Healthcare insurance plan

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PM-JAY provides cashless cover of up to INR5,00, to each eligible family per annum for listed secondary and tertiary care healthcare insurance plan. The cover under the scheme pla all expenses incurred on the following components of the treatment.

The benefits of INR 5,00, are on a family floater basis which means that it can be used by one or all members of the family. The Healthare had a family cap of five members. However, based on learnings from those schemes, PM-JAY has been designed in such a way that there is no cap on family size or age of members.

In addition, pre-existing diseases are covered from the very healthcare insurance plan day. This means that any eligible person suffering from any medical condition before being covered by PM-JAY will now be able to get treatment for all those medical conditions source well under this scheme right from the day they are enrolled. This will leverage the presence of an insurrance network of quality services providers under PM-JAY alongside fixed health benefit packages, thereby standardising services across schemes.

Further, it will create higher demand for healthcare insurance plan services at ESIC empanelled hospitals that may be currently underutilised. This will support in improvement of infrastructure and facilities of such facilities, via utilisation of funds reimbursed under PMJAY.

The beneficiaries will be eligible for all 1, healthhcare healthcare insurance plan tertiary packages under the scheme and the initiative will be scaled up to districts with a plan https://fit-fusion.online/marketplace/healthcare-open-enrolment.php eventually extending coverage across the country. However, despite making hhealthcare strides in several sectors, India is still healthcare insurance plan as a P,an Middle-Income Country LMIC according to World Bank classification of countries based on per capita GDP, mostly due to its inconsistent socio-economic and health indicators.

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