Government health insurance policies in India focus on providing universal access to quality healthcare and promoting healthy lifestyles. The government has implemented several initiatives to achieve these goals. Pradhan Mantri Jan Arogya Yojana and Pradhan Mantri Matru Vandana Yojana are two important social welfare programmes launched by the Government of India to improve the health and well-being of citizens.
Pradhan Mantri Jan Arogya Yojana
PMJAY Eligibility Criteria
Eligibility criteria for availing of the advantages of PM Jan Arogya Yojana can be categorised based on the living area; rural and urban.
People residing in cities or urban areas can be eligible for advantages if they are:
- Beggars
- Domestic workers
- Street vendors/ cobblers/ repair workers/ electricians, assemblers
- Mechanics/ construction workers/ coolies/ security guards
- Plumbers/ rickshaw pullers/ cart pullers/ conductors, or transport workers.
People living in rural areas are eligible under the scheme if they are:
- Families in rural areas without an adult aged between 16 and 59 years
- People residing in one room with an earthen roof and walls
- Individuals involved in manual scavenging
- Households without any male earning member and with no land to rely on for income.
How Does PM Jan Arogya Scheme Work?
PM Jan Arogya Yojana is a flagship health insurance initiative. Under the scheme, beneficiaries can get cashless treatment at empanelled hospitals. The scheme has been implemented in 32 states and union territories across India.
To avail of the benefit of this scheme, the beneficiary must register for the scheme online or offline. After successful registration, an e-card will be generated, which can be used at any empanelled hospital for cashless treatment.
Pradhan Mantri Jan Arogya Yojana Benefits & Features
PM Jan Arogya Yojana is a government-funded healthcare program aimed at providing benefits of the best health insurance for senior citizens in India. This scheme's benefits include:
- Access to Free Health Care Services: PMJAY covers a wide range of medical care services, such as hospitalisation expenses, diagnostics, medicines, and other medical treatments, for free.
- Cashless Treatment: It provides cashless treatment to the beneficiaries at any of the empanelled hospitals. It means that beneficiaries do not have to pay for any medical expenses out of their pockets.
- Coverage of Pre-existing Ailments: It provides coverage for pre-existing ailments, which means that even if a beneficiary is already suffering from a condition, they are still eligible for the benefits offered under this programme.
- Financial Assistance: It also provides financial assistance to the beneficiaries in any medical emergency.
- Reduction in Out-of-Pocket Expenditure: It helps reduce the out-of-pocket expenditure of the beneficiaries, which helps reduce the financial burden on them.
- Improved Access to Quality Healthcare: It helps provide improved access to quality healthcare services to the beneficiaries, which helps in improving their health outcomes.
Features of this scheme include the following:
- Cashless and paperless access to health services
- Free of-cost access to services such as diagnostics, medicines and hospitalisation
- Access to quality health services from public and private hospitals
- Portability of health benefits across states
- Access to insurance cover of up to INR 5 lakhs per family per year
- Digital health ID to keep track of medical history
- Dedicated health helpline number
- Access to alternative medicine and treatment options such as ayurveda and yoga.
- Provides information and awareness campaigns on health and wellness.
Pradhan Mantri Matru Vandana Yojana
PMMVY is a maternity benefit program launched by the Government of India in 2017. It provides cash incentives to pregnant and lactating women to improve the mother's and newborn's health and nutrition status. The scheme provides a one-time cash benefit of INR 5 thousand to these women. Additionally, it provides cash incentives for regular health check-ups, nutrition, and health education. The scheme is targeted at women from the most disadvantaged sections of society.
How Does PMMVY Work?
This scheme provides financial assistance to pregnant or lactating women for their health and nutrition needs. Women can apply for the scheme online by visiting the local Anganwadi centre or the nearest Common Service Centre (CSC). After registration, the applicant will be given a unique ID, and a bank account will be opened in the beneficiary's name. The government will then transfer the amount of money directly into the beneficiary's bank account, depending on the stage of pregnancy or lactation.
The beneficiary can use the fund to pay for nutritious foods, medical check-ups, and other related expenses. The scheme also offers additional benefits such as maternity leave, flexible working hours, and insurance coverage.
Benefits & Features of Pradhan Mantri Matru Vandana Yojana
PM Matru Vandana Yojana's advantages include:
- Financial Assistance: Pradhan Mantri Matru Vandana Yojana provides financial assistance of INR 5000 to women to meet the additional expenses related to childbirth, nutrition, and healthcare.
- Improved Nutrition: The scheme helps to improve the nutritional status of pregnant and breastfeeding women by providing them with additional funds for health and nutrition-related expenses.
- Improved Healthcare: The scheme provides additional financial support to access quality healthcare services during pregnancy and post-delivery.
Features of PMMVY:
- The scheme provides nutrition support to women by providing iron, folic acid, and other nutritional supplements.
- The scheme also covers the costs of institutional delivery and postnatal care, including transport to a health facility.
- It provides cash incentives to Anganwadi workers to promote the uptake of nutrition services among women.
- This scheme helps relieve the financial burden of healthcare expenses on the vulnerable sections of society and reduces economic and social inequality, further promoting gender equality.
- The scheme provides incentives to ASHAs to promote the uptake of antenatal and postnatal services and facilitates the referral to a health facility for delivery and other services.
PMMVY Eligibility
Difference Between PM Jan Arogya Yojana and PM Matru Vandana Yojana
Parameters |
PMJAY |
PMMVY |
Nature of Scheme |
A health insurance scheme for the vulnerable sections of society. |
A maternity benefits program for pregnant and lactating women. |
Target Population |
Poor and vulnerable families. |
Pregnant and lactating women from economically weaker sections of society. |
Benefits |
Free treatment of up to INR 5 lakhs per family annually. |
A one-time maternity benefit of INR 5000. |
Mode of Payment |
Cashless payments are made directly to the hospitals. |
Cash payments are made directly to the beneficiary. |
Implementation |
Implemented by the Central and State governments. |
Implemented by the Central and State governments in coordination with the district administration. |
Funding |
Funded by the Central and State governments. |
Funded by the Central government. |
These two schemes have the potential to improve the quality of life of individuals and contribute to the development of the nation.
Frequently Asked Questions
How can one apply for PMJAY?
Is there a limit to the number of treatments covered by the plan?
Is there any waiting period for availing of the benefits of PMJAY?
Does the scheme cover pre/postnatal medical check-ups?
Does the revamped version of PMMVY provide maternity benefits for a second child?
How can you check PMMVY status?
Popular Searches - Best Health Insurance Company in India | Best Health Insurance Plans | Critical Illness Insurance | Personal Accident Insurance | Mediclaim Policy | Individual Health Insurance | Best Family Health Insurance | GoActive Family Floater Plan | Health Companion Family Floater Plan | Health Premia Family Floater Plan | Health Pulse Family Floater Plan | Health Recharge Family Floater Plan | Heartbeat Family Floater Plan | Money Saver Family Floater Plan | Saral Suraksha Bima Family Floater Plan | Senior Citizen Family Floater Plan | Super Saver Family Floater Plan | Corona Kavach Family Floater Plan | Hospital Cash Insurance | Cashless Health Insurance | Travel Insurance | Best Family Health Insurance plans in India | Best Health Insurance company | Family Health Insurance | Best Health Insurance plans for Senior Citizens
COVID - Omicron | Coronavirus Health Insurance | Covid XE Variant | Norovirus
Health Insurance Schemes - Chief Ministers Comprehensive Health Insurance Scheme | Employee State Insurance Scheme | Swasthya Sathi Scheme | Pradhan Mantri Matru Vandana Yojna | Government Health Insurance Scheme | Dr. YSR Aarogyasri Scheme | Pradhan Mantri Suraksha Bima Yojna | Health Insurance Deductible | West Bengal Health Scheme | Third Party Administrator | Rashtriya Swasthya Bima Yojana | In Patient Vs Out Patient Hospitalization | Mukhyamantri Chiranjeevi Yojna | Arogya Sanjeevani Health Insurance | Copay Health Insurance | Cashless Health Insurance Scheme | Mukhyamantri Amrutum Yojna
Others - Top Up Health Insurance Policy | Corporate Health Insurance | Health Card | Section 80d of Income Tax Act | Ayushman Bharat | Health Insurance Portability
Travel Insurance Plans - International Travel Insurance | Student Travel Insurance