Pradhan Mantri Jan Arogya Yojana

Subject: Schemes

Context:

The nationwide lockdown had a significant negative impact on inpatient care utilisation under the Pradhan Mantri Jan ArogyaYojana (PMJAY), where claim volumes fell by over 50%, with wide variation across the States and procedure types.

Concept:

• The second component under Ayushman Bharat is the Pradhan Mantri Jan Arogya Yojna
• Ayushman Bharat PM-JAY is the largest health assurance scheme in the world which aims at providing a health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization to over 10.74 crores poor and vulnerable families .
• The households included are based on the deprivation criteria of Socio-Economic Caste Census 2011 (SECC 2011) for rural areas and occupational criteria of SECC in urban areas.
• PM-JAY was earlier known as the National Health Protection Scheme (NHPS) before being rechristened. It subsumed the then existing RashtriyaSwasthyaBimaYojana (RSBY) which had been launched in 2008.
• PM-JAY is fully funded by the Government and cost of implementation is shared between the Central and State Governments.
• It covers up to 3 days of pre-hospitalization and 15 days post-hospitalization expenses such as diagnostics and medicines.
• There is no restriction on the family size, age or gender.
• Benefits of the scheme are portable across the countrye. a beneficiary can visit any empanelled public or private hospital in India to avail cashless treatment.
• Public hospitals are reimbursed for the healthcare services at par with the private hospitals.

 Socio economic caste census

• SECC-2011 is the study of socio economic status of rural and urban households. The Ministry of Rural Development Government of India, commenced the Socio Economic and Caste Census (SECC) 2011, in June 2011 through a comprehensive door to door enumeration across the country.
• SECC 2011 has three census components which were conducted by three separate authorities but under the overall coordination of Department of Rural Development in the Government of India.
  • Census in Rural Area has been conducted by the Department of Rural Development (DoRD).
  • Census in Urban areas is under the administrative jurisdiction of the Ministry of Housing and Urban Poverty Alleviation (MoHUPA).
  • Caste Census is under the administrative control of Ministry of Home Affairs: Registrar General of India (RGI) and Census Commissioner of India.
• The SECC, 2011 has the following three objective:

a) To enable households to be ranked based on their socioeconomic status. State Governments can then prepare a list of families living below the poverty line.

b) To make available authentic information that will enable caste-wise population enumeration of the country.

c) To make available authentic information regarding the socioeconomic condition, and education status of various castes and sections of the population.