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India, one of the most populous nations on earth, has a number of obstacles when it comes to offering its people accessible and inexpensive healthcare. The Indian government realized this need and created the PM Samagra Swasthya Yojana, a comprehensive health insurance program designed to guarantee cashless health care for all. Its goals are to lessen the financial burden of health fees and to cover vulnerable people.
This article will provide all types of information about PM Samagra Swasthya Yojana 2024 like purpose, Eligibility Criteria, Benefits, Features, important documents, etc. We will also share the process to apply online for this scheme. To get complete information about this scheme, read this article till the end.
Table of Contents
PM Samagra Swasthya Yojana
The Indian government’s flagship healthcare program is called PM Samagra Swasthya Yojana. The primary objective of this initiative is to offer all Indian citizens, especially those from marginalized and vulnerable social groups, access to comprehensive healthcare coverage. This expansive schedule aims to turn to the nation’s healthcare system and guarantee that everyone has access to high-quality medical care.
Individuals and families can receive a variety of healthcare services under this program, such as preventive, promotive, curative, and rehabilitative care. A major step toward attaining India’s goal of Universal Health Coverage (UHC) is the PM Samagra Swasthya Yojana. This program’s various goals are intended to address the specific concerns that the nation’s healthcare industry experiences.
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Highlights of PM Samagra Swasthya Yojana 2024
The highlights of this scheme are as follows:-
Name Of Scheme | PM Samagra Swasthya Yojana |
Launched By | Prime Minister Shri. Narendra Modi Ji |
Delegated Ministry | Ministry of Electronics & Information Technology |
Objective | To provide financial protection against high medical expenses |
Benefit | This will reduce out-of-pocket expenditure on healthcare |
Applicable To | Citizens of India |
Beneficiaries | Various Categories |
Mode Of Transfer | DBT (Direct Benefit Transfer) |
Payment Mechanism | e-payment mechanism or PFMS |
Form of Benefit | Scholarship Amounts |
Amount of benefit | Variable Assistance |
Hosting Site | National Information Center (NIC) |
Last Date To Apply Online | Will be updated soon |
Mode Of Application | Online |
Official Website | Click Here |
Objectives of PM Samagra Swasthya Yojana 2024
The PM Samagra Swasthya Yojana has the following key objectives:-
- Providing financial protection against high medical expenses
- Reducing out-of-pocket expenditure on healthcare
- Ensuring equitable access to quality healthcare services
- Improving the overall health outcomes of the population
- Strengthening healthcare infrastructure and human resources
- Promoting preventive healthcare measures
These objectives are aligned with the government’s commitment to achieving the Sustainable Development Goals (SDGs) related to health and well-being.
Beneficiary Category
The PM Samagra Swasthya Yojana aims to cover a wide range of beneficiaries, including:-
- Rural and urban poor
- Informal sector workers
- Women and children
- Elderly and disabled individuals
- Scheduled Castes (SCs) and Scheduled Tribes (STs)
- Other vulnerable and marginalized groups
By targeting these beneficiary categories, the scheme aims to address the existing healthcare disparities and ensure that everyone has access to essential healthcare services.
Application Enrollment Last Dates
To avail the benefits of the PM Samagra Swasthya Yojana, eligible individuals need to enrol themselves through the designated application process. The application enrollment process is simple and can be done online or offline, depending on the convenience of the applicants. The last dates for application enrollment vary from state to state and are announced periodically. Individuals need to stay updated with the latest information and complete the enrollment process within the specified timeframe to avail the scheme’s benefits.
Selection Procedure
The selection of beneficiaries under the PM Samagra Swasthya Yojana is done through a transparent and fair procedure. The selection criteria vary based on the specific eligibility criteria set by the government. The aim is to ensure that the benefits reach those who need them the most.
Implementation Procedure
The implementation of the PM Samagra Swasthya Yojana involves coordination between various stakeholders, including central and state government bodies, healthcare providers, and insurance agencies. The scheme is implemented through a decentralized approach, with a focus on strengthening the existing healthcare infrastructure and systems. Efforts are being made to ensure that the scheme is implemented effectively and efficiently, with a strong emphasis on monitoring and evaluation to track progress and make necessary improvements.
Supervision Body
A dedicated supervision body is responsible for overseeing the implementation of the PM Samagra Swasthya Yojana. This body ensures that the scheme’s objectives are being met and that the benefits are reaching the intended beneficiaries. Regular monitoring and evaluation are conducted to assess the impact and identify areas for improvement.
Cashless Healthcare at Partner Hospitals and Facilities
Under the Scheme, individuals can avail cashless healthcare services at partner hospitals and facilities across the country. This ensures that individuals can receive the necessary medical attention without worrying about the financial aspect. The scheme covers a wide range of healthcare services, including hospitalization, surgeries, diagnostics, and medications.
Ayushman Bharat Health and Wellness Centers (AB-HWCs) for Primary Care
In addition to the cashless healthcare services provided at partner hospitals, the Scheme also focuses on strengthening primary healthcare services through Ayushman Bharat Health and Wellness Centers (AB-HWCs). These centers aim to provide comprehensive primary care services to individuals, including preventive care, early detection of diseases, and basic diagnostics.
Electronic Health Records and Unique IDs for Easy Access
One of the key features of the Scheme is the implementation of electronic health records and unique identification numbers for individuals. This ensures easy access to medical records and facilitates seamless transfer of information between healthcare providers. It also helps in reducing duplication of tests and procedures, leading to cost savings and improved efficiency in healthcare delivery.
Increased Healthcare Accessibility Across India
The Scheme aims to bridge the healthcare accessibility gap by ensuring that individuals from all parts of the country have access to quality healthcare services. This is particularly beneficial for individuals residing in remote areas, who often face challenges in accessing healthcare facilities. The scheme covers both urban and rural populations, thereby promoting equitable healthcare access.
Covers Pre- and Post-Hospitalization Expenses
Under the Scheme, individuals are not only covered for hospitalization expenses but also for pre- and post-hospitalization costs. This ensures that individuals receive comprehensive healthcare coverage, including consultations, diagnostic tests, and follow-up care. By covering these expenses, the scheme reduces the financial burden on individuals and their families.
Promotes Preventive Healthcare with Awareness and Screenings
The Scheme places a strong emphasis on preventive healthcare by conducting awareness campaigns and screenings. These initiatives aim to educate individuals about the importance of preventive measures and early detection of diseases. By promoting preventive healthcare, the scheme aims to reduce the incidence of diseases and improve overall health outcomes.
Reduces Financial Burden on Vulnerable Populations
Vulnerable populations, such as those living below the poverty line or belonging to socially disadvantaged groups, often face significant financial hardships when it comes to accessing healthcare. The Scheme aims to alleviate this burden by providing them with cashless healthcare services. This ensures that individuals from vulnerable backgrounds can receive the necessary medical treatment without worrying about the financial implications.
Portable Benefits Usable Across States
Another notable feature of the Scheme is the portability of benefits across states. This means that individuals can avail healthcare services in any part of the country, irrespective of their state of residence. This is particularly beneficial for individuals who migrate for work or education, as it ensures continuity of healthcare coverage.
Key Guidelines
The key guidelines are as follows:-
- Beneficiaries must meet the eligibility criteria set by the government.
- Applicants need to provide necessary documents and information during the enrollment process.
- Healthcare services covered under the scheme include outpatient care, inpatient care, diagnostics, and medicines.
- Emphasis is placed on preventive healthcare measures, including immunization and health education.
- Public and private healthcare providers are engaged to ensure adequate service delivery.
- Efforts are made to promote awareness about the scheme through various communication channels.
- Regular training and capacity building programs are conducted for healthcare professionals.
- Strict measures are in place to prevent fraud and misuse of the scheme.
- Complaint redressal mechanisms are established to address grievances and ensure accountability.
- The scheme is aligned with other existing healthcare schemes and initiatives.
Important Instructions
Some important instructions issued for applicants are as follows:-
- Applicants must carefully read and understand the eligibility criteria before applying.
- All required documents must be submitted in the prescribed format.
- Applicants should keep track of the last dates for enrollment and complete the process within the specified timeframe.
- Any changes in personal information should be promptly updated to avoid any discrepancies.
- Beneficiaries should make proper use of the healthcare services and follow the prescribed guidelines.
- Any concerns or grievances should be reported through the designated channels.
- Beneficiaries are encouraged to provide feedback to help improve the scheme.
- Applicants should beware of fraudulent individuals or agencies claiming to assist with the enrollment process.
- Any changes or updates regarding the scheme will be communicated through official channels.
- Beneficiaries are advised to keep their enrollment details and health cards safe.
Tips & Tricks
Some tips and tricks are as follows:-
- Stay informed about the scheme’s latest updates and announcements.
- Seek assistance from authorized personnel if you have any doubts or queries.
- Keep all relevant documents and information handy during the enrollment process.
- Follow the prescribed guidelines for availing healthcare services under the scheme.
- Take advantage of the preventive healthcare measures and educational programs.
- Encourage others in your community to enroll and benefit from the scheme.
- Share your feedback and suggestions to help improve the scheme’s implementation.
- Report any fraudulent activities or misuse of the scheme.
- Stay vigilant and beware of unauthorized individuals or agencies claiming to provide assistance.
- Make the most of the scheme’s benefits and prioritize your health and well-being.
General Points to Remember
Some general points to remember are as follows:-
- The PM Samagra Swasthya Yojana is a transformative healthcare scheme.
- It aims to provide comprehensive healthcare coverage to all citizens.
- The scheme targets vulnerable and marginalized sections of society.
- Enrollment is essential to avail the scheme’s benefits.
- Efforts are made to ensure transparency, accountability, and quality in the scheme’s implementation.
- Regular monitoring and evaluation are conducted to track progress and make necessary improvements.
- Beneficiaries are encouraged to actively participate and provide feedback to enhance the scheme’s effectiveness.
- The PM Samagra Swasthya Yojana is a step towards achieving Universal Health Coverage in India.
- By prioritizing healthcare, the scheme aims to improve the overall health outcomes of the population.
- Together, we can build a healthier and stronger India through the PM Samagra Swasthya Yojana.
Benefits of PM Samagra Swasthya Yojana 2024
The benefits of this scheme are as follows:-
- Cashless healthcare services: Under this scheme, beneficiaries can avail of cashless healthcare services at empaneled hospitals and healthcare facilities.
- Comprehensive coverage: The scheme provides coverage for various medical expenses, including hospitalization, surgeries, diagnostics, and medicines, among others.
- Ayushman Bharat Health and Wellness Centers (AB-HWC): The scheme aims to establish AB-HWCs at the primary healthcare level to provide comprehensive healthcare services to the beneficiaries.
- National Health Protection Mission (AB-NHPM): PM Samagra Swasthya Yojana is a key component of the AB-NHPM, which is an ambitious initiative to provide health coverage to vulnerable sections of society.
- Beneficiary identification: The scheme involves the creation of electronic health records and unique identifiers for beneficiaries, ensuring easy identification and access to healthcare services.
- Increased healthcare accessibility: With this scheme, beneficiaries can access healthcare services across the country, bridging the urban-rural divide in healthcare facilities.
- Pre- and post-hospitalization expenses: The scheme covers pre- and post-hospitalization expenses, ensuring comprehensive coverage for medical expenses.
- Focus on preventive healthcare: PM Samagra Swasthya Yojana puts emphasis on preventive healthcare measures, through awareness campaigns, early screenings, and vaccinations, to promote a healthier population.
- Reduced financial burden: The scheme aims to reduce the financial burden on vulnerable sections by providing financial protection against high healthcare expenses.
- Portability of benefits: Beneficiaries can avail of the benefits of PM Samagra Swasthya Yojana across states, providing flexibility and accessibility in healthcare services.
Features Of PM Samagra Swasthya Yojana 2024
The features of this scheme are as follows:-
- Cashless healthcare services at empaneled hospitals
- Coverage for hospitalization, surgeries, diagnostics, and medicines
- Establishment of Ayushman Bharat Health and Wellness Centers
- Part of the National Health Protection Mission
- Creation of electronic health records and unique identifiers for beneficiaries
- Improved accessibility to healthcare services across the country
- Coverage for pre- and post-hospitalization expenses
- Focus on preventive healthcare measures
- Financial protection against high healthcare expenses
- Portability of benefits across states
PM Samagra Swasthya Yojana Eligibility Criteria
The applicants will need to follow the below-mentioned points to apply online for this scheme:-
- Socio-economic criteria: The scheme targets beneficiaries from identified vulnerable and economically weaker sections of society.
- Occupation-based criteria: Beneficiaries engaged in specific occupations such as street vendors, rag pickers, domestic workers, and others also qualify under the scheme.
- No age bar: The scheme covers individuals of all age groups, infants, children, adults, and the elderly.
- Identification as per SECC 2011: Beneficiaries are identified based on the Socio-Economic and Caste Census (SECC) 2011 data.
- Affiliation with government schemes: Beneficiaries already enrolled in other government health insurance schemes may also be eligible for PM Samagra Swasthya Yojana.
- Exclusion criteria: Certain categories such as those covered under the Central Government Health Scheme (CGHS), State Government Employees, and Employees’ State Insurance Scheme (ESIS) are excluded from the scheme.
Important Documents
Some of the important documents required to apply online for this scheme are as follows:-
- Aadhar Card
- Residence Certificate
- Income Certificate
- Educational Certificates
- Bank Account Details
- Latest Passport Size Photos
- Mobile No
- Email ID
PM Samagra Swasthya Yojana Apply Online 2024
The applicants will need to follow the below-mentioned points to apply online:-
- Visit the Official Website: To apply for the scheme, visit the Official Website of PM Samagra Swasthya Yojana. You can find the website by doing a quick search on any search engine.
- Registration: On the website, look for the registration link or button. Click on it to begin the registration process.
- Fill in the Application Form: Provide all the required information in the application form. Make sure to double-check the accuracy of the details before submitting the form.
- Upload Documents: The application may require you to upload certain documents such as proof of identity, proof of address, and income certificate. Scan and upload these documents as per the instructions provided.
- Submit the Application: After filling in the form and uploading the necessary documents, submit the application online. You may receive an acknowledgement or reference number for future communication.
- Follow-up: Keep track of your application status by regularly checking the official website or contacting the helpline number provided. It is important to stay updated on the progress of your application.
- Approval and Benefits: If your application is approved, you will be eligible to avail the benefits of the PM Samagra Swasthya Yojana. The scheme covers a wide range of healthcare services, including hospitalization, diagnostics, and treatment.