PM Narendra Modi rolled out government’s most ambitious healthcare project, Ayushman Bharat – Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY) on September 23. The scheme will provide a cover of up to Rs. 5 lakhs per family per year, for secondary and tertiary care hospitalization. This is the “world’s largest government-funded healthcare program” targeting more than 50 crore beneficiaries. So are you eligible for AB-PMJAY? The National Health Agency (NHA), the apex body implementing the AB-NHPM, has launched a website Mera PMJAY (mera.pmjay.gov.in) and a helpline number 14555 to check if your name is in PMJAY final beneficiary list by entering registered mobile number/ ration card number or SECC Name or RSBY URN.

SchemeAyushman Bharat: Pradhan Mantri Jan Aarogya
Yojana (AB-PMJAY)
Total BeneficiariesMore than 50
crore Beneficiaries
Health CoverageUp to 5 Lakh Per Family
Per Year
Official Websitehttps://www.abnhpm.gov.in/
Eligibility Check Official Portalhttps://mera.pmjay.gov.in/
Helpline Number14555
Check Accepted Stateshttps://www.abnhpm.gov.in/state
Help DeskAyushman Mitra

Who is Eligible For AB-PMJAY?

As per the latest SECC (Socio-Economic Caste Census) data, Pradhan Mantri Jan Aarogya Yojana covers more than 10 crore poor and vulnerable families across the country, identified as deprived rural families and occupational categories of urban workers’ families. A list of all eligible peoples name for the scheme has already been shared with the respective state government and ANMs/ BMO/ BDOs of the relevant area. Only those families whose name is on the beneficiaries list can avail the benefits of PMJAY. Also if a family has an active RSBY card as of 28 February 2018, they will also get coverage. The best thing is there is no capping on family size and age of members that means all family members specifically girl child and senior citizens will get coverage of the health scheme.

mera.pmjay.gov.in Login | AM I Eligible?

The official website mera.pmjay.gov.in help you to check the eligibility for Ayushman Bharat – Pradhan Mantri Jan Aarogya Yojana.

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In order to log in “AM I Eligible Portal” Mera PMJAY, the user has to enter his/her mobile number and the captcha value displaying on the screen.

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Now you have to click on the “Generate OTP” button.

Wait few seconds; you will receive an OTP as a text message on the mobile number entered.

Now enter the 6-digits OTP, Accept T&C and then click on “Submit” button

That’s it;  you will be redirected to a page where you have to enter the details for search.

How to Check if You are Eligible for the Scheme on Mera PMJAY Website?

After successful login on Mera PMJAY portal, you can search whether you are an eligible beneficiary for Pradhan Mantri Jan Arogya Yojna (PMJAY) using Mobile number/Ration Card Number (collected during ADCD drive), SECC Name or RSBY URN. Firstly select your state and choose a category.

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Search Using Mobile Number or Ration Card Number

Choose category as “Search by Mobile Number” and then type mobile number and search your name in the final beneficiary list.

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Choose Category as “Search by Ration Card Number” to know your eligibility for AB-PMJAY health insurance scheme.

AB-PMJAY health insurance scheme

Please Note: If your mobile number or Ration card number captured during Additional Data Collection Drive (ADCD) which was conducted on 30th April 2018, only then it will show results on the Mera PMJAY portal.

Check Eligibility Using SECC Name

If your details captured during the ADCD drive and still no results are displayed, then the “SECC Name” option should be used for searching. To search eligibility for PMJAY health insurance scheme you have to enter details as per the SECC database such as Your Name, Father’s/ Mother’s/ Spouse’s Name, Gender, State, District, Village, PIN Code etc and then hit the Search Button

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Check Eligibility Using RSBY URN

Choose Category as “RSBY URN” and know whether you are an eligible beneficiary for PMJAY  using Rashtriya Swasthya Bima Yojna URN number. All active families that are enrolled under RSBY till 31st March 2018 that do not feature in the targeted groups as per SECC data will be included as well and can identify if they are eligible for PMJAY using RSBY URN.

pmjay mera

I AM Eligible For Ayushman Bharat PMJAY

If you are eligible beneficiary to avail the scheme, your name will appear on the right side of the page. Now click on ‘Family Members’ tab to find the beneficiary details and information of the family members covered under the Pradhan Mantri Jan Aarogya Yojana.

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HHID Number

If you are a beneficiary then you will see an option “Get SMS”. Just click on that option and then enter your mobile number to receive a text message with the HHID number/RSBY URN.  A beneficiary needs to key in his or her mobile number, which is verified through an OTP and then complete the KYC (know your customer) online without any need for human interface with other documents.

Dial Helpline Number 14555

You can learn more about the PMJAY scheme or check eligibility by dialling 14555 toll-free helpline number.

Ayushman Mitra for AB-PMJAY

The health scheme has also introduced “Ayushman Mitra” to assist patients and coordinate with eligible beneficiaries and the hospital. They will run a help desk to help the people regarding the Ayushman Bharat Yojana and will verify documents to check patients eligibility and enrolment to the scheme.

PMJAY Treatment Packages Key Features

Over 1300 Packages and 20+ specialities covered. You can check packages rates here.

Specialities covered: Cardiology, Cardiothoracic, Surgery, Neurosurgery
Nephrology, Oncology, Urology & More

Around 50% packages require pre-authorization & some reserved for public hospitals.

Outcome-Based Incentive

  • Nabh Entry Level 10%
  • Nabh Full Accreditation 15%
  • Aspirational District 10%
  • PG/DNB in the Hospital 10%

Key Benefits of Ayushman Bharat Yojana

AB-PMJAY will provide a cover of up to Rs. 5 lakhs per family per year, for secondary and tertiary care hospitalization.

Over 10.74 crore families entitled for this scheme. There will be approximately 50 crore beneficiaries.

♦ A Beneficiary can avail cashless and paperless access to services.

♦ No need to pay money in case of hospitalization (for treatment) by the family.

♦ No restriction on family gender, age or size.

The Process of Availing Care Under PMJAY

 Patient Hospitalization

♦ Arogya Mitra will confirm whether the person is an eligible beneficiary or not using the software.

♦ Pre-Authorization Request & Approval

  • Hospital selects package, checks balance
  • Submits supporting evidence required for treatment

♦ Patient Treatment

♦ Discharge

♦ Claim Request & Settlement

  • Discharge summary and post-treatment evidence submitted
  • Electronic payments
  • Beneficiary feedback

PMJAY Card

A beneficiary will get an e-card at the time of hospitalization after completion of verification process by Ayusman Mitras using software or application or BIS PMJAY Login i.e bis.pmjay.gov.in website. PM Modi will send a letter having QR Code to the beneficiaries. The code will be scanned by the Arogya Mitra operator for beneficiary confirmation (or you can also submit RC No/ RSBY URN etc). Now to complete the KYC process, Aadhaar Card or any other Government ID will be required. If found eligible, a PMJAY e-card will be printed and you can avail the benefits of the scheme.

Beware of Scams:There is No Premium for ‘Ayushman Bharat’ Yojana. Don’t pay heed to fraudulent calls, SMS and WhatsApp messages regarding the enrolment/premium payments for the scheme. Please do not share your Aadhar card number or any other ID copy in the name of verification or enrolment with any website, individual or organization.

Hope our article regarding eligibility check for Pradhan Mantri Jan Aarogya Yojana (PMJAY) on Mera Pmjay website is helpful for you. If you want to know more about the scheme please visit official website mera.pmjay.gov.in or www.abnhpm.gov.in or dial 14555.