The Government of India has announced the launch of a flagship scheme called Pradhan Mantri Jan Arogya Yojana (PMJAY) as a mega National Health Protection Scheme (NHPS) for the under-privileged people. Ayushman Bharat will benefit around 10 crore’s poor and vulnerable families (approximately 50 crore’s individual)

The objective of PMJAY-CMCHIS is to provide cashless and paperless treatment in hospitals through health insurance coverage up to 5 lakh rupees per family per year thus reducing the financial burden of poor and vulnerable groups arising out of hospitalization episodes and ensuring their access to quality health care services.

Answer: Currently 1393 packages covering surgery, medical and day care treatments, along with medicine and diagnostics will be covered under PMJAY-CMCHIS as per norms and guidelines of the Scheme.

No, the card is free, and no fee is to be paid for obtaining the card.

All existing CMCHIS empanelled Hospitals both Government and Private, will automatically provide healthcare facilities for the patients under PMJAY-CMCHIS.

For availing treatment under this scheme, a beneficiary can go directly to any empanelled hospital Empanelled Hospitals, both Government & Private and call the toll free number 1800 425 3993 for guidance. There served procedures for Government hospitals will only be available in Government hospitals.The PMJAY Toll free no is 14555/ 1800 111 565.

Beneficiary should approach Ayushman Mitra (Insurance Coordinator) posted at empanelled hospitals Empanelled Hospitals for helping the patient to avail cashless treatment.

No, patients will get cashless treatment in empanelled hospitals up to 5 lakhs per annum per family. No reimbursement will be available to patients.

No cap on family size and age of members.

In case of any queries or grievance, a beneficiary can always call toll free number 1800425 3993, 24×7 & PMJAY Toll free no is 14555/1800111565. Additionally, one can also send mail to tnhealthinsurance@gmail.com & cmchis@uiic.co.in

No, hospitals cannot charge any amount from the beneficiary/family.

Answer: Approximately 6crore senior citizens, belonging to around 4.5crore families, are aged 70 or above in India.

The only eligibility criterion is that the individual must be aged 70 years or above, as determined by the age recorded in their Aadhaar card, regardless of economic status.

Aadhar is the only document needed for enrolment in the ABPMJAY Senior Citizen Scheme.

If only the birth year is recorded in Aadhar, January 1st of the year following the recorded birth year will be considered as the date of birth.

Answer: No, separate enrolments aren’t needed. After enrolling the first family member aged 70 or above, you can add other family members aged 70 or above under the scheme using the “Add Member” feature on our enrolment portal.

Yes, a distinct Ayushman card will be issued to all eligible senior citizens aged70 years and above.

Yes, the beneficiary can apply for the Ayushman Bharat Senior Citizen Scheme through our website portal- www.beneficiary.nha.gov.in and the Ayushman App (available for Android on the Google Play Store).

Yes, beneficiaries can begin accessing treatment from the first day of enrollment. There is no waiting period for any disease or treatment, so coverage starts immediately.

Yes, there is no income limit set by the government for eligibility under this scheme. Any Indian citizen aged 70 or above is eligible, irrespective of income.

No, the ₹5lakh coverage is provided on a family basis. Both your grandparents will be covered, but the ₹5lakh annual limit is shared between them as part of the same family.

Yes, your father is eligible for the additional top-up benefit. However, he will need to redo his Aadhaar eKYC.

No, the additional ₹5lakh coverage is only for family members aged 70 or above. The rest of the family will continue to receive their existing ₹5 lakh coverage.

Yes, your father is eligible for PM-JAY coverage even if he has private health insurance.

Yes, your parents are eligible for PM-JAY coverage even if they are covered under ESIC.

Yes, you are eligible. However, as per government rules, citizens who benefit from any other government health scheme must choose either their existing scheme benefits or those under ABPMJAY. This means if you have CGHS, you must choose between CGHS and Ayushman Bharat PMJAY, as benefits from both schemes cannot be availed simultaneously.

No, once your parents choose the AB PM-JAY scheme and surrender their existing government health insurance, they cannot switch back. This is a one-time option and cannot be reversed.

Under the scheme, medical care services such as pre and post hospitalization, daycare surgeries, etc.

A dedicated ID card will be given to eligible families and a PMJAY e-card will be given at the time of hospitalization.

The HHD number in PMJAY, which stands for Household Identification number, it is a unique 25-character code that identifies households.

The HH ID or Household ID number is provided to families who are identified under the SECC and contains 24 digits.

• Open the App Store or Play Store and search for the Ayushman App
• Download and install the app, Open the app and click on Login
• Select Beneficiary, enter the Captcha, and verify your mobile number
• Scroll down and select Enroll Senior citizen, Enter your Aadhaar number, Captcha and click search, If not found in the database click Fresh Enrollment of 70+
• Choose an e-KYC option: OTP, Fingerprint, or Iris. Select Aadhaar OTP for this guide
• Verify your Aadhaar number, consent to the terms and click allow, Enter the OTPs sent to both your Aadhaar-linked mobile number and your mobile number
• After Successful e-KYC, confirm eligibility for the AB PM-JAY 70+ scheme

You can avail free treatment for the novel corona virus or COVID-19 at an empanelled public or private hospital under this scheme by submitting the Ayushman Bharat card and HHD number.

Under the scheme, you can avail both treatment and test for corona virus.

Yes, the scheme covers pre-existing diseases.

Healthcare services such as cosmetic surgeries, drug rehabilitation, fertility treatment and organ transplant are excluded from the Ayushman Bharat Yojana scheme.

Beneficiaries should contact Ayushman Mitra at the empanelled hospital to avail cashless treatment at the hospital.

All beneficiaries can avail free treatment for tertiary and secondary hospital treatment for packages identified under the scheme at empanelled public and private hospitals.

There is no death benefit to the beneficiary of Ayushman car holders.

Under the scheme, medical procedures including Orthopedics are available for treatment.

Contact your State Health Agency (SHA) to change your mobile number in the scheme or contact the toll free number 14555 or 1800-111-565.

Under the scheme, there is no cap on the family size and age.

If you are a beneficiary of the scheme, then to update your data you need to visit the Common Service Centre (CSC) or you can call the Ayushman Bharat helpline number 14555 or 1800-111-565.