Did the AB-PMJAY Settle 2.02 Crore Claims Worth Rs 28,732.18 Crore in FY25?
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Synopsis
The Ayushman Bharat health insurance scheme has made significant strides, with over 2.02 crore claims settled, showcasing the government's commitment to providing health coverage to the economically vulnerable. Discover the details of this vital initiative and its impact on millions of families across India.
Key Takeaways
- 2.02 crore claims settled under the Ayushman Bharat scheme.
- Total settlement amount reaches Rs. 28,732.18 crore.
- Health coverage of Rs. 5 lakh per family annually.
- Expansion of eligibility criteria to include health workers and senior citizens.
- Operational 1,80,906 Ayushman Arogya Mandirs across India.
New Delhi, Dec 9 (NationPress) The government reported to the Parliament that a staggering 2.02 crore claims under the Ayushman Bharat health insurance initiative, totaling Rs. 28,732.18 crore, have been successfully settled by October.
The Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) serves as the government’s flagship program, offering health coverage of Rs. 5 lakh for each family annually for secondary and tertiary hospitalization needs, benefiting 12 crore families from the economically disadvantaged 40 percent of India's population.
As of October 31, 42.31 crore Ayushman cards have been issued under this scheme, according to Prataprao Jadhav, the Union Minister of State for Health and Family Welfare, in a written response to the Rajya Sabha.
“By October 31, the total number of claims settled reached 2.02 crore, amounting to Rs 28,732.18 crore for the previous financial year,” he continued.
The Minister highlighted that in March 2024, the eligibility criteria were broadened to include 37 lakh Accredited Social Health Activists (ASHA), Anganwadi Workers (AWW), Anganwadi Helpers (AWH), and their families.
The scheme has also been extended to cover 6 crore senior citizens aged 70 and above from 4.5 crore families, regardless of their socio-economic status, via the Ayushman Vay Vandana card.
“More than 41.34 lakh Ayushman cards have been issued for the ASHA/AWW/AWH categories, and 89.51 lakh cards have been distributed under the Ayushman Vay Vandana category for senior citizens,” Jadhav added.
Additionally, the Minister noted that there are currently 1,80,906 Ayushman Arogya Mandirs (AAMs), formerly known as Ayushman Bharat Health and Wellness Centres (AB-HWCs), operational across the country as of October.
These centres offer essential services such as comprehensive screenings for five prevalent non-communicable diseases, including hypertension, diabetes, oral cancer, breast cancer, and cervical cancer.
“According to the National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD) portal, screenings have reached 38.79 crore for hypertension, 36.05 crore for diabetes, 31.88 crore for oral cancer, 14.98 crore for breast cancer, and 8.15 crore for cervical cancer at Sub-Health Centres (SHC) and Primary Health Centres (PHC) in urban and rural regions, including AAMs, by October 31,” Jadhav stated.
Moreover, teleconsultation services are available at all operational AAMs nationwide, allowing individuals to access specialist services closer to home and addressing challenges related to physical accessibility and provider shortages.
“As of October 31, 41.14 crore teleconsultations have been conducted at AAMs,” the Minister concluded.
Point of View
It's crucial to acknowledge the progress made by the Ayushman Bharat scheme. The substantial number of claims settled indicates a growing commitment to health equity in India. This initiative not only addresses immediate healthcare needs but also aims to uplift the socio-economic conditions of the underprivileged, reinforcing the government's role in promoting public health.
NationPress
10/12/2025
Frequently Asked Questions
What is the Ayushman Bharat scheme?
The Ayushman Bharat scheme is a flagship health insurance program by the Indian government, providing coverage of Rs. 5 lakh per family annually for secondary and tertiary care hospitalization to economically vulnerable families.
How many claims have been settled under the scheme?
As of October, a total of 2.02 crore claims have been settled under the Ayushman Bharat scheme.
What is the total amount settled for these claims?
The total amount settled for these claims is Rs. 28,732.18 crore.
Who benefits from the Ayushman Bharat scheme?
The scheme benefits 12 crore families belonging to the bottom 40 percent of India’s population, along with senior citizens and specific health workers.
What additional services are provided at Ayushman Arogya Mandirs?
Ayushman Arogya Mandirs offer comprehensive screening services for various non-communicable diseases and teleconsultation services for easier access to healthcare.
