How to apply for Ayushman Bharat health card (PM-JAY) β 2026
π Deep-dive guide: Full deep-dive β Ayushman PMJAY card: hospital refusal RTI, eligibility paths
Quick answer: Ayushman Bharat β PMJAY gives Rs 5 lakh/year/family cashless health cover at empanelled hospitals. No application β beneficiaries auto-included from SECC 2011 deprivation list + Aapke Dwar drives. Check eligibility at beneficiary.nha.gov.in. If eligible, get Ayushman card from CSC / empanelled hospital / Ayushman Mitra. Free at all stages. 30,000+ hospitals empanelled covering 1,393 medical packages. Senior citizens 70+ added Sept 2024 (regardless of income).
Who can apply (eligibility)
- Family in SECC 2011 deprivation list (rural) OR occupational categories (urban)
- Senior citizen 70+ (added Sept 2024 β income-free)
- NOT eligible: Households with motorised vehicle, mechanised agri equipment, govt employees, IT taxpayers
Step-by-step process
- Check eligibility β Visit beneficiary.nha.gov.in β search by name + state + Aadhaar / ration card. If βeligibleβ β proceed; if not β apply for state-supplementary scheme.
- Get Ayushman card β CSC, empanelled hospital, Ayushman Mitra desk. Bring Aadhaar + ration card + family Aadhaar list.
- Aadhaar + biometric verification β Each family member's Aadhaar verified. Photo + biometric. Each gets unique e-card.
- Receive PM-JAY card (PVC + e-card) β Issued same day. Print + digital both work. Show at any empanelled hospital.
- Avail cashless treatment β Empanelled hospital list at hospitals.pmjay.gov.in. Walk in with card + Aadhaar; hospital auto-bills NHA.
- Coverage scope β 1,393 packages: cancer, cardiology, neurology, joint replacement, dialysis, NICU, PICU, etc. 5 lakh per family per year β refresh at FY start.
- Pre-existing conditions β Covered from day 1 β no waiting period.
- Senior citizen (70+) addition β Sept 2024 β auto-eligible regardless of income. Apply via beneficiary.nha.gov.in with Aadhaar + age proof.
Where to apply, fee, and timeline
- Online portal: PM-JAY Beneficiary portal
- Offline: CSC, empanelled hospitals, State Ayushman Mitra office, Aapke Dwar Ayushman camps. SHC (Sub-Health Centre) for senior citizen addition.
- Fee: Free at every stage β application, card, treatment all free under PM-JAY
- Timeline: Card issuance: same day at CSC/hospital Β· Hospital admission: cashless on the spot
What documents to keep ready
See our complete checklist: Documents required for ayushman bharat β covers mandatory + optional + size/format specs.
Common issues + how to handle
- SECC 2011 list missing your name β apply for state-supplementary scheme (CMCHIS in TN, MJPJAY in MH, RGHS in Rajasthan, ABRY in WB, etc.).
- Aadhaar mismatch with SECC β name spelling must match. Update one to match (Aadhaar correction recommended).
- Hospital refusing cashless β file complaint at NHA grievance portal: pmjay.gov.in/grievances. NHA acts within 7 days.
- Card lost β re-print free at any CSC with Aadhaar OTP.
If your application is delayed or rejected β file an RTI
Most βdelaysβ or βrejectionsβ clear within 7-15 days of an RTI being filed. Use this 5-question template:
1. Status of my application no. _____ dated _____ as on date. 2. The name + designation of the dealing officer assigned to my file. 3. The reasons for delay beyond the statutory timeline. 4. Copy of any noting / movement of my file in the past 30 days. 5. The likely date of issuance of my certificate / approval.
Auto-fill the PIO details + your case: Open the RTI Drafter β
Or browse state-wise scheme procedures: All state portals + RTI templates
Track your application status: How to check status guide
Frequently asked questions
Is PM-JAY same as state schemes?
No β but most states converge: PMJAY covers PMJAY-eligible families; state schemes cover the rest. E.g., MJPJAY (MH) covers PMJAY + state APL families.
Senior citizen 70+ β do I need SECC eligibility?
No β Sept 2024 expansion makes age 70+ auto-eligible regardless of income. Apply with just Aadhaar + age proof.
Pre-existing illness covered?
Yes β no waiting period. Covered from day 1 of card.
Outpatient (OPD) covered?
No β only inpatient (IP). OPD covered under separate Ayushman Arogya Mandir scheme (free at SHC/PHC).
Hospital denying empanelled treatment?
File complaint at pmjay.gov.in/grievances OR file RTI to State Health Agency. Use our Ayushman RTI generator.
Summary + what to do next
Bottom line: Apply at PM-JAY Beneficiary portal (https://beneficiary.nha.gov.in). Fee: Free at every stage β application, card, treatment all free under PM-JAY. Timeline: Card issuance: same day at CSC/hospital Β· Hospital admission: cashless on the spot. If delayed beyond timeline, file an RTI β most cases clear within 15 days.
- Start your application: PM-JAY Beneficiary portal
- Document checklist first: Required documents
- Track existing application: Status check guide
- If stuck β RTI Drafter: File an RTI in 5 minutes
- Talk to other citizens: AwaazRTI community
- Browse all how-to-apply guides: All 25 application guides
Related reading
Sources
- Official portal: https://beneficiary.nha.gov.in
- Citizen feedback collected via AwaazRTI (composite, identifying details removed).
- Statutory references: see relevant Act sections.
Last reviewed: 25 April 2026.
