Documents required for Ayushman Bharat (PMJAY) card (2026)
Last reviewed: 1 September 2026.
Quick Reply: Documents for Ayushman Bharat / PMJAY card — Rs. 5 lakh free hospital cover. SECC inclusion + Aadhaar. Plus what to do if not in beneficiary list.
Direct answer. Ayushman Bharat (PMJAY) provides Rs. 5 lakh per family per year for hospital treatment at empanelled hospitals. Auto-eligibility for SECC 2011-listed families. Documents: Aadhaar (verification) + ration card + mobile. No application form — eligibility check + e-card download at beneficiary.nha.gov.in.
Mandatory documents
Aadhaar of all family members — Eligibility verification + biometric authentication at hospital
Ration card — Family composition proof
Mobile number (Aadhaar-linked) — For OTP-based authentication
SECC 2011 ID number — If known; else search by name + state
Income proof (for state top-up schemes) — Where state extends coverage
Photograph (for printed card) — Recent, white background
Optional / situational documents
PM Letter (Ayushman card invitation) — Sent to verified beneficiaries — speeds enrollment
Ration card type (BPL/AAY) — Strengthens eligibility claim
Caste certificate — For SC/ST priority and state top-up schemes
Job card (MGNREGA, renamed Gramin Rozgar Guarantee Card from July 2026) — For rural beneficiaries — supplementary
Specifications + key rules
Eligibility: SECC 2011 deprivation criteria (D1-D5 and D7 categories) + occupation criteria. Rural: 6 deprivation criteria, urban: 11 occupational categories.
Senior Citizens 70+: universal coverage announced 2024 — no SECC needed.
Coverage: Rs. 5 lakh per family per year, secondary + tertiary care, 1,800+ procedures.
Cashless treatment at empanelled hospitals (29,000+ across India). Show e-card + Aadhaar at admission.
No fee for card; no premium; no enrollment cost.
State top-ups — several states run companion schemes that widen coverage or eligibility (e.g. Maharashtra's Mahatma Jyotiba Phule Jan Arogya Yojana). Check your State Health Agency.
Where to apply
If you don't have all documents
If you are SECC-eligible but card not generated, file RTI to State Health Agency (SHA) under §6 for eligibility status + reason for non-issuance + projected issuance.
→ Use our 🪄 AI RTI Drafter to generate a free §6(1) application asking for the rejection reason in 60 seconds.
Frequently asked questions
Am I eligible if my name isn't in SECC 2011?
Limited. Some states (Maharashtra, Punjab) added post-SECC categories. Check state-specific. Senior citizens 70+: universally eligible since 2024.
Hospital refused cashless — what to do?
Insist on PMAM contact at hospital. If still refused, file complaint at SHA + RTI for hospital empanelment terms.
Can I use card in any state?
Yes — full portability across India.
What's NOT covered?
OPD generally not covered. Pre-existing conditions covered. Specific exclusions: cosmetic/aesthetic treatments and most fertility (IVF) procedures. Mental health treatment is covered.
Premium?
ZERO premium for beneficiaries. Govt subsidises entirely.
Summary + next steps
Gather mandatory documents above before applying — saves a re-visit
Apply via official portal (link above) — no agent needed
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If rejected for “documents inadequate”: request specific deficiency under §4(1)(d) RTI Act
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AwaazRTI — voice-to-RTI in 11 Indian languages
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Sources
Statutory references: as cited in Specifications above
Official portal: linked in “Where to apply” above
RTI Act 2005 §§4, 6, 7, 19