Parliament Question: Empanelment of Hospitals under Ayushman Bharat Scheme

**Executive Summary** This document is the answer to Unstarred Question No. 2213 in the Lok Sabha, to be answered on December 12th, 2025, concerning the empanelment of hospitals under the Ayushman Bharat Scheme (AB-PMJAY). The document provides details on the criteria and process for hospital empanelment, the treatments covered, and government efforts to raise awareness, especially among senior citizens in rural areas. As of October 31, 2025, 32,403 hospitals are empanelled under the scheme. **Key Points / Main Content** * **Hospital Empanelment** * Hospital empanelment under AB-PMJAY is a continuous process following established guidelines, which are available at: https://hem.nha.gov.in/images/309dbcbdaf52d1a4b672.pdf. * As of 31.10.2025, 32,403 hospitals are empanelled under the scheme, including 15,378 private hospitals. State/UT-wise details are available at: https://hem.nha.gov.in/search * **Treatment Coverage** * AB-PMJAY provides health cover of Rs. 5 lakh per family per year for secondary and tertiary care hospitalization. * Under the Health Benefit Package 2022, a total of 1961 procedures across 27 specialties are available, including 743 medical procedures and 1218 surgical procedures. * **Awareness Campaigns** * AB-PMJAY employs a comprehensive media and outreach strategy to increase awareness, using traditional media (newspapers, community radio, street plays, digital displays, radio campaigns), mass messaging, and beneficiary testimonials. * State Health Agencies involve frontline workers like Accredited Social Health Activists and Anganwadi Workers to create awareness at the grassroot level. * Ayushman Vay Vandana Card beneficiaries can give a missed call to helpline number 1800-110-770 or call at 24x7 call centre (14555) for any assistance/queries. * The National Health Authority has directed states to conduct extensive Information, education and communication activities to raise awareness of the expansion of AB-PMJAY for senior citizens aged 70 years and above. **Impact Analysis** **Hospitals** * **Impact:** Eligible hospitals have the opportunity to get empanelled under AB-PMJAY, allowing them to provide services to a broader patient base covered by the scheme. * **Action Required:** Review the empanelment guidelines and apply accordingly. **Citizens / Beneficiaries** * **Impact:** AB-PMJAY provides health cover, especially for secondary and tertiary care hospitalization, up to Rs. 5 lakh per family per year. * **Action Required:** Utilize the available resources to understand their rights and entitlements under the scheme, including contacting the helpline or call center for assistance. **State Health Agencies & Frontline Workers (ASHAs, Anganwadi Workers)** * **Impact:** Responsible for implementing awareness campaigns and reaching beneficiaries at the grassroot level. * **Action Required:** Conduct extensive information, education, and communication activities to raise awareness about AB-PMJAY. **National Health Authority** * **Impact:** Oversees the implementation and expansion of AB-PMJAY. * **Action Required:** Issue directions to the states to undertake extensive Information, education and communication activities to raise the awareness about the expansion of AB-PMJAY.

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