I&D Hospital Solution logoI&D Hospital SolutionHospital Consulting Experts

Things to know about Ayushman Bharat Yojana

The Indian government is playing a very important to empower the overall health system of the country. This is why they have introduced the world’s largest health insurance scheme, i.e., Ayushman Bharat Yojana, which provides the insurance cover of Rs.5 lakhs to each Indian family who is eligible. This is one of the most effective … Read more

IBy I&D Team10 August 2021Updated 4 October 20262 min read

Key Takeaways

  • Ayushman Bharat Yojana is applicable across India in all private and public hospitals, helping to improve healthcare business expansion.
  • The scheme offers cashless hospitalization covering secondary and tertiary care for up to 1,393 medical procedures.
  • Eligible families receive a maximum health insurance cover of Rs. 5 lakhs without restrictions on age or family size.
  • Coverage includes pre-existing diseases from day one along with pre-hospitalization and post-hospitalization expenses including medicines and diagnostics.
  • Reimbursable services include ICU, diagnostic services, room charges, treatment costs, surgeon charges, and doctor fees across India.

The Indian government is playing a very important to empower the overall health system of the country. This is why they have introduced the world’s largest health insurance scheme, i.e., Ayushman Bharat Yojana, which provides the insurance cover of Rs.5 lakhs to each Indian family who is eligible. This is one of the most effective ways that is helping to improve the healthcare business expansion. This scheme was launched by Mr. Narendra Modi, Prime Minister of India. 

Here is the list of key features of the Ayushman Bharat Yojana. Let’s have a look at them.

  • It is the world’s largest health insurance scheme financed by the Government of India.
  • This is the only health insurance scheme that overs up to 1,393 procedures in it. This will include ICU, diagnostic services, surgeon charges, doctor’s fees, room charges, treatment costs, etc.
  • Even it also provides the cover for the expenses of 3 days pre-hospitalization to 3 days post-hospitalization cover. This means the cover will be about 15 days, including medicines and diagnostics.
  • The maximum coverage amount is Rs.5 lakhs for all eligible Indian families.
  • Both secondary and tertiary care of hospitalizations is covered under this scheme.
  • This scheme is applicable across the country in all private and public hospitals.
  • This scheme offers cashless hospitalization cover to the beneficiaries.
  • There is no age, age, family size, etc., restriction in the cover of this scheme.
  • It provides cover for pre-existing diseases from the first day.
  • The person can avail of the scheme benefits at PAN Indian level.

All these features of the Ayushman Bharat have made it very popular among the people. Here is a list of benefits.

  • Broadening the health insurance network: This is one of the best schemes provided by the Indian government so far. It provides medical facilities up to 1393 that has made it very beneficial for the Indian people. 
  • Improve the quality of life of the population: We all are aware of the fact that this medical facility is provided to improve people’s quality of life. With the help of this medical insurance, every Indian can get access to the best medical facilities to cure the health problem on time. 

So, it is quite clear that Ayushman Bharat Yojana is great for all the Indians out there. The person can easily get into it and grab its benefits.

Need help with your hospital?

Talk to I&D Hospital Solution experts for empanelment, accreditation, claims and growth.

Frequently Asked Questions

Can private hospitals participate in the Ayushman Bharat Yojana scheme?+

Yes, this health insurance scheme is applicable across the country in all private and public hospitals. It is designed to empower the overall health system while helping to improve healthcare business expansion. Beneficiaries can access secondary and tertiary hospitalization care at any participating facility across the entire PAN Indian level seamlessly.

What medical services and procedures are covered under Ayushman Bharat Yojana?+

The scheme covers up to 1,393 procedures for secondary and tertiary care hospitalizations. Covered services specifically include ICU care, diagnostic services, doctor's fees, surgeon charges, room charges, and general treatment costs. It also covers expenses from three days pre-hospitalization to three days post-hospitalization, spanning about 15 days including medicines and diagnostics.

How does the coverage limit and beneficiary eligibility work for hospitals?+

The scheme offers a maximum coverage amount of Rs. 5 lakhs to each eligible Indian family. Hospital owners should note that there are no age, family size, or similar restrictions under this cover. Beneficiaries receive cashless hospitalization, and all pre-existing diseases are covered from the very first day.

How does Ayushman Bharat Yojana support healthcare business expansion?+

Financed by the Government of India, the scheme broadens the health insurance network by enabling all eligible Indian families to access medical facilities. Because it provides cashless hospitalization across all private and public hospitals nationwide, it improves access to care and directly assists medical providers with overall healthcare business expansion.

What pre- and post-hospitalization benefits does the scheme provide?+

Ayushman Bharat Yojana provides cover for the expenses of three days pre-hospitalization to three days post-hospitalization, which means the cover lasts about 15 days including required diagnostics and medicines. Beneficiaries can also access coverage for pre-existing diseases from the first day without experiencing family size or age limitations.

I&D Team

Written by

I&D Team

Healthcare Consulting Team

The I&D Hospital Solution team helps hospitals across India with empanelment, NABH accreditation, TPA tie-ups, hospital setup and growth consulting.

Related Articles