Ayushman Bharat PM-JAY status check — citizen guide 2026

Check the official NHA beneficiary portal first. Do not pay an agent. The National Health Authority runs PM-JAY; State Health Agencies run the state database. ABHA is a separate health-record ID. Use The RTI Playbook if your name is wrongly missing.

1. Visit beneficiary.nha.gov.in → Login → enter Mobile Number → OTP.
2. Search by Aadhaar OR Name + Father's Name + State OR Ration Card Number.
3. If eligible, your family's details show with Rs. 5 lakh coverage indicator.
4. Click Download e-Card — PDF with Aadhaar-OTP-protected card.
5. For hospital admission: present e-card or PMJAY ID to the Pradhan Mantri Aarogya Mitra at the empanelled hospital. Cashless treatment via TPA.
6. For claim status post-discharge: ask hospital for the claim ID. State Health Agency (SHA) tracks claims; typical settlement 30-90 days.
7. If not in eligibility list, check State Health Agency for additional state-only schemes (Mukhyamantri Jan Arogya, etc.).

Dr. Shrawan Kumar Pathak took his father to an empanelled hospital. The desk said the family was “not eligible” even though they believed they were on the SECC list. His daughter Kashvi Pathak asked the Pradhan Mantri Aarogya Mitra to search again on beneficiary.nha.gov.in with Aadhaar and ration card, then asked the hospital for the pre-auth reference. If the desk still refuses cashless care, file a written complaint with the State Health Agency and an RTI under §6 asking for eligibility status, the pre-auth record, and the reason for denial. See cashless denied complaint guide.

• Not in SECC 2011 — primary eligibility base. Some states added post-SECC categories (e.g., Maharashtra added construction workers). Check state-specific.
• Aadhaar-mobile mismatch — family verification fails. Fix: link Aadhaar with mobile via UIDAI.
• Hospital not empanelled for that procedure — check hospitals.pmjay.gov.in for procedure-wise list.
• Pre-authorisation rejected — hospital didn't submit pre-auth on time, or TPA rejected. Fix: appeal via SHA.
• Treatment not in PMJAY package list — only listed procedures covered (1,800+ packages). Check at hospitals.pmjay.gov.in.
• Annual cap reached — ₹5 lakh per family per year has been used. Confirm remaining cover on the beneficiary portal or with the PMAM desk.
• Migration / cross-state — PMJAY allows portability (treatment in any state with home-state card), but some hospitals don't recognise portability. RTI for SHA portability policy.

• ABHA ID (Ayushman Bharat Health Account) is a separate health-record ID — different from PMJAY. Get free at abha.abdm.gov.in.
• Pradhan Mantri Aarogya Mitra (PMAM) at every empanelled hospital — they verify eligibility + pre-auth on the spot. Always go to PMAM first.
• Reimbursement (post-payment) claims are possible if you paid first — file with SHA within 30 days of discharge with all bills + hospital empanelment proof.
• State top-ups — Maharashtra, Punjab, MP add their own state schemes layered on PMJAY (e.g., Maharashtra MJPJAY adds Rs. 1.5 L extra). Check state-specific.
• Senior Citizens (70+) — universal coverage announced 2024; no SECC requirement. Apply at beneficiary.nha.gov.in. Full guide: Ayushman Vay Vandana Yojana (70+).

PM-JAY: 14555 (toll-free). For Ayushman Vay Vandana (70+), PIB also lists missed-call support on 1800-110-770. State Health Agencies have their own helpdesks — find them on pmjay.gov.in.

If the portal, hospital desk or helpline cannot explain a denial, you have a statutory right under RTI Act 2005 §6 to ask the public authority. A reply is due in 30 days under §7(1).

File an RTI to: State Health Authority (SHA) + National Health Authority (NHA)

Ask these 5 questions:

1. eligibility (SECC-linked)
2. hospital pre-auth records
3. claim status
4. denial reasons
5. projected release

→ Use our free AI RTI Drafter to generate a complete §6(1) application in 60 seconds. The Drafter pre-fills your name, address, fee statement, and the 5 questions above.

→ Or speak it in हिन्दी / English / 9 other Indian languages via AwaazRTI.

→ For deeper case-law on this scenario: Read the full RTI guide for ayushman bharat claim. Also see: RTI for claim denial and PMJAY claim rejected grievance process.

For abha card status, abha health id check:

1. Open abha.abdm.gov.in.
2. Click Login → enter Aadhaar OR mobile → OTP.
3. Dashboard shows your 14-digit ABHA number + linked health records.
4. Download ABHA card from Download ABHA Card.

ABHA (Ayushman Bharat Health Account) is separate from PMJAY card — ABHA is a digital health record ID for everyone, PMJAY is the Rs 5 lakh hospitalisation benefit for SECC-identified poor. Full guide: Apply for ABHA Health ID and Apply for Ayushman Bharat ABHA card.

For pmjay card download, ayushman card download, ayushman bharat card pdf:

1. Open beneficiary.nha.gov.in.
2. Search by Aadhaar / mobile / Ration Card.
3. If you find your name, click Download PMJAY Card — PDF with QR code.

If your name isn't on the list:

• Verify SECC 2011 deprivation status with the State Health Authority (SHA) — eligibility is based on SECC, NOT Aadhaar.
• If you should qualify but don't appear, file an RTI to the SHA.
• Detailed troubleshooting: Ayushman card download guide 2026.

For ayushman empanelled hospital list, pmjay hospital near me:

1. Open hospitals.pmjay.gov.in.
2. Pick State → District → speciality.
3. Map view shows nearest empanelled hospitals with: address, phone, available specialties, beds reserved for PMJAY.

PIB (1 November 2025, PRID 2185049) recorded over 33,000 hospitals empanelled nationwide. Always verify the hospital on hospitals.pmjay.gov.in before admission. Full guide: Find PMJAY empanelled hospital.

For ayushman bharat claim status, pmjay claim tracking:

Claims are filed by the hospital, not the patient. To track:

1. Patient: ask the hospital to share the Claim ID generated at admission.
2. Ask the hospital whether the claim ID can be tracked on the beneficiary or SHA portal, then keep the Claim ID in writing.
3. Settlement time is set by NHA / SHA process, not by this page. If the hospital or SHA will not give a written status, file RTI.

If claim is rejected, the hospital shares the rejection reason — you can challenge via NHA grievance portal. Detailed guide: PMJAY claim rejected grievance process.

For ayushman bharat status check by mobile number, pmjay card status by mobile no:

1. Go to beneficiary.nha.gov.in.
2. Click Login → enter your mobile number (the one linked to your Aadhaar or used at enrollment).
3. Enter the OTP sent via SMS.
4. The portal shows all family members linked to that mobile number with their PMJAY eligibility status and coverage details.
5. If eligible, click on a family member's name to view or download their e-card.

If your mobile number is not linked:

• Visit your nearest Common Service Centre (CSC) or empanelled hospital with your Aadhaar — they can search using your Aadhaar number or ration card.
• Call 14555 and provide your Aadhaar number — the helpline can verify eligibility over the phone.

For ayushman card not received, pmjay card not generated, name not in pmjay list:

If you applied for an Ayushman Bharat card but haven't received it, the most common causes are:

• Name mismatch with Aadhaar — the name in SECC 2011 data must match your Aadhaar. Even minor spelling differences can block card generation. See: PAN-Aadhaar name mismatch KYC fix.
• Mobile number not linked to Aadhaar — update at a UIDAI enrolment centre. See: Aadhaar update status check.
• Family not in SECC 2011 database — SECC is the primary eligibility list. If your family wasn't surveyed or was categorised differently, you won't appear. Check with your State Health Authority.
• Aadhaar not seeded with PMJAY — visit a CSC or PMAM desk at an empanelled hospital to complete biometric seeding.
• State-specific issues — some states (e.g., West Bengal, Delhi, Odisha) operate their own health schemes instead of or alongside PMJAY. See state-wise section below.
• Data entry error in SECC — if your family was wrongly excluded, file an RTI to the State Health Authority demanding your SECC deprivation category and inclusion status.

What to do:

1. First, search at beneficiary.nha.gov.in using multiple search criteria (Aadhaar, name + father's name + state, ration card number).
2. If still not found, visit the nearest CSC or PMAM at an empanelled hospital.
3. If you believe you are wrongly excluded, file an RTI to the State Health Authority — see our RTI guide or RTI for government scheme delay.
4. Beware of agents offering to “fix” eligibility — see Ayushman Bharat eligibility fraud guide.

For pmjay vs pmjay sehcat, pm jay vs sehcat, difference between pmjay schemes:

PM-JAY (Pradhan Mantri Jan Arogya Yojana) is the central scheme. It provides ₹5 lakh per family per year for listed secondary and tertiary hospitalisation. The National Health Authority publishes current beneficiary counts on nha.gov.in and pmjay.gov.in — use those dashboards, not a private website.

PM-JAY SEHAT (Social Health Insurance Scheme for All) was launched in December 2020. It extends PM-JAY-style coverage to all residents of Jammu & Kashmir, including those not in the SECC list. While PM-JAY is for SECC-identified poor across India, SEHAT covers the universal population of JK.

Key differences:

State variants: Several states run their own convergent schemes — e.g., Mukhyamantri Jan Arogya Yojana (Maharashtra), Tamil Nadu Chief Minister's Comprehensive Health Insurance, and Rajasthan health scheme. Check your state's specific scheme: Rajasthan health scheme status.

PM-JAY eligibility varies by state because each State Health Authority (SHA) manages its own beneficiary database. While the core eligibility comes from SECC 2011, many states have added their own categories:

• Rural poor identified through SECC 2011 deprivation indicators (D1–D7)
• Urban occupational workers — rag pickers, beggars, domestic workers, street vendors, construction workers (see BOCW registration)
• State-specific additions — some states include construction workers, pregnant women, disabled persons, or SC/ST households
• Senior citizens 70+ — universal coverage (announced 2024, rolling out 2025-2026)

To check your state-specific eligibility:

1. Search at beneficiary.nha.gov.in (works for all states)
2. Contact your State Health Authority — find contact details on pmjay.gov.in
3. Visit your nearest CSC or empanelled hospital's PMAM desk
4. For state-specific health schemes, see our state-by-state guide

For ayushman card check offline, pmjay status without internet:

Not everyone has internet access. You can check your PMJAY eligibility offline:

1. Call 14555 (toll-free, 24/7) — provide your Aadhaar number or ration card number. The helpline operator will confirm your eligibility and coverage.
2. Visit a Common Service Centre (CSC) — there are over 4 lakh CSCs across India. The operator can search the PMJAY database using your Aadhaar.
3. Visit any empanelled hospital's PMAM desk — the Pradhan Mantri Aarogya Mitra can verify eligibility instantly using your Aadhaar or ration card.
4. Contact your State Health Agency — each SHA maintains a beneficiary helpdesk. Find your SHA on pmjay.gov.in.
5. Physical SECC list — in some states, the SECC 2011 beneficiary list is available at the Gram Panchayat office or Urban Local Body health centre.

Some States run their own hospital-cover schemes alongside or instead of the central PM-JAY list. Eligibility can therefore differ by State even when the NHA portal is used. Check pmjay.gov.in for your State Health Agency, and verify the hospital on hospitals.pmjay.gov.in before admission. Related: Rajasthan health scheme status and health insurance schemes in India.

Call 14555 with your Aadhaar number — they'll check and confirm. You can also visit any Common Service Centre (CSC) or the PMAM desk at an empanelled hospital. See eSHRAM card status for related worker schemes.

Yes for empanelled hospitals on listed packages. Some non-package items (specific imports, super-luxury room) may have co-pay. Always confirm with the hospital's PMAM before admission. See Cashless denied guide and Ayushman cashless denied complaint.

Refuse + insist on PMAM contact. If they still insist, file complaint with SHA + RTI for hospital empanelment terms. Detailed steps: Cashless denied complaint guide.

OPD generally NOT covered. Dental only for accident-related, not routine. Mental health limited. See Health insurance schemes India.

Universal coverage announced 2024. Apply at beneficiary.nha.gov.in with Aadhaar; no SECC requirement. Full guide: Ayushman Vay Vandana Yojana (70+).

This is a common data-linking issue. Try searching with different name spellings, your father's name, or ration card number. Visit the nearest CSC or PMAM desk for biometric verification. If still not resolved, file an RTI to your State Health Authority asking for your SECC deprivation category and PMJAY seeding status. See: RTI guide and RTI for scheme delay.

Yes. At beneficiary.nha.gov.in, select “Ration Card Number” as your search criteria and enter your ration card number with the correct state. The portal will show all eligible family members linked to that card. See also: Ration card status and Add name to ration card.

PM-JAY covers the entire family as a unit — there is no cap on the number of members. The Rs. 5 lakh per year is shared across all family members on the same card. Eligibility is determined at the family level based on SECC 2011 data. Senior citizens 70+ get their own individual coverage regardless of family status.

To check status: use the official portal listed above with your reference number. SLA is published; if stuck beyond it, file a free RTI.

• If status is normal → wait the published SLA, then download/use your document
• If status is delayed → click 🪄 AI RTI Drafter now; complete §6 application in 60 seconds
• If status is rejected → demand reasons under §4(1)(d) RTI Act; appeal/represent
• For state-specific guidance → see state-by-state guide
• For cashless denial → see Cashless denied complaint
• For claim rejection → see PMJAY claim grievance process

• 🪄 AI RTI Drafter — type problem, get §6 application
• 🎤 AwaazRTI — voice-to-RTI in 11 Indian languages
• 🔮 Outcome Predictor — score your draft's win-likelihood
• ⚖️ First Appeal Generator — §19(1) draft on Day 31
• 📬 PIO Reply Checker — analyse evasive replies
• 📅 Timeline Calculator — track 30-day window
• 💰 Fee Calculator — state-wise fees
• 🔍 RTI Research — AI Q&A from this site

• Master guide: Full RTI for ayushman bharat claim
• Claim denial RTI: RTI for claim denial
• Apply for card: Apply for PMJAY card 2026
• ABHA card: Apply for ABHA card
• Benefits: Ayushman Bharat benefits 2026
• Card download: Ayushman card download guide
• Find hospital: Find PMJAY empanelled hospital
• Cashless denied: Cashless denied complaint
• Claim grievance: PMJAY claim rejected grievance
• Eligibility fraud: Eligibility fraud guide
• Senior citizens 70+: Ayushman Vay Vandana (70+)
• State-by-state: Pick your state
• All health schemes: Health insurance schemes India
• Cashless denied (general): Cashless health insurance denied
• Citizen RTI playbook: All 100+ scenarios
• The RTI Act 2005: Complete guide
• All status-check guides: All 25 status-check pages

• PMJAY.gov.in — official PM Jan Arogya Yojana portal (Ministry of Health & Family Welfare, Government of India)
• NHA.gov.in — National Health Authority, the apex body implementing PM-JAY
• beneficiary.nha.gov.in — official PMJAY beneficiary portal for status check and e-card download
• hospitals.pmjay.gov.in — official PMJAY hospital empanelment search
• abha.abdm.gov.in — Ayushman Bharat Digital Mission (ABHA Health Account)
• RTI Act 2005 §§6, 7, 19 — statutory right to information and appeal provisions
• PMJAY Operational Guidelines 2018 and SECC 2011 deprivation criteria
• NHA annual reports and PMJAY dashboard (2025-2026 data)

• PIB — Cabinet: ₹5 lakh cover for all citizens aged 70+ (11 Sep 2024)
• PIB — Vay Vandana: 14555 and 1800-110-770
• The RTI Playbook
• RTI Act 2005 §§6, 7, 19

Last reviewed: 20 August 2026. This page is information, not medical or legal advice. Confirm eligibility on beneficiary.nha.gov.in.