Rs. 5 Lakh Health Cover for J&K Families: CS Reviews Scheme

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SRINAGAR: Jammu and Kashmir Health Scheme (JKHS) will provide free of cost universal health coverage to all residents of Jammu and Kashmir, who are presently not covered under AB-PMJAY. It will provide an annual health cover of Rs. 5 lakh per family on a floater basis to the beneficiaries including Government employees/ pensioners.

The Chief Secretary, B V R Subrahmanyam chairing the 3rd meeting of Governing Council of Ayushman Bharat- Pradhan Mantri Jan Arogya Yojana (AB- PM JAY) reviewed the functioning of the scheme, besides, taking stock of arrangements being made to roll out JKHS.

Administrative Secretaries of departments of Finance, Health & Medical Education and Labour & Employment along with CEO Ayuhsman Bharat-PMJAY, Director, SKIMS and Principal, GMC, Srinagar were present in the meeting.

While reviewing the processes involved in the roll out of JKHS on the lines of AB-PMJAY, Chief Secretary approved the extension of existing guidelines, IT eco system, hospital network, price packages, Transaction Management System to the new scheme.

During the meeting, it was informed that the envisaged health scheme will provide free of cost universal health coverage to all residents of Jammu and Kashmir, who are presently not covered under AB-PMJAY. It will provide an annual health cover of Rs. 5 lakh per family on a floater basis to the beneficiaries including Government employees/ pensioners.

Chief Secretary maintained that to establish first point contact with beneficiaries availing the benefits under both the schemes, empanelled hospitals will be required to hire Pradhan Mantri Arogya Mitras (PMAMs). “PMAMs will guide them in claiming cashless treatment through the Government sponsored health cover”, he added.

Further, decision was also taken to depute adequate staff to the J&K Health Agency for efficient roll out of JKHS and subsequent hassle-free settlement of claims.

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