**Summary:**
Lok Sabha Unstarred Question No. 2296, addressed to the Minister of Health and Family Welfare on August 1, 2025, inquired about the possibility of a top-up on the Ayushman card for the treatment of serious diseases after the expenditure of Rs. 5 lakh within a year, contingent on the recommendation of the District Medical Board. The diseases specified include cancer, kidney failure, heart conditions, liver ailments, neurology, and spinal cord injuries.
The Minister of State in the Ministry of Health and Family Welfare, Shri Prataprao Jadhav, responded that the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABPMJAY) provides health coverage of Rs. 5 lakh per eligible family per year for secondary and tertiary care hospitalizations. The scheme's Health Benefit Package (HBP) encompasses 1961 procedures across 27 medical specialties, including General Medicine, General Surgery, Orthopaedics, Cardiology, and Oncology. States retain the flexibility to customize the Health Benefit Packages to suit local needs. The response does not directly address the possibility of a top-up.
Key Entities Referenced
Ministry of Health and Family Welfare: A department of the Government of India responsible for health policy.
Lok Sabha: The lower house of the Parliament of India.
Ayushman Card: A card related to the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABPMJAY) scheme, used for availing healthcare services.
Shri Bharatsingh Kushwah: Member of Parliament who raised the question about top-up on Ayushman Card.
Shri Prataprao Jadhav: The Minister of State in the Ministry of Health and Family Welfare who provided the answer.
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABPMJAY): A flagship health scheme of the Government of India that provides health coverage to eligible families.
Health Benefit Package (HBP): A package under ABPMJAY that outlines the healthcare services and procedures covered by the scheme.
District Medical Board: A medical board at the district level whose recommendation is required for top-up on Ayushman card.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH ANDFAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 2296
TOBE ANSWERED ON01STAUGUST,2025
TOP-UPON AYUSHMANCARD
†2296.SHRIBHARATSINGH KUSHWAH:
Will the Minister of HEALTHAND FAMILYWELFAREbe pleased tostate:
(a) whether a top-up on Ayushman card is under consideration of the Government for the
treatment of patients suffering from serious diseases such as cancer, kidney failure, heart,
liver, neurology, spinal cord etc. on the recommendation of the District Medical Board after
the amountof Rs. 5 lakhisspent ina period of one year; and
(b) if so, the detailsthereof?
ANSWER
THE MINISTER OFSTATEIN THE MINISTRYOFHEALTHAND
FAMILYWELFARE
(SHRIPRATAPRAOJADHAV)
(a) and (b): Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is a
flagship scheme of the Government of India that provides health coverage of ₹5 lakh per
eligiblefamily peryearfor secondary andtertiarycare hospitalizations.
Under AB-PMJAY, as per the latest Health Benefit Package (HBP), the scheme provides
cashless healthcare services related to 1961 procedures across 27 medical specialties
including General Medicine, General Surgery, Orthopaedics, Cardiology, Oncology etc. to
eligible beneficiaries. Further, States have been provided flexibility to further customize the
HealthBenefit Packages tolocalcontext.
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