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Finally, Ayushman Bharat Scheme (Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY)) is launched. What is the Eligibility for Ayushman Bharat? How to check it?

Ayushman Bharat

Before jumping to check the eligibility for Ayushman Bharat Scheme, let us first understand the features of Ayushman Bharat Scheme or Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY).

Features of Ayushman Bharat Scheme or Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY)

  • It is deemed as the world’s largest government-funded healthcare programme covering around 50 Crore beneficiaries.
  • The Ayushman Bharat is a scheme that aims to provide health insurance to 10 crore families.
  • The coverage will be Rs.5 lakh per year per family.
  • 1,354 health packages are included in this scheme. Major treatments like coronary bypass, knee replacements and stenting would be provided at 15% to 20% cheaper rate than the Central Government Health Scheme.
  • The scheme provides the cashless and paperless claim process.
  • You can avail the benefits either in Government Hospitals or with listed private hospitals.
  • The beneficiaries are identified based on the deprivation categories (D1, D2, D3, D4, D5 and D7). For urban areas, 11 occupational criteria will determine the eligibility.
  • Here, family means no restriction on number of members or age.
  • As of now, Aadhaar card is not mandatory. You just have to prove your identity through Aadhaar, Voter ID or Ration Card.
  • Each empanelled hospital will have the “Ayushman Mitra Help Desk”, where the beneficiary can check the eligibility and enroll for the scheme.
  • All beneficiaries will get the QR Code. This will help in identifying the beneficiary.

Who is eligible for Ayushman Bharat Scheme?

Rural Areas

1. Households living in only one room with kucha walls and kucha roof.

2. Households with no adult member between age 16 to 59

3. Female headed households with no adult male member between age 16 to 59

4. Households having at least one disabled member and no able-bodied adult member

5. SC/ST households

6. Landless households deriving major part of their income from manual casual labour

7. Households without shelter

8. Destitute/ living on alms

9. Manual scavenger families

10. Primitive tribal groups

11. Legally released bonded labour

Urban Areas

1. Rag picker

2. Beggar

3. Domestic worker

4. Street vendor/ Cobbler/hawker / Other service provider working on streets

5. Construction worker/ Plumber/ Mason/ Labour/ Painter/ Welder/ Security guard/ Coolie and another head-load worker

6. Sweeper/ Sanitation worker / Mali

7. Home-based worker/ Artisan/ Handicrafts worker / Tailor

8. Transport worker/ Driver/ Conductor/ Helper to drivers and conductors/ Cart puller/ Rickshaw puller

9. Shop worker/ Assistant/ Peon in small establishment/ Helper/Delivery assistant / Attendant/ Waiter

10. Electrician/ Mechanic/ Assembler/ Repair worker

11. Washer-man/ Chowkidar

Eligibility for Ayushman Bharat – How to check it online?

Now let us understand the process of checking the eligibility for Ayushman Bharat Scheme.

Step 1-On the landing page of AM I Eligible Portal, you have to enter an active mobile number (to receive an OTP) and enter the Captcha letters displaying on the screen and click on the “Generate OTP” button. After this, you will receive an OTP as a text message on the mobile number entered. You have to enter this OTP and click on “Verify OTP” which directs to a page to enter the details for search.

Eligibility for Ayushman Bharat

Step 2-Once you enter the OTP, then you will be re-directed to below screen. Here, you can check your eligibility by entering a) Mobile number/Ration Card Number (collected during ADCD drive), b) SECC Name or c) RSBY URN.

Eligibility for Ayushman Bharat Search Results

a) Mobile number/Ration Card Number: An Additional Data Collection Drive (ADCD) was conducted on 30th April 2018 at Gram Sabha’s across India to capture active mobile number and ration card number of a family of the Socio-Economic Caste Census (SECC) database. If the individual got his/her Mobile number or Ration card number captured during this drive, only then it will show results on the portal. If the individual got his details captured during the ADCD drive and still no results are displayed, then the “SECC Name” option should be used for searching.

b) SECC Name: An individual can search if he/she is eligible for PMJAY using his details as per the SECC database such as Name, Father’s Name, Gender, State etc. Even now, if no results are displayed, then the user should contact a nearby Ayushmaan Mitra.

c) RSBY URN: Additionally, all active families that are enrolled under RSBY (till 31st March, 2018) that do not feature in the targeted groups as per SECC data will be included as well and can identify if they are eligible for PMJAY using RSBY URN.

If the search is successful, the individual has an option to receive a text message with the HHID number/RSBY URN for future purposes on his/her phone by clicking the “Get SMS” button and entering the mobile number.

If your name is there in the list, it will show on the right side of the page. Click on “Family Members” tab to view the beneficiary details and information of the family members covered under the scheme.

Eligibility for Ayushman Bharat – How to check it offline?

In the above process, you noticed the way to find your eligibility for Ayushman Bharat. Now let us find the eligibility of Ayushman Bharat by checking offline method. You can call up on the helpline number, 14555.

Ayushman Bharat – Customer Care Helpline Numbers

You can get the helpline by following three ways.

Hope this information will be helpful in checking your eligibility for Ayushman Bharat Scheme.

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About Basavaraj Tonagatti

Basavaraj Tonagatti is the man behind this blog. He is SEBI Registered Investment Adviser who is practicing Fee-Only Financial Planning Process and also an Independent Certified Financial Planner (CFP), engaged in blogging since 7 years. BasuNivesh blog is ranked as one among India's Top 10 Personal Finance Blog. He is not associated with any Financial product/service provider. The purpose of this blog is to "Spread personal finance awareness and make them to take informed financial decisions." Please note that the views given in this Blog/Comments Section/Forum are clarifications meant for reference and guidance of the readers to explore further on the topics/queries raised and take informed decisions. These should not be construed as investment advice or legal opinion."

Reader Interactions

Comments

  1. Mohammad Imran

    Hello sir,
    I want to use Ayushman bharat scheme for my father’s treatment , when produced my ration card to hospital’s Ayushman desk they said my ration card is not registered for this facility. Please guide me how can I avail this facility. I tried to get my ration card registered by government hospital nearby. I have been told that I can be done now as website is temporarily closed. Is that true sir? Please help it very urgent.

    Reply

  2. Anubhav

    Hi Sir,

    i want to make Ayushman card for my grandmother but she doesn’t have ration card and i have also read in many newspapers that ration card now is not compulsory but all the people making the Ayushman card doesn’t agree with this. Please let me know how can we make it without the ration card

    Reply

  4. Aasha

    Sir,

    My father is 88 years old and he doesn’t get any pension. He and my mother live alone in another city. He has no source of income at all. So as his daughter, I’m providing money every month for his monthly expenses. He has no medical insurance because no insurance company will give him insurance. Will he be eligible for Enrollment to PM’s Ayushman Bharat health scheme?

    Thanks

    Reply

  9. Mukesh

    sir,
    I am working in Indian Air Force. My father aged 84 years staying with me at Bangalore. I can not make dependent as he is drawing pension Rs 21,000/month, and so not entitled treatment from defense hospital. My hard earned income spent in his treatment. Is there any govt. health scheme for the senior citizen so that i can take affordable treatment for my father suffering from cardiac and old age problems, sir please let me know.
    Thanks

    Reply

  14. Manhar

    After receiving the pmjay ayushman yojana card, what will we have to do next, will we have to do any process or get direct benefit?

    Reply

  15. Harsh Kumar pal

    Dear Basavaraj,
    Can u plez tell me how can we use this yojna?how can we enrol in this scecam kindly plez help?

    Reply

  18. Suraj

    Hi sir,
    From when started this scheme registration? And what is the expire duration of this card? Like one year or more?

    Reply

  21. suma balachandran

    Dear Pawan,
    Myself ( 46 years unmarried woman) & my 71 year old mother r living in Tamilnadu. As per our ration card i am getting 10,000/ salary pm & we r above povertyline. It was my old salary but at present i am working in a xerox shop & earning less than 5000/ pm. No other supports to my family. Can i get this scheme ???? what to do for the same???

    Reply

  22. Sachin Gupta

    Hello,I am a marginal farmer doing farming in 1 acre land in “Urban-Rural’ village of kishan garh (Mehrauli tehsil) in Delhi. Am I eligible.

    Sachin.

    Reply

  23. Nilmani Tiwary

    Sir,
    My mother is suffering from lung cancer and she has only voter ID, and PAN ID is she can take benefit of this scheme for her treatment?

    Reply

  24. Ashis Kumar Deb

    One of my younger brother who is unemployed and is a school dropout lives alone without financial help and I,myself is a senior citizen and retired from work since 2011. Is my younger brother eligible for Ayushman Bharat scheme?

    Reply

  25. Guests

    Sir,
    My father is a senior citizen aged 71 stays alone in Karjat Maharashtra. Is there any insurance plan or health card which can help him during his ailments.

    Reply

    • Basavaraj Tonagatti

      Dear Guests,
      He needs health insurance and better to check the above product or buy health insurance. If no one is financially dependent on him, then life insurance is not required for him.

      Reply

  26. Dr. Priyesh

    I am Dr Priyesh dentist. I have dental clinic at himmatnagar Gujarat. Can I apply for my dental clinic registration to join n help people in this yojana and what are criteria plz guide thank you

    Reply

  28. jasbant kumar

    sir
    mere gram- mahad khas post puranpur (pilibhit) u p
    me kishi ka bhi nam Ayushman Bharat ki list me mach nhi ho rha hae

    Reply

  32. ajay malshe

    Sir, my nephew trades in milk & has meagre income below Rs 5000 p.m. whether he is eligible? If he has no ration card, how he can apply to get cover for his family?

    Reply

  35. Ayush sharma

    sir i want to kmow in case if a person lost his fingerprint than how can i make my card and the retina verification is not present in our area dhanbad (jharkhand) .some peoples who have this facilities were saying that site is not working properly for this retina verification .

    Reply

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