Ayushman Bharat Health Insurance
Launched by the Government of India, Ayushman Bharat is a health scheme designed to provide comprehensive healthcare service at primary, secondary, and tertiary levels. It aims to cover more than 50 crore Indian citizens and approximately 10 Crore poor and underprivileged families without any cap on family size and age. Two main components of the Ayushman Bharat scheme are the Pradhan Mantri Jan Arogya Yojana (PMJAY) and the Health and Wellness Centres (HWCs).
Health and Wellness Centres (HWCs)
Under this, 1.5 lakh HWCs are to be opened to deliver primary health care services (including free essential medicines, diagnostic services, non-communicable diseases, as well as maternal and child health services) to people.
Pradhan Mantri Jan Arogya Yojana (PM- JAY)
Ayushman Bharat PM-JAY is the world’s largest health insurance scheme, fully funded by the Government of India. It aims to provide health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization to over 12 crore poor and vulnerable families who do not have access to the internet or online health plans.
Key Features of Ayushman Bharat PM-JAY
- It provides paperless and cashless health care services for the beneficiary.
- There is no cap on the family size, age of family members, or gender.
- It covers 3 days of pre-hospitalization and 15 days post-hospitalization expenses.
- Under the PMJAY, all pre-existing medical conditions are covered from day one.
- Beneficiaries can visit any network public or private hospital in India to avail of cashless treatment.
- Healthcare services include over 1,929 procedures and nine critical illnesses, including all the costs related to treatment, such as supplies, medicines, diagnostic services, doctor’s fees, room charges, surgeon fees, OT and ICU charges, etc.
How to get the benefits of Pradhan Mantri Jan Arogya Yojana (PM-JAY)?
Under PMJAY, only eligible members from lower-income groups can avail of healthcare services across India. To check the eligibility, one can visit the official website for the PMJAY scheme at https://pmjay.gov.in/.
If found eligible, one can register themselves and apply for an Ayushman card by providing all the necessary details and uploading required documents such as income proof, ID proof, etc.
| Hospital Name | Scheme | Location |
|---|---|---|
| Aashirwad Hospital | PMJAY | Punjab, Sri Muktsar Sahib |
| Anand Hospital | PMJAY | Punjab, Sri Muktsar Sahib |
| Dr R P Singh Hospital | PMJAY | Punjab, Sri Muktsar Sahib |
| Dr Sachins Surgical Centre | PMJAY | Punjab, Sri Muktsar Sahib |
| Ekjyot Eye Hospital | PMJAY | Punjab, Sri Muktsar Sahib |
| Gawri Nursing Home | PMJAY | Punjab, Sri Muktsar Sahib |
| Immaculate Mission Hospital | PMJAY | Punjab, Sri Muktsar Sahib |
| Kamboj Hospital Gidderbaha | PMJAY | Punjab, Sri Muktsar Sahib |
| Manav Sewa Hospital And Sethi Child Care Hospital | PMJAY | Punjab, Sri Muktsar Sahib |
| Mata Santoshi Hospital & Dental Implant Center | PMJAY | Punjab, Sri Muktsar Sahib |
| Medicare Hospital | PMJAY | Punjab, Sri Muktsar Sahib |
| Muktsar Medicity Hospital | PMJAY | Punjab, Sri Muktsar Sahib |
| New Delhi Hospital & Nursing Home | PMJAY | Punjab, Sri Muktsar Sahib |
| New Shyam Narayan Hospital | PMJAY | Punjab, Sri Muktsar Sahib |
| Patiala Eye And Maternity Hospital | PMJAY | Punjab, Sri Muktsar Sahib |
| Platinum Nursing Home Pvt Ltd | PMJAY | Punjab, Sri Muktsar Sahib |
| Raj Hospital | PMJAY | Punjab, Sri Muktsar Sahib |
| Sandhu Hospital | PMJAY | Punjab, Sri Muktsar Sahib |
| Usha Bansal Nursing Home Pvt Ltd | PMJAY | Punjab, Sri Muktsar Sahib |
| Wadhwa Ortho Hospital | PMJAY | Punjab, Sri Muktsar Sahib |
Other Insurance Hospitals List in Muktasar
| Insurance Provider | Hospitals List Link |
|---|---|
| Ayushman Bharat | Click Here |
| Star Health Insurance | Click Here |
| Kotak Health Insurance | Click Here |
| HDFC Life Insurance | Click Here |
| ICICI Lombard | Click Here |
| Bharti AXA Health Insurance | Click Here |
| Aegon Life Insurance | Click Here |
| Bajaj Allianz Insurance | Click Here |
📊 Ayushman Bharat PM-JAY in Punjab – Verified Data (2025)
According to the State Health Agency, over 65 lakh families in Punjab are eligible for Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (PM-JAY). The scheme provides up to ₹5 lakh per family per year for secondary and tertiary care. In Sri Muktsar Sahib district alone, more than 45 empanelled hospitals are offering cashless treatment as of October 2025.
| Indicator | Punjab (2025) | Sri Muktsar Sahib District |
|---|---|---|
| Eligible Families | 65 L + | 2.1 L + |
| Empanelled Hospitals | 750 + | 45 + |
| Cashless Treatments Approved | 1.4 Cr + | 62 K + |
| Average Claim Value | ₹18 ,700 | ₹17 ,900 |
Source: State Health Agency Punjab – PM-JAY Dashboard, October 2025.
🧠 Understanding Coverage Packages
PM-JAY currently covers 1,949 medical and surgical procedures across 27 specialties. Common packages used in district hospitals include:
- General medicine and cardiology (non-invasive)
- Orthopedic trauma and joint replacement
- Gynecology and obstetrics (delivery & surgery)
- Dialysis and renal procedures
- ENT and eye surgery
Each package is pre-priced by NHA; the patient does not pay any balance amount to the hospital.
🧾 How to Verify Empanelment Online
- Visit the official portal hospitals.pmjay.gov.in.
- Select Punjab → Sri Muktsar Sahib in the dropdown.
- Click “Search” to view the latest list of active PM-JAY hospitals with contact numbers and specialties.
⚙️ Step-by-Step Claim Flow (for Patients)
- Show your Aadhaar or PM-JAY e-card at the helpdesk.
- Hospital staff raise an online pre-authorization request through the BIS portal.
- State medical auditor reviews and approves within a few hours.
- Treatment is given cashless; hospital later submits the claim digitally.
🏥 Quality & Accreditation Data
Out of Punjab’s empanelled hospitals, over 230 have NABH or equivalent accreditation. District Hospital Muktsar achieved NQAS certification for quality service delivery in 2024. Such verified accreditations increase patient safety and ensure that state reimbursements remain transparent.
💬 Frequently Asked Questions
Q 1. Can Ayushman Bharat cover post-surgery medicines?
Yes, up to five days of post-discharge medicine cost is included in most packages.
Q 2. Is Ayushman Bharat linked with ABHA ID?
Yes, since 2023 the scheme uses ABHA ID for digital records, enabling e-prescriptions and tele-consultations.
Q 3. What if the hospital refuses cashless treatment?
Immediately call 14555 or 1800-111-565 and report the issue with your hospital name and location.