Details Regarding Eligibility, Procedure, Govt. Proposal and other issues related to Ayushman Bharat Yojana -Answer Given by Govt. in Loksabha.
Questions related to Ayushman Bharat Yojana asked in the Loksabha during current session. These questions are:
(a) the details of eligibility criteria and procedure prescribed to provide benefits of medical facilities to the patients under AB-PMJAY;
(b) whether the Government has empanelled sufficient number of hospitals under the Yojana and if so, the details thereof, State/UT-wise;
(c) the criteria for empanelment of more Government/ private hospitals under the Yojana along with the details of hospitals proposed to be empanelled, State/UT-wise including Maharashtra;
(d) the steps taken by the Government for effective implementation, creating awareness and to make the Yojana user friendly;
(e) the appropriate steps taken by the Government to make the said Yojana more welfare oriented and people friendly; and
(f) whether the Government has received any suggestion/complaint from general public or State Governments regarding the said Yojana and if so, corrective measures taken/proposed to be taken by the Government in this regard, State/UT-wise?
Here is the full text of Question-Answer given in Loksabha.
GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA
UNSTARRED QUESTION NO: 3320
ANSWERED ON: 05.08.2022
Ayushman Bharat Yojana
Sanjay Haribhau Jadhav
Shiromani Ram
Omprakash Bhupalsinh alias Pawan Rajenimbalkar
Vinayak Bhaurao Raut
Bhavana Gawali (Patil)
Krupal Balaji Tumane
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:-
(a) the details of eligibility criteria and procedure prescribed to provide benefits of medical facilities to the patients under AB-PMJAY;
(b) whether the Government has empanelled sufficient number of hospitals under the Yojana and if so, the details thereof, State/UT-wise;
(c) the criteria for empanelment of more Government/ private hospitals under the Yojana along with the details of hospitals proposed to be empanelled, State/UT-wise including Maharashtra;
(d) the steps taken by the Government for effective implementation, creating awareness and to make the Yojana user friendly;
(e) the appropriate steps taken by the Government to make the said Yojana more welfare oriented and people friendly; and
(f) whether the Government has received any suggestion/complaint from general public or State Governments regarding the said Yojana and if so, corrective measures taken/proposed to be taken by the Government in this regard, State/UT-wise?
ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)
(a) to (f): Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is an entitlement-based scheme. Eligible beneficiaries can directly visit any empanelled public or private hospital to avail cashless treatment. The details of eligibility criteria for availing medical facilities by the beneficiaries under the scheme are at Annexure-I. State/UT-wise details of empanelled hospitals are at Annexure-II. All Government hospitals of and above the level of Community Health Centre (CHC) are deemed empanelled under the scheme. Details of criteria for empanelment of private hospitals are as under:
• General criteria - For hospitals that provide non-specialised general medical and surgical care with or without ICU and emergency services.
• Special criteria (for clinical specialties) - For each specialty, a specific set of criteria is identified. A hospital is not allowed to apply for selected specialties and must agree to offer all specialties to scheme beneficiaries. In order to offer a specialised clinical service, the hospital must have necessary infrastructure and HR in place.
Empanelment of private hospitals is voluntary on their part. Intending private hospitals apply for empanelment and get empanelled subject to fulfilment of laid down criteria.
Details of steps taken for effective implementation, creating awareness and to make the Yojana user-friendly are at Annexure-III. Feedback received from various stakeholders is duly incorporated in the steps taken to improve implementation of the scheme.
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Source : Loksabha
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