Update your ayushman card and get new benefits 2023.

 

BIG UPDATE...

11 July 2023 government Will give 10 lakh rupees to Ayushman card holders...

The Ayushman Card, also known as the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) card, is a government healthcare initiative in India aimed at providing financial protection and access to quality healthcare for vulnerable and economically weaker sections of society. In 2023, the Ayushman Card underwent significant upgrades, introducing new features and benefits to further enhance its effectiveness and reach.

Overview of Ayushman Card:

The Ayushman Card is a health insurance scheme that covers eligible individuals for hospitalization expenses, including pre and post-hospitalization costs. It provides coverage of up to INR 5 lakhs per family per year, allowing cardholders to access medical treatments and procedures across a wide network of empaneled hospitals and clinics.

Upgraded Ayushman Card for 2023:

In 2023, several new features were introduced to enhance the Ayushman Card program. Firstly, the coverage was expanded to include specific medical procedures, such as organ transplants, cancer treatments, and cardiac surgeries. This extension ensures that individuals with critical healthcare needs can avail themselves of necessary treatments without financial burdens.

Another key upgrade is the increased reimbursement rates for healthcare providers. This enhancement aims to encourage more hospitals and medical professionals to participate in the Ayushman Card program, thereby expanding the network of empaneled healthcare facilities. It helps ensure that cardholders have access to quality healthcare services from a broader range of providers.

Additionally, the claim process for cardholders was streamlined for smoother and faster reimbursement. The upgraded Ayushman Card simplifies the paperwork and documentation required for claims, reducing the administrative burden on both patients and healthcare providers.

Enhanced Benefits for Cardholders:

The government has decided to give 10 lahks instead of 5 lahks every day to Ayushman card holders.

Apart from the upgraded features, the Ayushman Card in 2023 introduced additional benefits for cardholders. These include access to a wider network of empaneled hospitals and clinics, allowing individuals to choose from a broader range of healthcare facilities. The availability of telemedicine services for remote consultations is another notable benefit, enabling individuals to seek medical advice and prescriptions without physically visiting a hospital.

Moreover, the upgraded Ayushman Card provides coverage for prescription medications, ensuring that cardholders can afford essential drugs for their treatment. This coverage may also include discounts and concessions on medication costs, further reducing the financial burden on individuals.

How to Obtain and Utilize the Upgraded Ayushman Card:

To obtain the upgraded Ayushman Card, individuals can follow a simple registration process at their nearest Ayushman Mitra center or Common Service Center (CSC). They need to provide necessary documents, such as identity proof and income certificate, to determine eligibility.

Once obtained, cardholders can utilize the Ayushman Card by presenting it at empaneled hospitals and healthcare facilities during hospitalization. The hospital will verify the eligibility and provide the necessary treatment without upfront payment. Afterward, the cardholder can initiate the claim process to avail reimbursement for the covered expenses.

Conclusion: The upgraded Ayushman Card for 2023 introduces new features and benefits that aim to improve the accessibility and quality of healthcare for vulnerable sections of society. With expanded coverage, increased reimbursement rates, streamlined claim processes, and additional benefits like telemedicine services and prescription medication coverage, the Ayushman Card continues to make significant strides in providing financial protection and healthcare access to those in need. Individuals must stay informed about these upgrades and utilize the Ayushman Card effectively to reap its maximum benefits. 

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National Health Authority.

The National Health Authority (NHA) plays a key role in implementing and managing the Ayushman Card program, which is a part of the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY). Here are some details about the responsibilities and functions of the National Health Authority Establishment: NHA was established in 2018 as an autonomous body under the Ministry of Health and Family Welfare, Government of India. It was created to implement and manage the AB-PMJAY including the Ayushman Card programme.

Policy Formulation: NHA is responsible for formulating policies, guidelines, and standard operating procedures (SOPs) Implementation of AB-PMJAY and ensuring their effective implementation. It works closely with various stakeholders including state governments, insurance companies, and healthcare providers to develop robust policies and procedures.

Scheme Implementation: NHA is responsible for the overall implementation of AB-PMJAY including distribution and management of Ayushman cards. It works closely with state governments and insurance agencies to ensure the smooth Implementation of the program at the grassroots level.

Empanelment of Hospitals: NHA oversees the empanelment of hospitals under AB-PMJAY. It sets up a network of healthcare providers, including public and private hospitals, diagnostic centers, and clinics, to provide services to Ayushman cardholders. NHA ensures that the empanelment process adheres to the predefined quality standards and guidelines. IT Infrastructure: NHA is responsible for the development and maintenance of the IT infrastructure required for the efficient functioning of AB-PMJAY. This includes setting up the Ayushman Bharat-PMJAY IT platform, which acts as a central hub for beneficiary identification, claim settlement, and monitoring of the scheme.

Grievance Redressal: NHA administers the grievance redressal mechanism for Ayushman cardholders. it installs Procedures for the resolution of complaints and problems related to the scheme, ensuring transparency and accountability in the resolution of issues faced by beneficiaries.

Monitoring and Evaluation: NHA undertakes monitoring and evaluation activities to assess the effectiveness and impact of AB-PMJAY. It collects data, audits, and conducts periodic reviews to monitor the performance of hospitals, insurance agencies, and other stakeholders involved in the implementation of the program.

 Capacity Building and Training: NHA focuses on capacity building and training programs for various stakeholders involved in AB-PMJAY. This includes training healthcare providers on the scheme's processes, procedures, and quality standards, as well as building the capacity of state governments and insurance agencies to effectively implement and manage the program. Collaboration and Partnership: NHA collaborates with state governments, insurance companies, and other relevant organizations to facilitate the implementation of AB-PMJAY. It works closely with these stakeholders to address challenges, share best practices and ensure program success.