Pradhan Mantri Jan Arogya Yojana in Gujarat

Health Insurance for All: PM-JAY Implementation in Gujarat

The Ayushman Bharat scheme, also known as the Pradhan Mantri Jan Arogya Yojana (PMJAY), is a crucial initiative designed to provide health coverage to economically vulnerable families. In Gujarat, this scheme, popularly referred to as the Ayushman Bharat Card in Gujarat or Gujarat Ayushman card, brings quality healthcare services to millions of residents across the state. The scheme primarily targets the financially underprivileged, offering them insurance coverage for essential healthcare services at no cost. Bajaj Allianz General Insurance Company Limited is one of the insurers involved in facilitating the PMJAY scheme in Gujarat.

What is PMJAY (Ayushman Bharat Yojana) in Gujarat?

The Ayushman Bharat in Gujarat, launched under the PMJAY, is an extensive health protection scheme catering to the healthcare needs of low-income families in both urban and rural areas. It aims to reduce the financial burden of healthcare by covering hospitalisation costs up to Rs. 5 lakh per year per family.

The Ayushman Bharat Card Gujarat enables beneficiaries to access cashless and paperless medical treatment at public and private hospitals across the state, with insurance providers like Bajaj Allianz General Insurance Company Limited facilitating the process, to ensure that quality healthcare is available to all, regardless of their financial situation.

Eligibility Criteria of PMJAY Health in Gujarat

To avail the benefits of the PMJAY Gujarat, residents must be from specified categories SC/ST, Lower Income Group or EWS. They should meet specific eligibility criteria based on socio-economic status. The eligibility is determined by the Socio-Economic Caste Census (SECC) data from 2011, and the scheme primarily covers:

- Families living in a single room with kucha walls and roof.

- Households without an adult member aged 16-59 years.

- Families with no able-bodied adult members.

- Landless households earning a livelihood through manual labour.

Features of PMJAY: Ayushman Bharat Yojana Scheme in Gujarat

The Ayushman Bharat Card Gujarat offers several key features that make it a lifesaver for economically vulnerable families. Some of the prominent features include:

- Cashless treatment at both public and private empanelled hospitals, including those supported by Bajaj Allianz General Insurance Company Limited.

- Coverage of up to Rs. 5 lakh per family per year for secondary and tertiary healthcare.

- No restrictions on the number of family members covered.

- Coverage for pre-existing conditions from day one.

- Transportation cost reimbursement during hospitalisation.

Benefits of Ayushman Bharat Yojana in Gujarat

The Ayushman Bharat Yojana in Gujarat provides multiple benefits to ensure healthcare accessibility for low-income families:

- Free treatment at all empaneled hospitals across Gujarat.

- Coverage of over 1,400 medical conditions, including critical illnesses like cancer, heart diseases, and kidney issues.

- Access to follow-up care for all major treatments.

- Support for day-care procedures without the need for extended hospitalisation.

What Ayushman Bharat (PM‑JAY) Covers in Gujarat?

The Ayushman Bharat Card Gujarat covers the following healthcare services:

- Pre-hospitalisation expenses for up to 3 days.

- Post-hospitalisation expenses for up to 15 days.

- Costs of medicines and diagnostics.

- ICU services and non-intensive care.

- Surgical procedures and follow-up care.

What is not Covered Under PM-JAY in Gujarat?

The following are not covered under the PMJAY Gujarat scheme:

- Outpatient treatments not requiring hospitalisation.

- Cosmetic surgeries unless related to injury.

- Dental procedures unless linked to severe health issues.

- Surgeries purely for aesthetic purposes like fat grafting or rhinoplasty.

- Organ transplant procedures.

How to Register for the PMJAY Scheme Online in Gujarat?

The process of ayushman card online registration Gujarat is straightforward:

- Visit the official PMJAY website.

- Click on the ‘Am I Eligible’ tab and enter your mobile number.

- Submit the CAPTCHA and OTP received and enter your state details.

- If eligible, your name will appear in the beneficiary list.

Documents Required to Apply for Ayushman Bharat Yojana in Gujarat

To apply for the Ayushman Bharat Card Online Gujarat, you need the following documents:

- Aadhaar Card or PAN Card for identity proof.

- Income certificate to verify financial status.

- Caste certificate (if applicable).

- Mobile number and residential address details.

How to Know If You Qualify for PM-JAY Health Coverage

- To check your eligibility for the Gujarat Ayushman card:

- Visit the official Ayushman Bharat website.

- Enter your name, ration card number, or mobile number.

- You can also check your status by visiting a nearby Common Service Centre (CSC) or by contacting the PMJAY helpline.

Critical Illnesses Covered Under PM‑JAY in Gujarat H2

The PMJAY Gujarat scheme covers numerous critical illnesses, including:

- Cancer treatment, including chemotherapy.

- Cardiac surgeries like coronary artery bypass grafting.

- Orthopaedic surgeries like knee replacement.

- Neurological procedures like skull base surgery.

How to Download Your Ayushman Bharat Yojana Card Online in Gujarat?

To download the Ayushman Card Online Gujarat:

- Visit the Ayushman Bharat official portal.

- Log in with your credentials and use your Aadhaar Card to generate your card.

- The card can be downloaded and printed for future use

Ayushman Bharat Scheme Hospitalisation Process in Gujarat

The PMJAY Gujarat scheme ensures a hassle-free hospitalisation process for beneficiaries:

- Visit an empanelled hospital and provide your Ayushman Bharat ID.

- The Pradhan Mantri Arogya Mitra at the hospital will assist in verifying your eligibility and initiating the treatment process.

- The treatment is entirely cashless, and the network insurance provider such as Bajaj Allianz General Insurance Company Limited, directly settles the medical bills.*

* प्रमाणित अटी लागू

Critical Diseases Covered Under PM‑JAY in Gujarat

The PMJAY Gujarat covers a wide range of critical illnesses:

- Cardiovascular diseases, including angioplasty and stenting.

- Cancer treatment, including radiation therapy.

- Kidney-related treatments like dialysis.

- Complex surgeries, including organ transplants.