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Assam

Profile


Overview
Name of the Scheme Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY); Atal Amrit Abhiyan
Date of roll-out 23-09-2018
Mode of Implemetation Trust
Number of PM-JAY eligible families as per SECC/RSBY data 27,01,795
Number of PM-JAY additional families covered by the State -
Number of Non-PM-JAY families covered by the State scheme 33,26,531
Insurance
Name of the insurance company (if applicable) Not applicable
Name of the ISA/TPA Tender is Under Process
Health Packages
Number of Health Benefit Packages (HBP 1.0) 1,412
Number of packages reserved for government hospitals 219
Description of the State Scheme
Atal Amrit Abhiyan is a cashless healthcare scheme for the citizens of Assam launched by the Indian Government. The Scheme will be open for all BPL families and APL families in the state having annual family income upto Rs. 5 lakh. Families of government employees are not eligible under the Scheme. The Scheme is be free for BPL families and a nominal amount of Rs. 100/- will be collected from each member of the APL family as enrolment fees annually. The Scheme will provide inpatient treatment facility at the empanelled hospitals (Private and Public) up to a maximum limit of Rs. 2.00 lakh per individual member per annum within and outside the State of Assam.
Contact Details of the State Team
Name of State Health Agency (SHA) Atal Amrit Abhiyan Society
Address Nayantara Supermarket Building, 3rd Floor Six-mile, GS Road Guwahati, Assam- 781002
Contact No. 0361- 2333603/ 0361- 2333604
Email Id pmjaysha.assam@gmail.com
Name of CEO Sri. Narayan Konwar, IAS
Toll free number 1800-300-03468
Note:   Data as on 14 April 2020

Assam Factsheet


Name of the State ASSAM 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 27,01,795
3 Number of Additional PM-JAY families covered by the State 0
4 Number of non-PM-JAY families covered under the State scheme 33,26,531
5 Percentage of families covered under PM-JAY 42%
6 Percentage of non-PM-JAY families covered under the State scheme 52%
II. Hospital Emapanelment
Till Date
Public Private Total
7 Number of empaneled hospitals
157 139 296
III. Beneficary Identifcation
Till Date
8 E-cards generated 1,24,71,431
III. Transaction Management
Jan-20 Till Jan 2020
9 Hospital Admissions Authorized Numbers
6,593 1,11,894
Amount (In Rs.)
9,43,29,197 163,49,45,633
IV. Claims
Jan-20 Till Jan 2020
10 Claims submitted Numbers
7,751 89,187
Amount (In Rs.)
10,57,85,272 117,08,32,356
V.Portability
Total Outgoing
Jan-20 Till Jan 2020
Total Incoming
Jan-20 Till Jan 2020
11 No. of hospital admissions authorized
36 243
148 1,488
12 No. of claims submitted
35 210
91 1038
Assam Factsheet
Note:
1.     Non-PM-JAY families are covered under State scheme-Atal Amrit Abhiyan with healthcare cover of Rs. 2 Lakhs per individual
2.   State cards have been generated using state own IT system

District Profile


 
 
Note:
1. Map not to scale

2. Data as on 01st Jan 2020

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