Ayushman Bharat – National Health Protection Mission (AB-NHPM)

FAQ's
What is Ayushman Bharat – National Health Protection Mission (AB-NHPM)?

Ayushman Bharat-National Health Protection Mission (AB -NHPM) is a pioneering initiative of

Prime Minister Modi to ensure that poor and vulnerable populati on is provided health cover.
This initiative is part of the Government’s vision to ensure that its citizens – especially the
poor and vulnerable groups have universal access to good quality hospital services without
anyone having to face financial hardship as a consequence of using health services .

What benefits are available under AB-NHPM?

AB-NHPM provides an insurance cover upto Rs 5 lakh per family, per year for secondary and
tertiary hospitalization. All pre -existing conditions are covered from day 1 of implementation
of AB-NHPM in respective States/UTs.

What health services are available under AB -NHPM?

The health services covered under the programme include hospitalization expenses, day care
surgeries, follow-up care, pre and post hospitalization expense benefits and new born
child/children services. The comprehensive list of services is available on the website .

Who is eligible to avail benefits under AB -NHPM?

AB-NHPM covers more than 10 crore poor and vulnerable families across the country,
identified as deprived rural families and occupational categories of urban workers’ families
as per the latest Socio-Economic Caste Census (SECC) data. A list of eligible families has been
shared with the respective state government as well as AN Ms/BMO/BDOs of relevant area.
Only families whose name is on the list are entitled for the benefits of AB -NHPM.
Additionally, any family that has an active RSBY card as of 28 February 2018 is covered.
There is no capping on family size and age of members, which will ensure that all family
members specifically girl child and senior citizens will get coverage .

Where can beneficiaries avail of services under AB -NHPM?

Services under the scheme can be availed at all public hospitals and empaneled private
health care facilities. Empanelment of the hospitals under AB -NHPM will be conducted
through an online portal by the state government. Information about empaneled hospitals
will be made available at through di fferent means such as government website, mobile app.
Beneficiaries can also call the helpline number at 14555. Regular updates will also be
provided through ASHAs, ANM and other specific touch points This information will be
activated shortly.

Will beneficiaries have to pay anything to get covered under this scheme?
No. All eligible beneficiaries can avail free services for secondary and tertiary hospital care
for identified packages under AB -NHPM at public hospitals and empaneled private hospitals.
Beneficiaries will have cashless and paperless access to health services under AB -NHPM.

What is the enrolment process? Is there any time period for enrolment?
AB-NHPM is an entitlement based mission. There is no enrolment process. Families who are
identified by the government on the basis of deprivation and occupational criteria using the
SECC database both in rural and urban areas are entitled for AB -NHPM.

How are the beneficiaries identified?

The beneficiaries are identified based on the deprivation categories (D1, D2, D3, D4, D5, and
D7) identified under the SECC (Socio -Economic Caste Census) database for rural areas and 11
occupational criteria for urban areas. In addition, RSBY beneficiaries in states where RSBY is
active are also included.

Can those families whose names are not on the list avail the benefits under AB -
NHPM?
In this phase, no additional new families can be added under AB -NHPM. However, names of
additional family members can be added for those families whose names are already on the
SECC list.

Will a card be given to the beneficiary?

A dedicated AB-NHPM family identification number will be allotted to eligible families.
Additionally, an e-card will also be given to beneficiary at the time of hospitalization .