Ayushman Bharat scheme: How to check your eligibility on mera.pmjay.gov.in for Rs 5 lakh per annum health insurance

How to check if you’re eligible

The National Health Agency (NHA), the apex body implementing the AB-NHPM, has launched a website and a helpline number to help prospective beneficiaries check if their name is there in the final list.

One can visit mera.pmjay.gov.in or call up the helpline (14555) to check their enrolment.

A beneficiary needs to key in his or her mobile number, which is verified through an OTP and then complete the KYC (know your customer) online without any need for human interface with other documents.

Each empanelled hospital will have an 'Ayushman Mitra' to assist patients and will coordinate with beneficiaries and the hospital. They will run a help desk, check documents to verify the eligibility and enrolment to the scheme.

All the beneficiaries will be given letters having QR codes which will be scanned and a demographic authentication conducted for identification and to verify his or her eligibility to avail the benefits of the scheme.

The Health Ministry has included 1,354 packages in the scheme under which treatment for coronary bypass, knee replacements and stenting, among others, would be provided at 15-20 per cent cheaper rates than the Central Government Health Scheme (CGHS).

Am I eligible? 

1) On the landing page of AM I Eligible Portal, the user has to enter an active mobile number (to receive an OTP) and enter the Captcha letters displaying on the screen and click on the “Generate OTP” button. After this, the user will receive an OTP as a text message on the mobile number entered. The user has to enter this OTP and click on “Verify OTP” which directs to a page to enter the details for search.

2) An individual can search whether he/she is an eligible beneficiary for Pradhan Mantri Jan Arogya Yojna (PMJAY) using a) Mobile number/Ration Card Number (collected during ADCD drive), b) SECC Name or c) RSBY URN.

a) Mobile number/Ration Card Number: An Additional Data Collection Drive (ADCD) was conducted on 30th April 2018 at Gram Sabha’s across India to capture active mobile number and ration card number of a family of the Socio-Economic Caste Census (SECC) database. If the individual got his/her Mobile number or Ration card number captured during this drive, only then it will show results on the portal. If the individual got his details captured during the ADCD drive and still no results are displayed, then the “SECC Name” option should be used for searching.

b) SECC Name: An individual can search if he/she is eligible for PMJAY using his details as per the SECC database such as Name, Father’s Name, Gender, State etc. Even now, if no results are displayed, then the user should contact a nearby Ayushmaan Mitra.

c) RSBY URN : Additionally, all active families that are enrolled under RSBY (till 31st March, 2018) that do not feature in the targeted groups as per SECC data will be included as well and can identify if they are eligible for PMJAY using RSBY URN.

3) If the search is successful, the individual has an option to receive a text message with the HHID number/RSBY URN for future purposes on his/her phone by clicking the “Get SMS” button and entering the mobile number. Note:

This mobile number can be different from the mobile number used in the first step for OTP Generation.

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