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| + | metatag-description=Check Ayushman Bharat PM-JAY eligibility on the NHA beneficiary portal. Get the golden card at a hospital kiosk. ABHA is a different ID. Beware of agents. | ||
| + | metatag-keywords=(ayushman card apply, PM-JAY golden card, ABHA, ayushman status, beneficiary.nha.gov.in, | ||
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| + | ====== How to apply for Ayushman Bharat PM-JAY ====== | ||
| + | |||
| + | {{ : | ||
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| + | Before you pay anyone for an Ayushman card, check whether your family is already on the PM-JAY list. Open the NHA beneficiary portal, then collect the golden card at an empanelled hospital kiosk. ABHA is a separate health ID, not the insurance card. | ||
| + | |||
| + | ===== Am I eligible for Ayushman Bharat? ===== | ||
| + | |||
| + | Ayushman Bharat **Pradhan Mantri Jan Arogya Yojana (PM-JAY)** is run by the [[https:// | ||
| + | |||
| + | Start with the official beneficiary search, not a shop counter. | ||
| + | |||
| + | - Open [[https:// | ||
| + | - Search with the details the page asks for: often mobile OTP, Aadhaar, ration card, or name plus state. | ||
| + | - Read the result. Eligible means the family is on the PM-JAY or state-extension list the portal uses. | ||
| + | - If the portal says you are not eligible, do not pay an agent to " | ||
| + | |||
| + | Eligibility for the core scheme has long used **SECC** deprivation and occupational categories, plus **state extension lists**. States can add extra families under their own health-cover brands. Those extra names still have to show up on the NHA or state beneficiary system. | ||
| + | |||
| + | There is no useful all-India self-declaration form that turns an ineligible household into a PM-JAY family. If your state runs a wider scheme, the state health department page is the place to read that rule. | ||
| + | |||
| + | Bring Aadhaar for each member you want on the card. A [[https:// | ||
| + | |||
| + | **Cover amount:** this page does **not** print a family rupee cap. Confirm the cover printed on **your** PM-JAY e-card, the hospital kiosk screen, and [[https:// | ||
| + | |||
| + | PM-JAY is **free for eligible families**. You do not pay to be searched, to print the card, or to start a cashless admission at an empanelled hospital for covered care. | ||
| + | |||
| + | ===== PM-JAY golden card vs ABHA ===== | ||
| + | |||
| + | People mix three different things. Only one of them is the Ayushman **insurance** card. | ||
| + | |||
| + | ^ What you hold ^ What it is ^ What it is not ^ | ||
| + | | PM-JAY golden card / e-card | Proof the family is a PM-JAY beneficiary. Used at empanelled hospitals | Not ABHA. Not a private mediclaim policy | | ||
| + | | ABHA | Ayushman Bharat Health Account: a health ID under ABDM for records | Not PM-JAY cover. Create it at [[https:// | ||
| + | | Hospital kiosk print | The same PM-JAY card, printed or shown at an empanelled hospital | Not a paid " | ||
| + | |||
| + | Create ABHA if you want a health ID. It does **not** make you a PM-JAY beneficiary. A golden card does **not** replace ABHA for digital health records. You may hold both. | ||
| + | |||
| + | If a kiosk operator says you must first buy ABHA for a fee, walk away. ABHA registration on the official site is a government health-ID process, not a PM-JAY gate fee. | ||
| + | |||
| + | ===== Hospital kiosk and CSC ===== | ||
| + | |||
| + | Once the beneficiary portal shows the family as eligible, get the card printed where PM-JAY actually works: an **empanelled hospital** Ayushman desk, an Ayushman Mitra kiosk, or a CSC that the state has enabled. | ||
| + | |||
| + | **Verb-led steps at the kiosk** | ||
| + | |||
| + | - Carry Aadhaar for each member who should appear. | ||
| + | - Carry the mobile number used for OTP. | ||
| + | - Ask the Ayushman Mitra or kiosk to pull the family from the NHA list. | ||
| + | - Complete biometric or OTP authentication the desk shows. | ||
| + | - Check names, age, and relationship **on the screen** before print. | ||
| + | - Take the e-card or PVC the desk issues. Photograph the QR. | ||
| + | - Keep the print. The e-card on the app or SMS also works at many hospitals. | ||
| + | |||
| + | Same-day print is common when the name is already on the list and Aadhaar authenticates. If the kiosk says "not in database", | ||
| + | |||
| + | For treatment, walk into an **empanelled** hospital with the golden card and Aadhaar. The hospital raises the request on the PM-JAY system. Unlisted private clinics are outside this path. | ||
| + | |||
| + | Find empanelled hospitals from [[https:// | ||
| + | |||
| + | <WRAP center round info 95%> | ||
| + | **Ayushman card path** | ||
| + | |||
| + | ① Check eligibility on beneficiary.nha.gov.in | ||
| + | </ | ||
| + | |||
| + | ===== Official portals: pmjay.gov.in and beneficiary.nha.gov.in ===== | ||
| + | |||
| + | Use only these government hosts: | ||
| + | |||
| + | * Scheme information: | ||
| + | * Am I eligible / beneficiary search: [[https:// | ||
| + | * National Health Authority: [[https:// | ||
| + | * ABHA (different product): [[https:// | ||
| + | |||
| + | Bookmark the URLs. Search ads often sit above the real site. A page that is not .gov.in is not NHA. | ||
| + | |||
| + | **Ayushman status:** return to the beneficiary portal or the PM-JAY app the official site names. Status of a hospital claim is a hospital and SHA record, not something an agent can refresh for cash. | ||
| + | |||
| + | If a hospital refuses cashless care even though you are on the list and the hospital is empanelled, use the **grievance** link on [[https:// | ||
| + | |||
| + | ===== Agents who charge for a free card ===== | ||
| + | |||
| + | <WRAP center round tip 95%> | ||
| + | **Warning.** Eligible families do not pay a government fee for PM-JAY search, card print, or covered admission. Anyone who asks for money to " | ||
| + | </ | ||
| + | |||
| + | Typical traps: | ||
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| + | * A cyber cafe that already knows you are eligible, prints the free card, then charges as if they created the right. | ||
| + | * A WhatsApp form that collects Aadhaar photos "for Ayushman" | ||
| + | * A promise to add a relative who is not in the family unit the portal shows. | ||
| + | * Selling ABHA as if it were the golden card. | ||
| + | |||
| + | If you already paid, stop further OTPs. Check the beneficiary portal yourself. Complain through the official grievance route and, if needed, the police cyber cell. For a wider civic-emergency map see [[https:// | ||
| + | |||
| + | ===== RTI if the list or the hospital blocks you ===== | ||
| + | |||
| + | RTI will not invent eligibility that the SECC or state list does not give. It **will** force a written answer on whether your family is on the list, which database was used, and why a kiosk or hospital denied the card or cashless care. | ||
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| + | File under **RTI Act 2005 s.6(1)** to the **Public Information Officer of the State Health Agency / State Ayushman office** for your state, or to the district implementation unit if that is where the file sits. NHA holds central records; many operational files sit with the state agency. | ||
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| + | Reply is due in **30 days** under **s.7(1)**. First appeal under **s.19(1)** if there is silence. Draft with the [[https:// | ||
| + | |||
| + | < | ||
| + | To | ||
| + | The Public Information Officer | ||
| + | State Health Agency / District Ayushman implementation unit | ||
| + | [District, State] | ||
| + | |||
| + | Subject: Information under s.6(1) of the RTI Act, 2005: PM-JAY eligibility / card / claim | ||
| + | |||
| + | 1. Whether family of [Name], Aadhaar last four [XXXX], ration card [NUMBER] if any, is present on the PM-JAY or state-extension beneficiary list used in this district, and on which date that list was last updated. | ||
| + | 2. The source database used for that result (SECC, state scheme list, or other), and a copy of the relevant family row with personal identifiers masked if required. | ||
| + | 3. If a golden card or e-card was refused at [hospital or CSC] on [date]: the recorded reason and the name of the operator or Ayushman Mitra. | ||
| + | 4. If cashless admission was refused at empanelled hospital [name] on [date]: copy of the denial / rejection note on the PM-JAY system. | ||
| + | 5. The grievance number if any, its current status, and the officer responsible for disposal. | ||
| + | |||
| + | Please reply within 30 days under s.7(1). Transfer under s.6(3) if another public authority holds the record. | ||
| + | </ | ||
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| + | Keep the portal screenshot and the hospital receipt. RTI sits beside, not instead of, the NHA grievance form. | ||
| + | |||
| + | ===== Frequently asked questions ===== | ||
| + | |||
| + | ==== How to apply for Ayushman card? ==== | ||
| + | |||
| + | First search [[https:// | ||
| + | |||
| + | ==== What is the PM-JAY golden card? ==== | ||
| + | |||
| + | It is the PM-JAY beneficiary e-card, often printed as a golden-coloured card. Show it with Aadhaar at empanelled hospitals. Cover is whatever the e-card and NHA currently print, not a figure from social media. | ||
| + | |||
| + | ==== Is ABHA the same as an Ayushman card? ==== | ||
| + | |||
| + | No. ABHA is a health account ID at [[https:// | ||
| + | |||
| + | ==== How to check Ayushman status? ==== | ||
| + | |||
| + | Use the NHA beneficiary portal with the mobile or Aadhaar the family registered. For a running hospital claim, ask the Ayushman Mitra for the PM-JAY reference and also use the grievance / status tools linked from [[https:// | ||
| + | |||
| + | ==== Can I get Ayushman Bharat if I am not in SECC? ==== | ||
| + | |||
| + | Only if a **state extension list** or a later notified category has added you, and the beneficiary portal shows it. An agent cannot insert a name into SECC 2011. | ||
| + | |||
| + | ==== Do I pay an agent for the card? ==== | ||
| + | |||
| + | No. Eligible families do not pay a government fee for search or card print. Treat any " | ||
| + | |||
| + | ==== Where do I use the golden card? ==== | ||
| + | |||
| + | At **empanelled** PM-JAY hospitals for covered in-patient packages the system allows. Confirm empanelment on the official PM-JAY site before you travel. | ||
| + | |||
| + | ===== Related on RTI Wiki ===== | ||
| + | |||
| + | * [[https:// | ||
| + | * [[https:// | ||
| + | * [[https:// | ||
| + | * [[https:// | ||
| + | * [[https:// | ||
| + | * [[https:// | ||
| + | * [[https:// | ||
| + | |||
| + | ===== Official sources ===== | ||
| + | |||
| + | * PM-JAY: [[https:// | ||
| + | * NHA beneficiary portal: [[https:// | ||
| + | * National Health Authority: [[https:// | ||
| + | * ABHA: [[https:// | ||
| + | * RTI Act, 2005: s.6(1), s.7(1), s.19(1) | ||
| + | |||
| + | //Reviewed for RTI Wiki by Dr. Shrawan Kumar Pathak.// | ||
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| + | {{tag> | ||