Ayushman Bharat Healthcare Scheme (NHPS) To Cover 1,347 Treatments
The central government has begun work on rolling out its ambitious healthcare scheme, Ayushman Bharat, day after the Union Cabinet gave its approval for the launch of the insurance project that aims to fund hospitalisation cost of an estimated 10 crore economically deprived families.
The government has set June-end as the target for on-ground assessment of the information technology (IT) system, which is the “backbone” of the totally cashless and paperless, National Health Protection Scheme (NHPS).
The minister said the Rs 10,000 crore scheme, which will provide a cover of Rs 5 lakh per family per year, will include protection for 1,347 diseases, with the possibility for addition to or deletion from this ‘package list of diseases’.
The insurance scheme will take care of secondary and tertiary treatment, including treatment for:
- Cancer Surgeries
- Radiation Therapy
- Cardiac Surgeries
- Neuro Surgeries
- Spine Surgeries
- Dental Surgeries
- Eye Surgeries
Beneficiaries: 50 Crore
Eligibility Criteria: Disadvantaged sections identified through Socio-Economic Caste Census data.
Family Size: No cap
States on board: All States, except Tripura
Aadhaar: Not mandatory
Finance model: Private insurers, Trust/society, mixed model
Implementing agencies: National and state health agencies
Under the first phase of implementation, organ transplantation surgeries will not be included. Helth Ministry is still fine-tuning the list. It will take some time.
It will do away with out-of-pocket expenditure as comprehensive packages covering expenditure incurred in travelling to and from the hospital are also being drafted. Patients will pay absolutely nothing from their pockets
For this scheme, QR code will be used, already assigned to the families by the rural development ministry. The families can retain the code by printing it out. The health ministry has held a series of consultations with the state governments and insurance companies to discuss the implementation of the scheme.
The operational guidelines will be shared with the states in April. Ministry will sign a memorandum of understanding (MoU) with the states individually once they finalise what they want to retain from our guidelines. The training of officials working on the project will be conducted in June. This will be the pilot stage to test its functioning and by July, the states will empanel eligible hospitals.
Source Link- https://www.hindustantimes.com/.