Srinagar: Additional Chief Secretary, Health & Medical Education, Atal Dulloo today stressed on the officers of the department to cover atleast 90% of households of J&K under the twin health schemes of Ayushman Bharat Pradhan Mantri -Jan Arogya Yojana (AB PM-JAY) and Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) Sehat schemes.
The Addl CS was speaking during a meeting held to review the current progress and status of registrations and payment claims made by the department.
The meeting was attended by the Director SKIMS, Dr AG Ahangar; Principal GMC Srinagar, Samia Rashid; Director Health Kashmir, Dr Mushtaq Ahmad; DyCEO, State Health Agency, Ata ul Moomin Tak and many other concerned officers along with the representatives from the Insurance company implementing the scheme here.
CEO SHA, Dr Sagar Doifode Dattatray, all Deputy Commissioners, Principal GMC Jammu, Director Health Jammu, Chief Medical Officers (CMOs) attended the meeting through video conferencing.
Dulloo impressed upon the officers to gear up the process of registrations under these schemes so that no less than 90% households have gold cards at the end of this month.
He stated that these schemes are highly people friendly where a person can go to any government and empaneled private hospital for free treatment costing up to Rs 5 lakh. He asked the officers that the health of a person is paramount over every other necessity so the implementation of the scheme should be brisk and missionary.
The Addl CS further directed the officers to take the coverage of families under the schemes on a mission mode as the major beneficiaries under the schemes are poor and marginalized. He asked them that each district should at least register 8000-10000 beneficiaries each day to accomplish the task on time.
Dulloo urged upon the district administration to review the progress of the scheme weekly to make improvements wherever required. He asked them to create awareness among the people about these schemes and make registration process easy for them.
He directed for converting all the eligible IPD admissions in hospitals into the scheme beneficiaries. He also asked for imparting training to the field staff for implementing the scheme in a more hassle-free manner.
Dulloo asked the schemes insurance partner to make the process more simple and timelier disbursement of claims. He asked it to act as facilitator in meeting the targets set for the department regarding these health schemes.
A power point presentation was made by the Dy CEO, SHA about the current progress of these schemes. It was given out that under the national scheme of AB PM-JAY around 75% of eligible families have been verified with a total of 1526739 verified beneficiaries in the UT. Similarly under the local version of the scheme named AB PM-JAY Sehat 995824 families have been verified with 3478176 verified beneficiaries. It was revealed that around 4907408 Ayushman (golden) cards have been generated so far and provided to beneficiaries.
The meeting was further informed that from the 27th of last month the department has launched ‘Gaon Gaon Ayushman’ with the help of VLE’s to register beneficiaries at the doorsteps. It was also said that all the CSC’s are asked to register beneficiaries and those having unsatisfactory progress would be removed.
Regarding the medical claims disbursed till date under these schemes it was said that a total of 164151 claims worth Rs 117 crore have been reimbursed in favour of beneficiaries for their treatment. This includes 71446 claims amounting to Rs 68.06 crore for the current policy period.
The meeting was apprised that there are 182 government health institutions along with 42 private hospitals eligible to provide benefits to the patients under these schemes. It was said that any beneficiary can go to any of the eligible health institute to receive benefit under these health insurance schemes.
Pertinent to mention here that under the nationwide AB PM-JAY scheme only 597801 families were eligible to receive benefits so the local government introduced the AB PM-JAY Sehat scheme here to cover rest of the 1456497 families of J&K to make the free health insurance benefit universal here.
