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Documents required for Ayushman Bharat (PMJAY) card (2026)

Documents for Ayushman Bharat / PMJAY card — Rs. 5 lakh free hospital cover. SECC inclusion + Aadhaar. Plus what to do if not in beneficiary list.

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—documents:ayushman-bharat-card [2026/04/25 18:53] (current) – created - external edit 127.0.0.1
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 +{{htmlmetatags>metatag-keywords=(ayushman bharat documents, pmjay card documents, ayushman card eligibility, pm jay apply)
 +metatag-description=(Documents for Ayushman Bharat / PMJAY card — Rs. 5 lakh free hospital cover. SECC inclusion + Aadhaar. Plus what to do if not in beneficiary list.)}}
 +
 +====== Documents required for Ayushman Bharat (PMJAY) card (2026) ======
 +
 +{{page>snippets:dpdp-banner}}
 +
 +<WRAP info>**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.</WRAP>
 +
 +===== 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** — For rural beneficiaries — supplementary
 +
 +===== Specifications + key rules =====
 +  * **Eligibility**: SECC 2011 deprivation criteria (D1-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** — Maharashtra MJPJAY (+Rs. 1.5L), Punjab Sehat Sathi, MP Mukhyamantri Jeevan Suraksha extend coverage.
 +
 +===== Where to apply =====
 +Online at [[https://beneficiary.nha.gov.in|beneficiary.nha.gov.in]] OR any empanelled hospital's Pradhan Mantri Aarogya Mitra (PMAM) OR Common Service Centre (CSC).
 +
 +→ Official source: [[https://pmjay.gov.in/about/pmjay|https://pmjay.gov.in/about/pmjay]]
 +
 +===== 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 **[[https://righttoinformation.wiki/tools/ai-rti-draft-app.html|🪄 AI RTI Drafter]]** to generate a free §6(1) application asking for the rejection reason in 60 seconds.
 +
 +===== Frequently asked questions =====
 +  * **Q: 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.
 +  * **Q: Hospital refused cashless — what to do?** — Insist on PMAM contact at hospital. If still refused, file complaint at SHA + RTI for hospital empanelment terms.
 +  * **Q: Can I use card in any state?** — Yes — full portability across India.
 +  * **Q: What's NOT covered?** — OPD generally not covered. Pre-existing conditions covered. Specific exclusions: cosmetic, fertility (IVF), mental health (limited).
 +  * **Q: 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
 +  - **Track status**: see our [[:check-status:start|status-check guides]]
 +  - **If rejected for "documents inadequate"**: request specific deficiency under §4(1)(d) RTI Act
 +  - **For state-specific guidance**: see [[:state-rti-portals-directory|state portals directory]]
 +
 +===== All RTI Wiki tools (free, no login) =====
 +
 +  * 🪄 **[[https://righttoinformation.wiki/tools/ai-rti-draft-app.html|AI RTI Drafter]]** — type problem, get §6 application
 +  * 🎤 **[[https://righttoinformation.wiki/tools/awaaz-rti.html|AwaazRTI]]** — voice-to-RTI in 11 Indian languages
 +  * 🔮 **[[https://righttoinformation.wiki/tools/rti-outcome-predictor.html|Outcome Predictor]]** — score draft win-likelihood
 +  * ⚖️ **[[https://righttoinformation.wiki/tools/first-appeal-app.html|First Appeal Generator]]** — §19(1) draft on Day 31
 +  * 📅 **[[https://righttoinformation.wiki/tools/timeline-calculator-app.html|Timeline Calculator]]** — track 30-day window
 +
 +===== Related on RTI Wiki =====
 +
 +  * **Track status**: [[:check-status:ayushman-bharat-status|How to check ayushman bharat status]]
 +  * **State-by-state**: [[:scheme-state:ayushman-bharat:start|Ayushman Bharat across all 36 states]]
 +  * **If rejected, file RTI**: [[:rti-for-ayushman-bharat-claim|Full RTI guide]]
 +  * **Citizen RTI playbook**: [[:citizen-rti-playbook|All 100+ scenarios]]
 +  * **All documents checklists**: [[:documents:start|All 30 checklists]]
 +
 +===== Sources =====
 +
 +  * Statutory references: as cited in Specifications above
 +  * Official portal: linked in "Where to apply" above
 +  * RTI Act 2005 §§4, 6, 7, 19
 +
 +//Last reviewed: 25 April 2026.//
 +
 +{{tag>ayushman bharat card documents-checklist citizen-help}}