What is Ayushman Bharat Yojana? Free ₹5 Lakh Health Insurance Scheme

Published On: March 14, 2026
Ayushman Bharat Yojana

What is Ayushman Bharat Yojana: Ayushman Bharat Yojana, or Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (PM-JAY), is one of India’s largest government health programmes. The Indian government started it to enable poor and weak families to access free medical care at hospitals without having to pay.

The Prime Minister of India started the plan on September 23, 2018, in Ranchi, Jharkhand. The Ministry of Health and Family Welfare’s National Health Authority (NHA) is responsible for putting it into action.

The fundamental goal of this plan is to give millions of individuals who can’t afford pricey medical care access to good healthcare.

Ayushman Bharat Yojana
Ayushman Bharat Yojana

Ayushman Bharat Yojana

In addition to providing financial protection, Ayushman Bharat Yojana also plays an important role in improving awareness about health and encouraging people to seek timely medical treatment. Many poor families earlier avoided hospitals because of high costs, but this scheme motivates them to visit health centres regularly and get proper care. With the help of digital health records and the PM-JAY e-card, beneficiaries can easily access treatment at empanelled hospitals across India without complicated paperwork. This improves transparency and reduces out-of-pocket expenses. Overall, the scheme supports the government’s goal of building a healthier nation where quality healthcare is available to every citizen, especially the economically weaker sections of society.

Ayushman Bharat Yojana: Overview

FeatureDetails
Scheme NameAyushman Bharat – Pradhan Mantri Jan Arogya Yojana (PM-JAY)
Launched On23 September 2018
Launch PlaceRanchi, Jharkhand
Implemented ByNational Health Authority (NHA)
MinistryMinistry of Health and Family Welfare
Coverage AmountUp to ₹5,00,000 per family per year
Type of BenefitCashless hospitalization

Ayushman Bharat

Ayushman Bharat – Pradhan Mantri The Jan Arogya Yojana (PM-JAY) is one of India’s largest government healthcare schemes, launched to ensure that poor and vulnerable families can access quality medical treatment without financial burden. Introduced on 23 September 2018, the scheme provides cashless hospitalisation benefits of up to ₹5 lakh per family per year, covering a wide range of medical services including medicines, diagnostics, and surgeries. Implemented by the National Health Authority (NHA), the initiative focuses on both preventive and curative healthcare through health and wellness centres and hospital treatment support. Overall, Ayushman Bharat aims to strengthen India’s healthcare system by making affordable treatment accessible to millions of citizens across the country.

Main Components of Ayushman Bharat

There are two main sections to the Ayushman Bharat plan.

1. Health and Wellness Centers (HWCs)

These centers offer primary health care services near to where people live.

The main services are:

✅ Maternal and child health care
✅ Care for common illnesses
✅ Medicines that are free
✅ Services for diagnosis
✅ Preventing and being aware of diseases
✅ Encouragement of healthy ways of life

These centers help people stay healthy and lower their chance of getting long-term illnesses.

2. Pradhan Mantri Jan Arogya Yojana (PM-JAY)

This element of the plan pays for hospital treatment up to ₹5 lakh per household each year.

It mostly pays for secondary and tertiary hospital stays for families that are disadvantaged or at risk.

Key Benefits of Ayushman Bharat Yojana

The scheme offers several important benefits to eligible families.

Financial Health Insurance Cover

  • ✔ Cashless hospital treatment up to ₹5,00,000 per year
  • ✔ Covers consultation, medicines, tests, surgery, ICU charges
  • ✔ Includes hospital accommodation and food
  • ✔ Covers 3 days before hospitalization and 15 days after hospitalization
  • ✔ Covers complications during treatment

Coverage Features

✅ Covers all pre-existing diseases from day one
No limit on family size
No age restriction
✅ Benefits available across India
✅ Covers about 1,929 medical procedures

Eligibility Criteria

Eligibility is mainly based on the Socio-Economic Caste Census (SECC) data.

Rural Beneficiaries

Families meeting any of the following conditions may qualify:

  1. Living in a single-room house with kucha walls and a roof
  2. No adult member between 16 and 59 years
  3. No adult male member aged 16–59
  4. Family with a disabled member and no able-bodied adult
  5. SC/ST households
  6. Landless families earn mainly from manual labour

Automatic inclusion categories:

  1. Homeless families
  2. Destitute people or those living on alms
  3. Manual scavenger families
  4. Primitive tribal groups
  5. Released bonded labourers

Urban Beneficiaries

Workers from the following occupations may be eligible:

  1. Ragpickers
  2. Beggars
  3. Domestic workers
  4. Street vendors and hawkers
  5. Construction workers, plumbers, painters, welders
  6. Sanitation workers and gardeners
  7. Artisans, handicraft workers, tailors
  8. Drivers, conductors, rickshaw pullers
  9. Shop assistants and helpers
  10. Electricians and mechanics
  11. Washer-men and watchmen

Who Is Not Eligible?

Some households are excluded from the scheme.

  • Families owning two-, three-, or four-wheelers
  • Those with mechanized farming equipment
  • People with Kisan Credit Cards above the ₹50,000 limit
  • Government employees
  • Workers in government-run non-agricultural businesses
  • Families earning more than ₹10,000 per month
  • Households with refrigerators or landline phones
  • Families owning 5 acres or more of agricultural land
  • Families living in well-built houses

Application Process

Eligible beneficiaries can apply through hospitals or common service centres.

Steps to Apply

  • Visit an empanelled hospital or CSC centre
  • Meet the operator called Arogya Mitra
  • Provide details such as:
    • Name
    • Ration card number
    • Mobile number
    • RSBY URN
  • Your details are searched in the BIS database
  • Identity is verified using Aadhaar or other government IDs
  • Family details are verified through the ration card
  • Documents are uploaded
  • The insurance company or trust verifies the application
  • After approval, a PM-JAY e-card is issued

Required Documents

Applicants may need the following documents:

✔ Aadhaar Card or PAN Card
✔ Address proof
✔ Mobile number and email
✔ Caste certificate
✔ Income certificate
✔ Family status proof
✔ Ration card or family ID

FAQs

1. What is Ayushman Bharat Yojana?

Ayushman Bharat Yojana is a government program that offers health insurance and provides cashless hospital treatment up to ₹5 lakh per family per year for poor and vulnerable families in India.

2. When was Ayushman Bharat launched?

The scheme was launched on 23 September 2018 in Ranchi, Jharkhand.

3. Who can get benefits under PM-JAY?

Poor and vulnerable families identified through SECC data, including rural households and certain urban workers, are eligible.

4. Is there any limit on family members?

No. There is no restriction on family size, age, or gender under this scheme.

5. How can I check if my name is in the Ayushman Bharat beneficiary list?

You can check your eligibility online by visiting the official PM-JAY website and entering your mobile number, ration card number, or other required details. You can also visit the nearest Common Service Centre (CSC) or empanelled hospital for assistance.

Rita Devi

Rita Devi is a dedicated content creator and information specialist at PTEC Siwan Mairwa. With a deep passion for social welfare and community empowerment, Rita focuses on simplifying the complexities of Indian Government Schemes (Sarkari Yojanas) for the common citizen.

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