Cabinet nod to Rs 5 lakh health coverage for all aged 70 yrs and above under Ayushman Bharat Yojana

The Union Cabinet on Wednesday approved health coverage to all persons aged 70 years and above under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana irrespective of their income, benefiting around six crore senior citizens, Union Minister Ashwini Vaishnaw said.

The Rs 5 lakh free health insurance cover would benefit senior citizens of around 4.5 crore families. Eligible beneficiaries would be issued a new distinct card under the scheme, the government said.

"Senior citizens of the age 70 years and above belonging to families already covered under AB PM-JAY will get an additional top-up cover up to Rs 5 lakh per year for themselves, which they do not have to share with the other members of the family who are below the age of 70 years.

"All other senior citizens of the age 70 years and above will get a cover up to Rs 5 lakh per year on a family basis," an official statement said.

Senior citizens of 70 years and above who are under private health insurance policies or Employees' State Insurance scheme will be eligible to avail benefits under the the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY).

However, those already availing benefits of other public health insurance schemes such as the Central Government Health Scheme (CGHS), Ex-Servicemen Contributory Health Scheme (ECHS) and Ayushman Central Armed Police Force (CAPF) will have a choice. They may either choose their existing scheme or opt for AB PM-JAY, the statement said.

In a post on X, Prime Minister Narendra Modi said, "We are committed to ensuring accessible, affordable and top-quality healthcare for every Indian. In this context, the Cabinet today has decided to further expand the ambit of Ayushman Bharat PM-JAY to provide health coverage for all citizens above 70 years. This scheme will ensure dignity, care and security to six crore citizens!"

According to the government, AB PM-JAY is the world's largest publicly funded health assurance scheme which provides health cover of Rs 5 lakh per family annually for secondary and tertiary care hospitalization to 55 crore individuals corresponding to 12.34 crore families.

All members of the eligible families irrespective of age are covered under the scheme.

The scheme has covered 7.37 crore hospital admissions, including 49% women beneficiaries. The public has benefited to the extent of over Rs 1 Lakh crore under the scheme.

AB PM-JAY scheme has witnessed continuous expansion of the beneficiary base, it said, adding that initially, 10.74 crore poor and vulnerable families comprising the bottom 40% of India's population were covered under the scheme.

In January 2022, the Union government revised the beneficiary base from 10.74 crore to 12 crore families considering India's decadal population growth of 11.7% over the 2011 population.

The scheme was further expanded to cover 37 lakh ASHAs/AWWs/AWHs working across the country and their families for free healthcare benefits. "Taking the mission ahead, AB PM-JAY would now provide free healthcare coverage of Rs 5 lakh to all citizens of the age group of 70 years and above across the country," the statement said.