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Pradhan Mantri Jan Arogya Yojana in Gujarat

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The Ayushman Bharat scheme, also known as the Pradhan Mantri Jan Arogya Yojana (PMJAY), is a crucial initiative designed to provide health coverage to economically vulnerable families. In Gujarat, this scheme, popularly referred to as the Ayushman Bharat Card in Gujarat or Gujarat Ayushman card, brings quality healthcare services to millions of residents across the state. The scheme primarily targets the financially underprivileged, offering them insurance coverage for essential healthcare services at no cost. Bajaj Allianz General Insurance Company Limited is one of the insurers involved in facilitating the PMJAY scheme in Gujarat.

What is PMJAY (Ayushman Bharat Yojana) in Gujarat?

The Ayushman Bharat in Gujarat, launched under the PMJAY, is an extensive health protection scheme catering to the healthcare needs of low-income families in both urban and rural areas. It aims to reduce the financial burden of healthcare by covering hospitalisation costs up to Rs. 5 lakh per year per family.

The Ayushman Bharat Card Gujarat enables beneficiaries to access cashless and paperless medical treatment at public and private hospitals across the state, with insurance providers like Bajaj Allianz General Insurance Company Limited facilitating the process, to ensure that quality healthcare is available to all, regardless of their financial situation.

Eligibility Criteria of PMJAY Health in Gujarat


To avail the benefits of the PMJAY Gujarat, residents must be from specified categories SC/ST, Lower Income Group or EWS. They should meet specific eligibility criteria based on socio-economic status. The eligibility is determined by the Socio-Economic Caste Census (SECC) data from 2011, and the scheme primarily covers:


  • Families living in a single room with kucha walls and roof.

  • Households without an adult member aged 16-59 years.

  • Families with no able-bodied adult members.

  • Landless households earning a livelihood through manual labour.

Features of PMJAY: Ayushman Bharat Yojana Scheme in Gujarat

The Ayushman Bharat Card Gujarat offers several key features that make it a lifesaver for economically vulnerable families. Some of the prominent features include:

  • Cashless treatment at both public and private empanelled hospitals, including those supported by Bajaj Allianz General Insurance Company Limited.
  • Coverage of up to Rs. 5 lakh per family per year for secondary and tertiary healthcare.
  • No restrictions on the number of family members covered.
  • Coverage for pre-existing conditions from day one.
  • Transportation cost reimbursement during hospitalisation.

Benefits of Ayushman Bharat Yojana in Gujarat


The Ayushman Bharat Yojana in Gujarat provides multiple benefits to ensure healthcare accessibility for low-income families:


  • Free treatment at all empaneled hospitals across Gujarat.

  • Coverage of over 1,400 medical conditions, including critical illnesses like cancer, heart diseases, and kidney issues.

  • Access to follow-up care for all major treatments.

  • Support for day-care procedures without the need for extended hospitalisation.

What is Covered Under Ayushman Bharat Yojana Scheme in Gujarat or PMJAY?

The Ayushman Bharat Card Gujarat covers the following healthcare services:

  • Pre-hospitalisation expenses for up to 3 days.
  • Post-hospitalisation expenses for up to 15 days.
  • Costs of medicines and diagnostics.
  • ICU services and non-intensive care.
  • Surgical procedures and follow-up care.

What is Not Covered Under the Ayushman Bharat Yojana Scheme in Gujarat or PMJAY?


The following are not covered under the PMJAY Gujarat scheme:


  • Outpatient treatments not requiring hospitalisation.

  • Cosmetic surgeries unless related to injury.

  • Dental procedures unless linked to severe health issues.

  • Surgeries purely for aesthetic purposes like fat grafting or rhinoplasty.

  • Organ transplant procedures.

How to Register for the PMJAY Scheme Online in Gujarat?

The process of ayushman card online registration Gujarat is straightforward:

  • Visit the official PMJAY website.
  • Click on the ‘Am I Eligible’ tab and enter your mobile number.
  • Submit the CAPTCHA and OTP received and enter your state details.
  • If eligible, your name will appear in the beneficiary list.

Documents Required to Apply for Ayushman Bharat Yojana in Gujarat


To apply for the Ayushman Bharat Card Online Gujarat, you need the following documents:


  • Aadhaar Card or PAN Card for identity proof.

  • Income certificate to verify financial status.

  • Caste certificate (if applicable).

  • Mobile number and residential address details.

Check Your Name in the Ayushman Bharat Yojana Scheme List in Gujarat

To check your eligibility for the Gujarat Ayushman card:

  • Visit the official Ayushman Bharat website.
  • Enter your name, ration card number, or mobile number.
  • You can also check your status by visiting a nearby Common Service Centre (CSC) or by contacting the PMJAY helpline.

List of Critical Diseases Covered by Pradhan Mantri Jan Arogya Yojana (PMJAY) in Gujarat


The PMJAY Gujarat scheme covers numerous critical illnesses, including:


  • Cancer treatment, including chemotherapy.

  • Cardiac surgeries like coronary artery bypass grafting.

  • Orthopaedic surgeries like knee replacement.

  • Neurological procedures like skull base surgery.

How to Download Your Ayushman Bharat Yojana Card Online in Gujarat?

To download the Ayushman Card Online Gujarat:

  • Visit the Ayushman Bharat official portal.
  • Log in with your credentials and use your Aadhaar Card to generate your card.
  • The card can be downloaded and printed for future use

Ayushman Bharat Scheme Hospitalisation Process in Gujarat


The PMJAY Gujarat scheme ensures a hassle-free hospitalisation process for beneficiaries:


  • Visit an empanelled hospital and provide your Ayushman Bharat ID.

  • The Pradhan Mantri Arogya Mitra at the hospital will assist in verifying your eligibility and initiating the treatment process.

  • The treatment is entirely cashless, and the network insurance provider such as Bajaj Allianz General Insurance Company Limited, directly settles the medical bills.*

* Standard T&C Apply

PMJAY Illness Coverage: List of Critical Diseases Covered Under PM Jan Arogya Yojana in Gujarat

The PMJAY Gujarat covers a wide range of critical illnesses:

  • Cardiovascular diseases, including angioplasty and stenting..
  • Cancer treatment, including radiation therapy.
  • Kidney-related treatments like dialysis.
  • Complex surgeries, including organ transplants.
FAQs

FAQ's

What is the process to get an Ayushman card in Gujarat?

The Ayushman Card Gujarat can be obtained online by visiting the official PMJAY portal, verifying eligibility, and downloading the card. Alternatively, you can visit a Common Service Centre (CSC) for assistance.

Do the beneficiaries have to pay anything to get coverage under the Ayushman Bharat health insurance scheme in Gujarat?

No, the Ayushman Bharat Yojana in Gujarat is entirely free for eligible families, covering treatment costs without requiring any out-of-pocket expenses.

Are diabetic patients covered under the PM Ayushman Bharat Yojana Scheme in Gujarat?

Yes, diabetes and related complications are covered under the PMJAY Gujarat scheme.

How long is Ayushman valid in Gujarat?

The Ayushman Bharat Card Gujarat is valid for the lifetime of the beneficiary, provided they remain eligible under the scheme's criteria.

What should I do if the hospital refuses to treat a beneficiary under the Ayushman Bharat Scheme in Gujarat?

In case of refusal, contact the PMJAY helpline or the Pradhan Mantri Arogya Mitra present at the hospital. They will help resolve the issue and ensure you receive the required treatment.

Is cancer covered under the Ayushman Bharat Yojana Scheme in Gujarat?

Yes, cancer treatment, including chemotherapy and surgeries, is covered under the Ayushman Bharat in Gujarat scheme.

Is health insurance cover under the Ayushman Yojana scheme in Gujarat enough?

For most secondary and tertiary healthcare needs, the coverage of Rs. 5 lakh provided under the PMJAY Gujarat is sufficient.

How to update data in PMJAY in Gujarat?

Visit the official PMJAY portal and log in with your credentials to update your data or visit a nearby CSC for assistance.

How to change the mobile number in PMJAY in Gujarat?

Log in to the PMJAY portal and update your mobile number under the profile section.

Does PMJAY in Gujarat cover people above the age of 80 years?

Yes, the PMJAY Gujarat scheme provides coverage to all eligible individuals, including those above 80 years of age.

Does the PMJAY scheme in Gujarat offer coverage to farmers?

Yes, farmers falling under the specified socio-economic criteria are covered under the Ayushman Bharat Yojana in Gujarat.

Does Ayushman Bharat in Gujarat cover orthopaedic treatment?

Yes, orthopaedic treatments, including surgeries and rehabilitation, are covered under the PMJAY Gujarat scheme.

How can I find my Household ID number for PMJAY in Gujarat?

You can find your Household ID by visiting the PMJAY portal and entering your details or by visiting a CSC.

How to make a PMJAY card in Gujarat?

The Ayushman Card Gujarat can be made by visiting the official PMJAY portal, checking eligibility, and downloading the card.

Is the Ayushman card free in Gujarat?

Yes, the Ayushman Bharat Card Gujarat is provided free of cost to eligible beneficiaries.

Is there any age limit for the Ayushman Card in Gujarat?

There is no age limit for the Ayushman Bharat Card in Gujarat; all eligible family members are covered regardless of age.

The Ayushman Bharat in Gujarat scheme has transformed the healthcare world by offering essential medical coverage to those in need. With comprehensive benefits and a hassle-free application process, it continues to ensure that healthcare remains accessible to all.

Disclaimer

I hereby authorize Bajaj Allianz General Insurance Co. Ltd. to call me on the contact number made available by me on the website with a specific request to call back at a convenient time. I further declare that, irrespective of my contact number being registered on National Customer Preference Register (NCPR) under either Fully or Partially Blocked category, any call made or SMS sent in response to my request shall not be construed as an Unsolicited Commercial Communication even though the content of the call may be for the purposes of explaining various insurance products and services or solicitation and procurement of insurance business. Furthermore, I understand that these calls will be recorded & monitored for quality & training purposes, and may be made available to me if required.

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