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12th September 2024 (10 Topics)

Centre extends ABPM-JAY to all above 70

Context

The Union Cabinet approved the expansion of the Ayushman Bharat  Pradhan Mantri Jan Aarogya Yojana (AB PM-JAY)—to all Indian citizens aged 70 and above, adding nearly six crore people to the list of beneficiaries.

About ABPM-JAY

  • The scheme was first rolled out in 2018.
  • Under the scheme, cashless hospitalisation benefit of up to Rs 5 lakh per family per year is offered for secondary and tertiary healthcare services in empanelled hospitals.
  • It is a Centrally Sponsored Scheme and the nodal agency to implement it is the National Health Authority (NHA).
  • Eligibility: With the latest approval, all senior citizens aged 70 years and above, irrespective of their socio-economic status, would be eligible to avail the benefits of AB PM-JAY.
  • Top-up coverage - For families already enrolled in Ayushman Bharat, senior members will receive an extra Rs 5 lakh top-up, which is solely for their use.
  • Private insurance - Senior citizens with private health insurance can still take advantage of the scheme without any conflict with their existing coverage.
  • Public health schemes - Seniors who are part of other public health schemes like the Central Government Health Scheme (CGHS), Ex-Servicemen Contributory Health Scheme (ECHS), or Ayushman Central Armed Police Force (CAPF) will need to choose between their current insurance and the new Ayushman Bharat health coverage.

Fact Box: India Ageing Population

  • India’s population over the age of 60 years is estimated to increase from 8.6 per cent in 2011 to 19.5 per cent by 2050, according to the Longitudinal Ageing Study in India (LASI). In terms of absolute numbers it means that the 60 plus population is set to triple from 103 million in 2011 to 319 million in 2050.
  • Health coverage in this age group is currently about 20 per cent, according to the India Ageing Report 2023.
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