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Health Ministry against allowing Ayushman Bharat beneficiaries to avail high-cost treatment under RAN

The AIIMS and the National Health Authority (NHA) made the request to the ministry and cited cases wherein Ayushman Bharat beneficiaries could not avail treatment for blood cancer and chronic liver diseases as these are not covered under the health insurance scheme.

November 17, 2019 / 04:31 PM IST

The health ministry has rejected a proposal for allowing Ayushman Bharat beneficiaries to avail high-cost treatment for life-threatening diseases under the Rashtriya Arogya Nidhi, and suggested that the health insurance scheme could be modified and the Rs 5-lakh ceiling enhanced to accommodate such patients.

The AIIMS and the National Health Authority (NHA) made the request to the ministry and cited cases wherein Ayushman Bharat beneficiaries could not avail treatment for blood cancer and chronic liver diseases as these are not covered under the health insurance scheme.

In a letter to the CEO of the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna (AB-PMJAY), Indu Bhushan, the health ministry said the suggestions of NHA and AIIMS cannot be agreed to as the eligibility criteria for both the schemes are different.

The eligibility criteria for financial assistance under Rashtriya Arogya Nidhi (RAN) is based on state-wise threshold poverty line decided from time to time, whereas PMJAY is an entitlement-based scheme with entitlement decided on the basis of deprivation criteria in the SECC database 2011, the ministry said.