Ayushman Bharat Yojana: Health Benefits Under the Scheme Revised

The National Health Authority (NHA) has revised the health benefit package (HBP) under Ayushman under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM JAY).  

In the revised version of health benefit Package (HBP 2.2), rates of some packages have been increased by 20 % to 400 % under the PM JAY. Rates around 400 procedures have been revised and one new additional medical management package related to black fungus has also been added. The HBP 2.2 is expected to be rolled out from November 2021. 

NHA has revised the Health Benefit Package under the following Categories: 

1. Radiation oncology procedures,

2. Medical Management procedures like procedure for dengue, acute febrile illness etc.,

3. Surgical package treatment for black fungus,

4. Other procedures like Right/left heart catheterization, PDA closure, Arthrodesis, Cholecystectomy, appendicectomy etc.

Under the medical management procedures, rates for ICU with ventilator support have been revised by 100 percent, rates for ICU without ventilator by 136 %  rates for HDU has been revised by 22 percent while prices for routine ward has been revised by 17 percent. 

Currently, Ayushman Bharat PM-JAY has 1669 treatment procedures out of which 1080 are surgical, 588 medical and one unspecified package. Under the vision of Prime Minister Shri Narendra Modi, Ayushman Bharat PM-JAY aims to achieve the target of Universal Health Coverage and provide access to free and affordable healthcare services to the citizens residing in the remotest of the areas. 

Mansukh Mandaviya, Union Minister of Health & family welfare said “I am hapy that the revised version of health benefit Packages (HBP 2.2) will strengthen the empanelled Hospitals to provide better healthcare services to the beneficiaries under Ayushman Bharat PM JAY. The revised packages for oncology will enhance cancer care for the beneficiaries in the country. Addition of new packages related to black fungus will be an additional relief to the beneficiaries. I am sure that the rationalized HBP will further improve the uptake of scheme in private hospitals leading to reduced Out of Pocket Expenditure for the beneficiaries.”  

Dr RS Sharma, CEO, National Health Authority (NHA) said new packages had been added to cover more disease conditions  and regular rates of the packages were being revised to provide better healthcare services.