Public health in India is primarily the responsibility of state and union territory governments. However, the National Health Mission (NHM) plays a crucial role in supporting and strengthening healthcare systems across the country. NHM, consisting of the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM), aims to provide universal access to affordable, equitable, and quality healthcare services. Under NHM, various schemes and programs have been launched to benefit individuals from all income groups who seek medical assistance at public health facilities.
Let's explore some of the key government healthcare schemes implemented under the National Health Mission:
Reproductive, Maternal, Neonatal, Child, and Adolescent Health:
Janani Shishu Suraksha Karyakaram (JSSK): This scheme provides free drugs, diagnostics, blood, transportation, and diet for pregnant women and newborns.
Rashtriya Kishor Swasthya Karyakram (RKSK): It focuses on the health needs of adolescents, providing them with comprehensive healthcare services.
Rashtriya Bal Swasthya Karyakram (RBSK): RBSK offers free health screening and early intervention services for newborns and children to address birth defects, diseases, deficiencies, and developmental delays.
Universal Immunization Programme: This program ensures free immunization for all children against vaccine-preventable diseases.
Mission Indradhanush (MI): MI aims to achieve full immunization coverage for all children and pregnant women.
Family Planning and Nutrition:
Janani Suraksha Yojana (JSY): JSY provides financial assistance to pregnant women, especially those from economically weaker sections, to promote institutional deliveries.
Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA): PMSMA offers free antenatal check-ups and diagnostic services for pregnant women.
National Nutritional Programmes: Various programs, such as the National Iodine Deficiency Disorders Control Programme, MAA (Mothers' Absolute Affection) Program for Infant and Young Child Feeding, and the National Iron Plus Initiative for Anaemia Control, aim to address nutritional deficiencies and promote healthy living.
Communicable Diseases:
Integrated Disease Surveillance Programme (IDSP): IDSP focuses on strengthening disease surveillance and response to prevent and control communicable diseases.
Revised National Tuberculosis Control Programme (RNTCP): RNTCP aims to detect and treat tuberculosis cases effectively.
National Vector Borne Disease Control Programme (NVBDCP): NVBDCP addresses vector-borne diseases like malaria, dengue, and kala-azar.
National AIDS Control Programme (NACP): NACP works towards preventing and managing HIV/AIDS in India.
Pulse Polio Programme: This program aims to eradicate polio by ensuring mass immunization campaigns.
National Viral Hepatitis Control Program (NVHCP): NVHCP focuses on preventing and controlling viral hepatitis.
National Rabies Control Programme: This program aims to eliminate human deaths due to rabies.
National Programme on Containment of Anti-Microbial Resistance (AMR): It focuses on preventing and managing antimicrobial resistance.
Non-communicable Diseases:
National Tobacco Control Programme (NTCP): NTCP aims to reduce tobacco consumption and its related health risks.
National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS): NPCDCS focuses on preventing and managing non-communicable diseases.
National Mental Health Programme: This program aims to promote mental health and provide accessible mental healthcare services.
National Programme for Control of Blindness & Visual Impairment (NPCB&VI): NPCB&VI works towards preventing and controlling visual impairment and blindness.
Pradhan Mantri National Dialysis Programme (PMNDP): PMNDP provides free dialysis services to patients suffering from kidney diseases.
National Programme for the Health Care for the Elderly (NPHCE): NPHCE focuses on providing healthcare services and facilities specifically tailored to the elderly population.
National Programme for Prevention & Management of Burn Injuries (NPPMBI): NPPMBI aims to prevent and manage burn injuries effectively.
National Oral Health Programme: This program focuses on promoting oral health and providing oral healthcare services.
Support under NHM also includes the provision of free services such as maternal health, child health, adolescent health, family planning, and universal immunization programs. Additionally, initiatives like Janani Shishu Suraksha Karyakram (JSSK), Rashtriya Bal Swasthya Karyakram (RBSK), and the implementation of Free Drugs and Free Diagnostics Service Initiatives ensure accessible healthcare services.
Furthermore, the Ayushman Bharat Programme, launched to achieve Universal Health Coverage (UHC), comprises two key components:
Ayushman Bharat - Health and Wellness Centres (AB-HWC): These centers offer essential primary and community health services, including maternal, neonatal, and child health services, immunization, nutrition, and management of common non-communicable diseases and communicable diseases.
Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY): This scheme provides free and cashless healthcare coverage of up to Rs 5.00 lakh per family per year for secondary and tertiary hospitalization care to around 500 million poor and deprived people.
In addition to these schemes, initiatives like the Strengthening of Tertiary Care for Cancer Scheme, Affordable Medicines and Reliable Implants for Treatment (AMRIT) Deendayal outlets, and financial assistance schemes for patients living below the poverty line further contribute to improving healthcare accessibility and affordability.
By implementing mobile medical units (MMUs), telemedicine services, and various other programs, NHM strives to enhance healthcare access, particularly in rural areas.
These initiatives collectively work towards providing comprehensive and inclusive healthcare services to the people of India, ensuring better health outcomes and improved quality of life.
Government Health Insurance Schemes: Enhancing Healthcare Access for Citizens
Government health insurance schemes are initiatives powered by State or Central Governments aimed at improving the healthcare landscape of the country. These schemes offer affordable insurance policies with significant coverage to the population. Typically, these policies are provided on an annual basis, ensuring that individuals have access to essential healthcare services when needed.
Distinguishing Regular Health Insurance Plans from Government Health Insurance Schemes
Regular Health Insurance:
Eligibility: Available to all sections of the population.
Sum Insured: Maximum coverage up to Rs 1 crore.
Premium: Starts from Rs 200 per month onwards, depending on the chosen plan.
Coverage: Offers comprehensive coverage for various healthcare needs.
Private Hospital Room: Availability depends on the plan chosen.
Policy Purchase: Instant policy purchase is possible.
Network Hospitals: Extensive network of private hospitals.
Maternity Benefits: Available in certain plans.
Ambulance Charges: Available in most plans.
Domiciliary Hospitalization: Coverage depends on the plan.
Online Renewal: Option for online policy renewal.
Cumulative Bonus: Available if no claims were filed in the previous policy year.
Health Check-up: Covered in some plans.
Monthly Premium Instalment: Available in select plans.
Tax Benefits: Available under the Income Tax Act 1961.
Government Health Insurance Scheme:
Eligibility: Available to lower-income groups only.
Sum Insured: Maximum coverage up to Rs 5 lakh.
Premium: Starts from Rs 100 per month onwards or may be fully paid by the government, depending on the plan.
Coverage: Offers limited coverage compared to regular health insurance plans.
Private Hospital Room: Availability may vary.
Policy Purchase: Policy purchase may take time.
Network Hospitals: Wide network of public and private hospitals.
Maternity Benefits: Limited to a single child in some cases.
Ambulance Charges: Available in select plans.
Domiciliary Hospitalization: Not available under government schemes.
Online Renewal: May or may not be renewed online.
Cumulative Bonus: Not applicable.
Health Check-up: Generally not covered.
Monthly Premium Instalment: Not available.
Tax Benefits: Not available.
These government health insurance schemes provide a crucial safety net for individuals belonging to lower-income groups, ensuring access to affordable healthcare services. While regular health insurance plans offer comprehensive coverage, government schemes cater specifically to those in need, making healthcare more accessible and affordable for the underprivileged segments of society.
List of Government Health Insurance Schemes in India
Government health insurance schemes play a crucial role in providing affordable healthcare coverage to the citizens of India. These schemes, initiated by the State and Central Governments, aim to ensure comprehensive healthcare and financial protection. Here is a list of 17 prominent government health insurance schemes in India:
Ayushman Bharat:
Ayushman Bharat, also known as the National Health Protection Scheme, is a flagship initiative designed to achieve Universal Health Coverage (UHC). It comprises two components: Health and Wellness Centres (HWC) and Pradhan Mantri Jan Arogya Yojana (PM-JAY). PM-JAY provides health insurance coverage of up to Rs. 5 lakhs per family per year to economically disadvantaged sections of society.
Awaz Health Insurance Scheme:
This scheme, initiated by the Government of Kerala, offers health insurance coverage to inter-state migrant workers. It also provides insurance for accidental death. The coverage amount for health insurance is Rs. 15,000, while the coverage for accidental death is Rs. 2 lakhs.
Aam Aadmi Bima Yojana:
Aam Aadmi Bima Yojana caters to individuals engaged in specific vocations such as carpentry, fishing, and handloom weaving. The premium for a Rs. 30,000 insurance policy is Rs. 200 per year. Eligibility requires being a family head or an earning member belonging to one of the designated vocations.
Bhamashah Swasthya Bima Yojana:
Rajasthan's Bhamashah Swasthya Bima Yojana offers cashless claims and health coverage to rural residents of the state. There is no specific age limit for availing the benefits, and those under the National Food Security Act (NFSA) and the Rashtriya Swasthya Bima Yojana (RSBY) also qualify.
Central Government Health Scheme (CGHS):
CGHS is an exclusive health insurance scheme provided by the Central Government for its employees, including Supreme Court judges and certain Railway Board employees. It covers hospitalization and domiciliary care and is available in 71 cities with plans for expansion.
Chief Minister's Comprehensive Insurance Scheme:
The Chief Minister's Comprehensive Insurance Scheme, introduced by the Tamil Nadu Government in collaboration with United India Insurance Company Ltd., offers a family floater plan with coverage of up to Rs. 5 lakhs for hospitalization expenses. It benefits residents of Tamil Nadu earning less than Rs. 75,000 annually.
Employees' State Insurance Scheme:
The Employees' State Insurance Scheme provides financial cover to workers in factories in case of illness, disability, or death. Initially limited to Kanpur and Delhi, the scheme now encompasses over 7 lakh factories nationwide.
Karunya Health Scheme:
Karunya Health Scheme, launched by the Kerala Government, focuses on providing health insurance for listed chronic illnesses to those below or near the poverty line. It covers major diseases like cancer, kidney ailments, and heart-related medical issues.
Mahatma Jyotiba Phule Jan Arogya Yojana:
This scheme, implemented by the Government of Maharashtra, targets the welfare of the underprivileged. It provides a family cover with benefits up to Rs. 1.5 lakhs for farmers in select districts and individuals below or near the poverty line.
Mukhyamantri Amrutum Yojana:
The Government of Gujarat introduced the Mukhyamantri Amrutum Yojana to provide health insurance coverage to lower-middle-class families and individuals below the poverty line. It offers a family floater plan with coverage up to Rs. 3 lakhs for various types of hospitals.
Pradhan Mantri Suraksha Bima Yojana:
Pradhan Mantri Suraksha Bima Yojana is a government health insurance scheme that aims to provide accident insurance coverage to Indian citizens. Individuals between the ages of 18 and 70 with a bank account can avail themselves of this scheme. It offers an annual coverage of Rs. 1 lakh for partial disability and Rs. 2 lakhs for total disability or death, with a nominal premium of Rs. 12 debited from the insured person's bank account.
Dr YSR Aarogyasri Health Care Trust Andhra Pradesh State Government:
The Andhra Pradesh Government, in collaboration with the Dr YSR Aarogyasri Trust, has implemented several welfare schemes. These include Dr YSR Aarogyasri for the poor, Aarogya Raksha for individuals above the poverty line (APL), Working Journalist Health Scheme for journalists, and Employee Health Scheme for state government employees.
Telangana State Government - Employees and Journalists Health Scheme:
The Telangana Government offers the Employees and Journalists Health Scheme for its employees and journalists, including both current and retired individuals. The scheme provides cashless treatment at hospitals participating in the scheme, relieving beneficiaries from the burden of arranging funds during emergencies.
Rashtriya Swasthya Bima Yojana:
Rashtriya Swasthya Bima Yojana caters to individuals working in the unorganized sector who often lack insurance coverage. This scheme, initiated by the Ministry of Labour and Employment, provides health insurance for workers in the unorganized sector and those below the poverty line. The coverage extends to their family members (up to five members).
Universal Health Insurance Scheme:
The Universal Health Insurance Scheme aims to provide health insurance coverage to the poorest of the poor in the age group of 5 to 70 years. It offers both individual and group health insurance plans, covering hospitalization, accidents, and disabilities. The premium varies based on family size, and proper documentation is required for individuals falling under the poverty line.
Yeshasvini Health Insurance Scheme:
Promoted by the Karnataka State Government, the Yeshasvini Health Insurance Scheme targets farmers and peasants associated with co-operative societies. The scheme covers more than 800 procedures, including orthopedic, neurology, and angioplasty treatments. Co-operative societies assist peasants and farmers in enrolling for the scheme, and it extends coverage to family members as well.
West Bengal Health Scheme:
The West Bengal Health Scheme, launched by the Government of West Bengal, provides health insurance coverage to employees and pensioners. The scheme, known as the West Bengal Health for All Employees and Pensioners Cashless Medical Treatment Scheme, offers coverage of Rs. 1 lakh for individuals and their family members. It includes coverage for OPD and surgeries, excluding cosmetic surgeries and non-emergency procedures.
What is the government scheme for health in India?
What are the health schemes provided by government?
Which health scheme is best in India?
Who is eligible for ayushman Bharat scheme?
what are Central government health schemes with facilities/coverage ?
The government scheme for health in India is called Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY). It is a comprehensive health coverage scheme launched by the Government of India.
The government provides various health schemes to cater to the healthcare needs of its citizens. Some of the prominent health schemes include:
Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)
National Health Mission (NHM)
Reproductive, Maternal, Neonatal, Child and Adolescent Health (RMNCH+A) programs
Universal Immunisation Programme (UIP)
National Tobacco Control Program (NTCP)
National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS)
National Programme for Control of Blindness & Visual Impairment (NPCB&VI)
National Mental Health Programme (NMHP)
National AIDS Control Programme (NACP)
National Vector Borne Disease Control Programme (NVBDCP)
The "best" health scheme in India depends on the specific healthcare needs and eligibility criteria of individuals. However, Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is one of the prominent schemes that aims to provide health coverage of up to Rs 5.00 lakh per family per year to economically vulnerable sections of society.
The eligibility for Ayushman Bharat scheme (AB-PMJAY) is determined based on the Socio-Economic Caste Census (SECC) database. It primarily covers poor and deprived families in both rural and urban areas as per the defined deprivation and occupational criteria.
There are several central government health schemes in India that provide various facilities and coverage. Some of them include:
Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)
National Health Mission (NHM)
Reproductive, Maternal, Neonatal, Child and Adolescent Health (RMNCH+A) programs
Universal Immunisation Programme (UIP)
National Tobacco Control Program (NTCP)
National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS)
National Programme for Control of Blindness & Visual Impairment (NPCB&VI)
National Mental Health Programme (NMHP)
National AIDS Control Programme (NACP)
National Vector Borne Disease Control Programme (NVBDCP)
These schemes aim to provide a wide range of healthcare services and facilities to the population across different age groups and health conditions.
Why does the Government come up with public health insurance schemes?
The Government introduces public health insurance schemes to ensure that citizens, particularly those from economically vulnerable sections, have access to affordable healthcare services. These schemes aim to provide financial protection in the event of medical emergencies and improve overall healthcare outcomes in the country.
Can anyone buy Government Health Insurance Plans?
Government health insurance plans are typically designed for specific target groups, such as individuals below the poverty line, government employees, journalists, farmers, and those working in the unorganized sector. Eligibility criteria vary depending on the scheme, and not all schemes are available for the general public to purchase.
Are all Government schemes initiated by the Central Government?
While several government health insurance schemes in India are initiated by the Central Government, some schemes are specific to individual states. State governments also play a significant role in implementing health insurance schemes to cater to the healthcare needs of their respective populations.
Can a valid Aadhaar work as an identity proof to avail Government Health Insurance Scheme?
Aadhaar, a unique identification number issued by the Government of India, is often used as an identity proof for various purposes. In some cases, a valid Aadhaar card may be accepted as an identity proof to avail government health insurance schemes. However, it is advisable to check the specific requirements of the scheme and provide any additional documents if necessary.
Can Government health insurance schemes in India be purchased online?
The availability of online purchase options for government health insurance schemes may vary depending on the specific scheme and its implementation. While some schemes may offer online enrollment and payment facilities, others may require offline application procedures through designated centers or offices. It is recommended to refer to the official websites or contact relevant authorities to ascertain the available purchase methods.
What is the sum insured in case of Govt. health insurance schemes?
The sum insured, or the coverage amount, varies among government health insurance schemes in India. The sum insured can range from a few thousand rupees to several lakhs, depending on the scheme and its objectives. It is crucial to review the specific scheme's terms and conditions to determine the exact sum insured provided.
What are the exceptions of Government Health Insurance Schemes?
Government health insurance schemes typically have certain exceptions and limitations. These may include exclusions for pre-existing conditions, specific medical procedures or treatments, cosmetic surgeries, non-emergency procedures, and other conditions specified in the scheme's terms and conditions. It is essential to thoroughly understand the coverage details and exceptions of each scheme before enrolling.
Where can I get more information about Government Health Insurance Schemes in India?
For more information about government health insurance schemes in India, you can visit the official websites of relevant government departments, state healthcare agencies, or insurance regulatory bodies. These sources provide detailed information about specific schemes, eligibility criteria, coverage benefits, application procedures, and contact details for further inquiries.
17 Types of Government Health Insurance Schemes in India: acko
Note: The above information is based on the provided data and may require verification from official sources for the most up-to-date and accurate details on the mentioned healthcare schemes.
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