Home India Ministry of Health and Family Welfare Parliament Question: Ayushman Health Cards...
Date: 2025-07-25 Category: Not Applicable State: Union Government Country: India

Parliament Question: Ayushman Health Cards

Issued by Ministry of Health and Family Welfare · Not Applicable

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Executive Summary & Key Takeaways

Executive Summary: This document provides answers to questions raised in Lok Sabha regarding the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABPMJAY). It details the number of Ayushman cards issued, hospital admissions, empanelled hospitals, payment timelines, and funds allocated to Punjab over the last five years, up to June 30, 2025. The data is provided state-wise, UT-wise, and district-wise. Key Points / Main Content: Ayushman Health Cards: * State/UT-wise and district-wise (Punjab) details of Ayushman cards created under ABPMJAY in the last five years are available in Annexure I and II, respectively. Punjab has created 53,34,531 cards. Health Coverage Utilization: * Over 9.84 crore hospital admissions worth over Rs. 1.40 lakh crore have been authorized under the scheme to date. * State/UT-wise details of the number of hospital admissions under the scheme are in Annexure III. Punjab has had 27,83,940 admissions. Hospital Empanelment: * All public hospitals are deemed empanelled under ABPMJAY. * District-wise details of private hospitals empanelled in Punjab during the last two years are in Annexure IV. * No hospitals have been disempanelled in Punjab in the last two years. Payment Guidelines: * NHA guidelines stipulate claim payments to hospitals within 15 days for intrastate and 30 days for portability claims. * Regular review meetings and capacity building activities are conducted for efficient claim settlement. Funding: * ABPMJAY funding is demand-driven, with no state/UT-wise allocation. * Funds are released based on actual demand and submission of utilization certificates. * Rs. 418.90 crore has been released as the Central share to Punjab in the last five years. Impact Analysis: National Health Authority (NHA): * Impact: The NHA is responsible for overseeing the implementation of ABPMJAY, including setting payment guidelines and releasing funds. * Action Required: Continue monitoring claim settlements, conducting review meetings, and ensuring timely fund release based on demand and utilization certificates. State Governments (Especially Punjab): * Impact: State governments are responsible for implementing the scheme, empanelling hospitals, and processing claims. * Action Required: Ensure timely payment of claims to hospitals, submit utilization certificates for funds received, and facilitate beneficiary access to healthcare services. Hospitals (Public and Private): * Impact: Hospitals provide healthcare services to beneficiaries under ABPMJAY and are subject to empanelment and payment guidelines. * Action Required: Adhere to empanelment criteria, submit claims promptly, and address any discrepancies to ensure timely reimbursement. Beneficiaries: * Impact: Intended recipients of health coverage under the AB PMJAY scheme. * Action Required: Utilise Ayushman Health Cards to avail of health coverage of Rs. 5 lakhs at empanelled hospitals.

Key Entities Referenced

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABPMJAY): A centrally sponsored scheme for providing financial risk protection to the poor and vulnerable families for secondary and tertiary healthcare. Punjab: A state in India, specifically mentioned in the context of Ayushman Health Card issuance, hospital empanelment, and fund allocation. Ayushman Health Cards: Cards issued under the Ayushman Bharat scheme to beneficiaries, enabling them to access health coverage. National Health Authority (NHA): The apex body responsible for the implementation of ABPMJAY, including fund release and claim settlement guidelines. Harsimrat Kaur Badal: Member of Parliament who raised questions regarding Ayushman Health Cards. Shri Prataprao Jadhav: The Minister of State in the Ministry of Health and Family Welfare who provided answers to the questions raised. Rs. 5 lakhs: The amount of health coverage provided under the Ayushman Bharat scheme. Transaction Management System (TMS): System used for timely submission of claims
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GOVERNMENTOFINDIA MINISTRYOFHEALTH AND FAMILYWELFARE DEPARTMENT OFHEALTH AND FAMILYWELFARE LOK SABHA UNSTARRED QUESTION NO. 1087 TO BE ANSWERED ON25TH JULY,2025 AYUSHMAN HEALTH CARDS 1087. SMT.HARSIMRATKAUR BADAL: Will the Ministerof HEALTHANDFAMILYWELFAREbe pleased tostate: (a) the number of Ayushman Health Cards issued during the last five years, State-wise and district-wise inPunjab; (b) whether the Government hasmaintainedany data regardingthe numberof people who have actually used their Ayushman Health Cards to utilize the health coverage of Rs. 5 lakhs, if so, the detailsthereof,State-wise; (c) the number of public and private hospitals that have been empanelled and disempanelled underthe scheme during the last two years, district-wise inPunjab; (d) whether the Government has observed any delays in payments to be made by the State Governmentsduring the last five years, if so, the detailsthereof,especiallyinPunjab; and (e) the amount of funds allocated and utilized by the State of Punjab under the scheme during the last five years? ANSWER THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILYWELFARE (SHRIPRATAPRAO JADHAV) (a): State/UT-wise detailsof Ayushman cardscreatedunderAyushman Bharat - PradhanMantri Jan ArogyaYojana (AB-PMJAY)in the last five years are at Annexure-I. District-wise details of Ayushman cardscreated underAB-PMJAYin the last five years inPunjab are at Annexure- II. (b): As on date, more than 9.84 crore hospital admissions worth over Rs. 1.40 lakh crore have been authorized under the scheme. State/UT-wise details of number of hospital admissions underthe scheme are at Annexure-III. (c) Under AB-PMJAY, all public hospitals are deemed empanelled. District-wise details of number of private hospitals empanelled under the scheme during the last two years in Punjabare at Annexure-IV. Further, no hospital has been de-empanelled in the State of Punjab in the last two years. (d) National Health Authority has laid down guidelines under AB-PMJAY for payment of claim to hospitals within 15 days of claims submission for the intra-state hospitals (hospitals located within State) and within 30 days in case of portability claims (hospitals located outside State). Regularreviewmeetingsareorganizedtoreviewprogresswith regardstotheclaimssettlement. Further, capacity building activities are organised for efficient claims settlement and beneficiary facilitation agencies ensure timely submission of claims on the Transaction Management System(TMS), andaddress all discrepancies. (e): The funding of AB PM-JAY is entirely demand driven. NHA releases funds for scheme implementation to the State UTs on the basis of the actual demand received from States/UTs. There is no State / UT - wise allocation of funds. As per the process defined by NHA, States furnish a Utilization Certificate of previously received funds prior to every new fund release. An amount of Rs. 418.90 crore has been released as Central share to the State of Punjab in the last five years.Annexure-I State/UT-wise detailsof Ayushman cardscreatedunderAB-PMJAYinthe last five years State/UT Ayushman cardscreated AndamanAndNicobarIslands 64,020 AndhraPradesh 1,57,80,920 ArunachalPradesh 1,55,289 Assam 1,73,37,930 Bihar 3,20,16,078 Chandigarh 2,25,948 Chhattisgarh 2,05,15,878 Delhi 12,049 DadraAndNagarHaveliAndDamanAndDiu 51,193 Goa 69,638 Gujarat 2,00,59,043 Haryana 1,10,27,610 HimachalPradesh 5,61,102 JammuAndKashmir 75,76,323 Jharkhand 38,26,676 Karnataka 1,83,76,411 Kerala 19,34,513 Ladakh 1,62,478 Lakshadweep 34,376 MadhyaPradesh 2,90,75,425 Maharashtra 2,44,26,404 Manipur 4,32,383 Meghalaya 5,37,265 Mizoram 2,36,621 Nagaland 5,09,683 Odisha 3,44,72,237 Puducherry 4,19,853 Punjab 53,34,531 Rajasthan 2,24,34,212 Sikkim 53,378 TamilNadu 79,98,045 Telangana 83,22,520 Tripura 9,68,001 UttarPradesh 4,33,44,688 Uttarakhand 22,21,134Annexure-II District-wise detailsof Ayushman cardscreatedunderAB-PMJAYinthe last five yearsinPunjab District Numberof Ayushmancards created Amritsar 3,94,254 Barnala 1,40,613 Bathinda 2,98,130 Faridkot 1,19,856 FatehgarhSahib 1,19,484 Fazilka 1,61,316 Ferozepur 1,61,672 Gurdaspur 3,86,336 Hoshiarpur 3,07,556 Jalandhar 4,67,804 Kapurthala 1,40,881 Ludhiana 6,29,442 Malerkotla 21,435 Mansa 1,94,404 Moga 1,49,400 Pathankot 1,43,577 Patiala 3,94,261 Rupnagar 1,28,132 S.A.SNagar 1,54,097 Sangrur 3,63,195 ShahidBhagat SinghNagar 1,25,250 SriMuktsar Sahib 1,62,817 TarnTaran 1,70,619Annexure-III State/UT-wise detailsof numberof hospital admissions underAB-PMJAY (ason30.06.2025) State/UT Numberof hospital admissions AndamanAndNicobarIslands 3,803 AndhraPradesh 86,43,065 ArunachalPradesh 8,988 Assam 16,40,211 Bihar 21,29,621 Chandigarh 76,782 Chhattisgarh 76,78,163 DadraAndNagarHaveli&DamanAndDiu 1,50,900 Delhi 1,896 Goa 17,890 Gujarat 69,79,688 Haryana 26,24,686 HimachalPradesh 3,76,436 JammuAndKashmir 17,33,327 Jharkhand 25,25,003 Karnataka 1,24,23,896 Kerala 71,73,007 Ladakh 26,264 Lakshadweep 1,600 MadhyaPradesh 60,27,160 Maharashtra 33,26,975 Manipur 2,52,130 Meghalaya 10,65,227 Mizoram 1,60,733 Nagaland 1,05,735 Odisha 2,62,091 Puducherry 1,37,447 Punjab 27,83,940 Rajasthan 73,31,426 Sikkim 33,210 TamilNadu 1,14,91,851 Telangana 23,59,336 Tripura 4,74,929 UttarPradesh 68,18,130 Uttarakhand 15,85,625Annexure-IV District-wise detailsof numberof private hospitals empanelledduring the last two yearsinPunjab District Numberof privatehospitalsempanelled Amritsar 7 Barnala 4 Bathinda 20 Fatehgarh Sahib 6 Fazilka 1 Firozepur 5 Gurdaspur 3 Hoshiarpur 1 Jalandhar 2 Kapurthala 1 Ludhiana 17 Malerkotla 1 Mansa 2 Moga 5 Pathankot 3 Patiala 14 Rupnagar 6 S.A.SNagar 3 Sangrur 6 Shahid Bhagat SinghNagar 1 SriMuktsar Sahib 3 Faridkot 0 Tarn Taran 0 *****

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