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Punjab

Profile


Overview
Name of the Scheme Ayushman Bharat Sarbat Sehat Bima Yojana
Date of roll-out 20-08-2019
Mode of Implemetation Insurance
Number of PM-JAY eligible families as per SECC/RSBY data 14,98,065
Number of PM-JAY additional families covered by the State 30,98,873
Number of Non-PM-JAY families covered by the State scheme -
Insurance
Name of the insurance company (if applicable) IFFKO Tokyo
Name of the ISA/TPA Family Health Plan Insurance TPA Limited
& Vidal Health Insurance TPA services
Health Packages
Number of Health Benefit Packages (HBP 1.0) 1,392
Number of packages reserved for government hospitals 115
Description of the State Scheme
Ayushman Bharat-Sarbat Sehat Bima Yojana (AB-SSBY) is the flagship state health insurance scheme for the beneficiaries in the State of Punjab. This scheme will provide financial protection to 75% popuation of Punjab. The scheme provides an entitlement based cashless health insurance cover of Rs. 5 Lakh/family/year. Cashless and paperless treatment can be availed at government & empanled private hospitals. The cost of premium for 14.86 lakh SECC beneficiary families shall be borne by central government & state government in 60:40 ratio. The premium cost of remaining 30 lakh (approx.) beneficiary families shall be fully borne by the State.
Contact Details of the State Team
Name of SHA State Health Agency Society, Punjab
Address of SHA E Block, Third Floor, Punjab School Education Board,
Sector-62, SAS Nagar (Mohali)
Contact No. of SHA NA
Email Id of SHA sha.phsc@gmail.com
Name of CEO of SHA Shri. Kumar Rahul
Toll Free no 104
Note:   Data as on 14 April 2020

Punjab Factsheet


Name of the State Punjab Mode of implementation Insurance Date of data download 03-Feb-20
I. Demographic Details
1 Name of the scheme in the State Ayushman Bharat Sarbat Sehat Bima Yojana
2 Number of PM-JAY eligible families as per SECC/RSBY data 14,98,065
3 Number of Additional PM-JAY families covered by the State 30,98,873
4 Number of non-PM-JAY families covered under the State scheme 0
5 Percentage of families covered under PM-JAY 91%
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
207 484
III. Beneficary Identifcation
Till Date
8 E-cards generated 40,83,773
III. Transaction Management
Jan-20 Till Jan 2020
9 Hospital Admissions Authorized Numbers
33,374 1,33,575
Amount (In Rs.)
42,40,19,561 167,05,56,733
IV. Claims
Jan-20 Till Jan 2020
10 Claims submitted Numbers
33,567 1,18,944
Amount (In Rs.)
37,69,69,937 138,23,77,453
V.Portability
Total Outgoing
Jan-20 Till Jan 2020
Total Incoming
Jan-20 Till Jan 2020
11 No. of hospital admissions authorized
917 4,957
457 1,808
12 No. of claims submitted
933 3,234
399 1,381
Punjab Factsheet
Note:
1.     Additional families have been covered under State scheme-Sarbat Sehat Bima Yojana with same cover amount and health benefit package as PM-JAY

District Profile


 
 
Note:
1. Map not to scale

2. Data as on 01st Jan 2020

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