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Ayushman Bharat Health Scheme for Central Armed Police Forces: Keypoints

Ayushman Bharat health scheme for Central Armed Police Forces:

Ayushman CAPF scheme was launched recently, extending the benefit of the central health insurance programme to the personnel of all armed police forces in the country.

Key features of the scheme:

  • Under this scheme, around 28 lakh personnel of CAPF, Assam Rifles and National Security Guard (NSG) and their families will be covered by ‘Ayushman Bharat: Pradhan Mantri Jan Arogya Yojana’ (AB PM-JAY)

Key Features of PM-JAY:

  • The world’s largest health insurance/ assurance scheme fully financed by the government.
  • It provides cover of 5 lakhs per family per year, for secondary and tertiary care hospitalization across public and private empaneled hospitals in India.
  • Coverage: Over 10.74 crore poor and vulnerable entitled families (approximately 50 crore beneficiaries) are eligible for these benefits.
  • Provides cashless access to health care services for the beneficiary at the point of service.

Eligibility:

  • No restrictions on family size, age or gender.
  • All pre–existing conditions are covered from day one.
  • Covers up to 3 days of pre-hospitalization and 15 days of post-hospitalization expenses such as diagnostics and medicines.
  • The benefits of the scheme are portable across the country.
  • Services include approximately 1,393 procedures covering all the costs related to treatment, including but not limited to drugs, supplies, diagnostic services, physician’s fees, room charges, surgeon charges, OT and ICU charges, etc.
  • Public hospitals are reimbursed for the healthcare services at par with the private hospitals.
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