.

“The revised packages for oncology will enhance cancer care for the beneficiaries in the country. Addition of new packages related to black fungus will be a huge relief to the beneficiaries. I am sure that the rationalised HBP will further improve the uptake of scheme in private hospitals leading to reduced Out-of-Pocket Expenditure for the beneficiaries,” the Minister said.

NHA has undertaken rate revision in the following categories:

  • Radiation oncology procedures,
  • Medical Management procedures like procedure for dengue, acute febrile illness etc.,
  • Surgical package treatment for black fungus,
  • Other procedures like Right/left heart catheterization, PDA closure, Arthrodesis, Cholecystectomy, appendicectomy etc.

Under medical management procedures, rates for ICU with ventilator has been revised by 100 percent, rates for ICU without ventilator by 136 percent, rates for HDU has been revised by 22 percent while prices for routine ward has been revised by 17 percent.

The Ministry informed that currently Ayushman Bharat PM-JAY has 1669 treatment procedures out of which 1080 are surgical, 588 medical and one unspecified package.

“Under the vision of Prime Minister Narendra Modi, Ayushman Bharat PM-JAY aims to achieve the target of Universal Health Coverage and provide access to free and affordable healthcare services to the citizens residing in the remotest of the areas,” the Ministry added.

In 2018, Ayushman Bharat PM-JAY was launched with the HBP 1.0 with a total of 1,393 packages.

The scheme aims to provide free and cashless healthcare services up to Rs 5 lakh per family per year to over 10.74 crore poor and vulnerable families (over 53 crore beneficiaries) as per Socio-Economic Caste Census (SECC)-2011 database. (Press Release)

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