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Gujarat

Profile


Overview
Name of the Scheme Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY);
Mukhyamantri Amrutam & Mukhyamantri Vatsalya
Date of roll-out 23-09-2018
Mode of Implemetation Hybrid
Number of PM-JAY eligible families as per SECC/RSBY data 44,85,227
Number of PM-JAY additional families covered by the State 32,04,589
Number of Non-PM-JAY families covered by the State scheme -
Insurance
Name of the insurance company (if applicable) The Oriental Insurance Company Ltd
Name of the ISA/TPA MD India Healthcare Service (TPA) Pvt. Ltd.
Health Packages
Number of Health Benefit Packages (HBP 1.0) 1,912
Number of packages reserved for government hospitals 561
Description of the State Scheme
The Government of Gujarat launched Mukhyamantri Amrutum ‘MA’ Yojana on 4th September, 2012. The beneficiary under the scheme are those who belong to Below Poverty Line (BPL) family and whose information is included in the district BPL list prepared by the State government rural development department and urban development department. All beneficiaries can avail cashless quality medical and surgical treatment which cover 2,150 defined packages . The Sum assured is up to Rs. 5,00,000/- per family per annum.
Based on success of “MA” Yojana and feedback from various stakeholders, on 15th August 2014, the “MA” was extended to “Mukhyamantri Amrutam Vatsalya” Yojana which includes" the following beneficiaries:
  • Families are having an annual income up to Rs.5.00 lakh
  • All urban & rural ASHAs (Accredited Social Health Activist)
  • Accredited Reporters
  • Fix pay employees of class-3 & 4 appointed by state government
  • U-win Card holders
  • Senior citizens of those families with annual income up to Rs. 6 lakh
Contact Details of the State Team
Name of State Health Agency (SHA) Gujarat State Health Protection Society
Address Block No.4, 1st Floor, Dr. Jeevraj Mehta Bhawan,
Old Sachivalaya, Gandhinagar
Contact No. 079-232 53337
Email Id cohealth@gujarat.gov.in,
nhpmgujarat@gmail.com
Name of CEO Shri. Jay Prakash Shivhare (IAS)
Toll free number 1800-233-1022 & 104
Note:   Data as on 14 April 2020

Gujarat Factsheet


Name of the State GUJARAT Mode of implementation Mixed (Cover of Rs.50,000 through insurance) 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); Mukhyamantri Amrutam & Mukhyamantri Vatsalya
2 Number of PM-JAY eligible families as per SECC/RSBY data 44,85,227
3 Number of Additional PM-JAY families covered by the State 32,04,589
4 Number of non-PM-JAY families covered under the State scheme 0
5 Percentage of families covered under PM-JAY 63%
6 Percentage of non-PM-JAY families covered under the State scheme 0%
II. Hospital Emapanelment
Till Date
Public Private
7 Number of empaneled hospitals
1,817 912
III. Beneficary Identifcation
Till Date
8 E-cards generated 73,46,491
III. Transaction Management
Jan-20 Till Jan 2020
9 Hospital Admissions Authorized Numbers
98,681 12,62,333
Amount (In Rs.)
132,50,11,345 1925,98,89,694
IV. Claims
Jan-20 Till Jan 2020
10 Claims submitted Numbers
92,713 11,56,506
Amount (In Rs.)
126,37,85,162 1812,12,72,904
V.Portability
Total Outgoing
Jan-20 Till Jan 2020
Total Incoming
Jan-20 Till Jan 2020
11 No. of hospital admissions authorized
68 941
1,508 20,261
12 No. of claims submitted
66 880
1,483 18,386
Gujarat Factsheet
Note:
1.     Additional families have been covered under State scheme-Mukhyamantri Amrutam Yojna and Mukhya Mantri Amrutam Vastalya Yojana with same cover amount and health benefit package as PM-JAY
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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