yojana:ayushman-bharat-pmjay
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Ayushman Bharat (PM-JAY) — Rs 5 lakh/year health cover free (2026)

Rs 5 lakh per family per year cashless at 30,000+ empanelled hospitals — free, no premium.

Launched: 2018 · Issued by: Ministry of Health & Family Welfare / National Health Authority

Who is eligible

  • SECC 2011 deprivation list (rural) OR occupational categories (urban)
  • Senior 70+ — auto-eligible since September 2024 (any income)
  • Aadhaar + ration card or occupational ID
  • NOT eligible if all family members in formal sector with private insurance

What you get

Rs 5 lakh per family per year at 30,000+ empanelled hospitals. Coverage: 1,393 packages including cancer, cardiology, neurology, joint replacement, dialysis, NICU/PICU. No waiting period for pre-existing conditions. Cashless and paperless.

How to apply (step-by-step)

  1. Verify eligibility at beneficiary.nha.gov.in — Search by name + state + Aadhaar / ration card.
  2. Get Ayushman card — CSC, empanelled hospital, or Ayushman Mitra desk.
  3. Aadhaar verification + photo + biometric — Each family member separately.
  4. PVC or e-card issued same-day — Carry to any empanelled hospital for cashless treatment.
  5. Walk in to empanelled hospital — Show card + Aadhaar; hospital auto-bills NHA.
  6. Treatment cashless — No upfront payment; NHA reimburses hospital.

Documents needed

  • Aadhaar
  • Ration card / SECC 2011 ID
  • Age proof (for 70+ extension)

Full document checklist: Documents required for ayushman bharat card

Timeline

Card issuance: same-day. Cashless treatment: on-the-spot at empanelled hospitals.

Portal + helpline

Common issues

  • SECC 2011 list missing your name — apply for state-supplementary scheme (CMCHIS, MJPJAY, ABRY etc.).
  • Aadhaar mismatch with SECC — name spelling differs; update Aadhaar.
  • Hospital not empanelled — use list at hospitals.pmjay.gov.in.
  • Cashless denied at empanelled hospital — file complaint at pmjay.gov.in/grievances.

Benefit delayed or rejected? File an RTI

Most “delays” or “rejections” 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. Name + designation of dealing officer assigned to my file.
3. Reasons for delay beyond the statutory timeline.
4. Copy of any noting / movement of my file in the past 30 days.
5. Likely date of disbursement / decision.

Auto-fill the PIO + your case: Open the AI RTI Drafter →

More schemes for you: All senior citizens schemes

Frequently asked questions

Senior 70+ — really income-free?

Yes — September 2024 expansion. Apply with just Aadhaar + age proof.

Pre-existing illness covered?

Yes — no waiting period. Covered from day 1.

Can I use across states?

Yes — pan-India empanelled hospitals. Cashless treatment everywhere.

OPD covered?

No — only in-patient. OPD covered separately under Ayushman Arogya Mandir at PHC/SHC.

Summary + next step

Bottom line: Rs 5 lakh per family per year cashless at 30,000+ empanelled hospitals — free, no premium. Apply at beneficiary.nha.gov.in. If delayed beyond timeline, file an RTI — most cases clear within 15 days.

Sources

  • Official portal: beneficiary.nha.gov.in
  • Issued by: Ministry of Health & Family Welfare / National Health Authority
  • Launched: 2018
  • Citizen feedback via %%AwaazRTI%% (composite, identifying details removed)

Last reviewed: 26 April 2026.

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yojana/ayushman-bharat-pmjay.txt · Last modified: by 127.0.0.1

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