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Arunachal Pradesh

Profile


Overview
Name of the Scheme Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY); Chief Minister Arogya Arunachal Yojna
Date of roll-out 23-09-2018
Mode of Implemetation Trust
Number of PM-JAY eligible families as per SECC/RSBY data 88,928
Number of PM-JAY additional families covered by the State 1,82,000
Number of Non-PM-JAY families covered by the State scheme -
Insurance
Name of the insurance company (if applicable) Not applicable
Name of the ISA/TPA MD India Healthcare Service (TPA) Pvt. Ltd
Health Packages
Number of Health Benefit Packages (HBP 1.0) 1,394
Number of packages reserved for government hospitals 0
Description of the State Scheme
Chief Minister Arogya Arunachal Yojna (CMAAY) provides coverage for meeting expenses of hospitalization and surgical procedures upto Rs 5 Lacs per family per year with capping of benefits for secondary ailments at Rs 1 Lac per family per year and Rs 4 Lacs per family per year for high cost tertiary ailments. Beneficiaries covered are:
  • Arunachal Pradesh Scheduled Tribe (APST) members
  • Non-APST residents of Changlang, Lohit, Namsai possessing Resident Certificate (RC) who are people with permanent land holding documents
  • State Govt. Employees and their dependents
Contact Details of the State Team
Name of State Health Agency (SHA) Chief Minister’s Arogya Arunachal Society
Address 3rd Floor, Nyiph Apartment, Model Village, Naharlagun P.O, District Papum Pare,Arunachal Pradesh- 791110
Contact No. 0360-2351433
Email Id apcmuhis@gmail.com
Name of CEO Dr. Tana Takum
Toll free number 1800-233-5558
Note:   Data as on 14 April 2020

Arunachal Pradesh Factsheet


Name of the State ARUNACHAL PRADESH Mode of Implementation Trust Date of data download 03-Feb-20
I. Demographic Details
1 Name of the scheme in the State Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)
2 Number of PM-JAY eligible families as per SECC/RSBY data 88,928
3 Number of Additional PM-JAY families covered by the State 1,82,000
4 Number of non-PM-JAY families covered under the State scheme 0
5 Percentage of families covered under PM-JAY 89%
6 Percentage of non-PM-JAY families covered under the State scheme 0%
II. Hospital Emapanelment
Till Date
Public Private Total
7 Number of empaneled hospitals
04 0 04
III. Beneficary Identifcation
Till Date
8 E-cards generated 1,069 
III. Transaction Management
Jan-20 Till Jan 2020
9 Hospital Admissions Authorized Numbers
109 1,622
Amount (In Rs.)
17,71,500 2,73,30,152
IV. Claims
Jan-20 Till Jan 2020
10 Claims submitted Numbers
213 1,100
Amount (In Rs.)
26,59,800 1,56,66,134
V.Portability
Total Outgoing
Jan-20 Till Jan 2020
Total Incoming
Jan-20 Till Jan 2020
11 No. of hospital admissions authorized
0 27
02 09
12 No. of claims submitted
0 25
0 05
Arunachal Pradesh Factsheet
Note:
1.     Additional families have been covered under the State scheme-Chief Minister Arunachal Arogya Yojana with same cover amount and health benefit package as PM-JAY
2.   State is using its own IT system so e-cards are only generated in portability cases

District Profile


 
 
Note:
1. Map not to scale

2. Data as on 01st Jan 2020

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