The Union Cabinet on Wednesday gave its nod for the launch of Modi government's ambitious Ayushman Bharat - National Health Protection Mission (NHPM). The scheme promises to provide a universal health coverage and make health services equitable, affordable and accessible. It will benefit the poorest and the needy.
"NHPM will cover over 10 crore poor families (approximately 50 crore people), providing a coverage of up to Rs 5 lakh. There is no limit on family size. This will be the world's largest government-funded healthcare programme," Union Health Minister JP Nadda said in a series of tweets.
The expenditure incurred in premium payment will be shared between the central and state governments in a specified ratio as per Ministry of Finance guidelines in vogue, an official statement said.
Here are the 10 ways Modi government's Ayushman Bharat - National Health Protection Mission will help Indians:
1. The scheme will provide a coverage of Rs 5 lakh per family per year and benefit more than 10 crore families belonging to the poor and vulnerable sections of the society.
2. To ensure that nobody is left out, especially women, children and the elderly people, there will be no cap on family size and age in the scheme.
3. The benefit cover will also include pre and post-hospitalisation expenses. All pre-existing conditions will be covered from day one of the policy, an official statement said.
4. The beneficiaries can avail benefits in both public and empanelled private facilities. All public hospitals in the states implementing AB-NHPM will be deemed empanelled for the scheme.
5. Hospitals belonging to ESIC may also be empanelled based on the bed occupancy ratio parameter. As for private hospitals, they will be empanelled online based on defined criteria.
6.The AB-NHPM will target about 10.74 crore poor, deprived rural families and identified occupational category of urban workers' families as per the latest Socio-Economic Caste Census (SECC) data, covering both rural and urban areas.
7. The different categories in the rural areas include families having only one room with "kucha" walls and "kucha" roof, families having no adult members among others. Also, automatically included families in rural areas having any one of the following: households without shelter, destitute, living on alms, manual scavenger families, primitive tribal groups, legally released bonded labour. For urban areas, 11 defined occupational categories are entitled under the scheme.
8. The scheme structure will ensure appropriate integration with the existing health insurance or protection schemes of various central ministries/departments and state governments (at their own cost). The state governments will be allowed to expand AB-NHPM both horizontally and vertically, the statement said.
9. AB-NHPM will have a major impact on the reduction of Out Of Pocket (OOP) expenditure on the ground of an increased benefit cover to nearly 40 per cent of the population, which will lead to an increased access to quality health and medication. In addition, the unmet needs of the population which remained hidden due to lack of financial resources will be catered to, the official statement said.
10. The Ayushman Bharat scheme will lead to timely treatments, improvements in health outcomes, patient satisfaction, improvement in productivity and efficiency, job creation thus, leading to an improvement in the quality of life, the government said.
(With inputs from PTI)