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Ayushman Bharat PM-JAY: ₹5 Lakh Annual Cover; Limited Tertiary Care Access in Delhi as Major Chains Opt Out

Target:UPSC GS-IMPSCSSC GATeachingPrelims HighMains MediumStatic GK Link
20 Feb 2026
~2 min
Source: Indian Express
Key Data:₹5 lakh annual coverSeptember 2018 launchApril 2025 Delhi rollout19,287 patients treated188 hospitals empanelled
Bodies:National Health Authority (NHA)Association of Healthcare Providers India (AHPI)Ministry of Health and Family Welfare
Practice MCQs from today's news ▸
What This Article Covers

1.Ayushman Bharat-PMJAY, providing ₹5 lakh annual cover per household, was rolled out in Delhi in April 2025 after years of political friction with the previous AAP state government.

2.As of December 2025, 19,287 patients have been treated under the scheme in Delhi across 137 private and 51 government empanelled hospitals.

3.However, the absence of major private hospital chains limits access to complex tertiary care, with most treatments currently focused on essential services like dialysis, cataract surgery, and caesarean deliveries.

The Big Picture
Prelims · HighMains · Medium

While Ayushman Bharat PM-JAY, the world's largest publicly funded health insurance scheme, has expanded in Delhi with 188 empanelled hospitals, critical gaps persist. Major private hospital chains remain absent due to low package rates, restricting beneficiary access to advanced tertiary care and highlighting the tension between universal coverage and sustainable pricing models.

Exam Lens

Quick Exam Facts From News

Scheme NameAyushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)
Annual Health Cover₹5 lakh per eligible household
Nationwide LaunchSeptember 2018
Delhi Rollout DateApril 2025
Patients Treated in Delhi (till Dec 2025)19,287
Empanelled Hospitals in Delhi188 (137 private, 51 government)

1-Minute Revision

  • ›Scheme Name: Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)
  • ›Annual Health Cover: ₹5 lakh per eligible household
  • ›Target this Data: ₹5 lakh annual cover per family under AB-PMJAY.
  • ›Target this Nodal Body: National Health Authority (NHA) implements AB-PMJAY.
  • ›Target this Legal Point: Health is a State Subject (List II, Seventh Schedule).

Mastered this topic? Test your knowledge with a full MCQ quiz.

Practice exam-style questions, track your score, and strengthen your recall.

Q1Static LinkageEasy

Which apex body is responsible for the implementation of the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)?

Q2Statement-basedMedium

Consider the following statements regarding Ayushman Bharat PM-JAY:

1. It provides an annual health cover of ₹5 lakh per eligible individual.

2. It is a Centrally Sponsored Scheme with cost-sharing between the Centre and States.

3. The scheme was launched nationwide in September 2018.

Which of the statements given above is/are correct?

Q3Data-centricEasy

According to the news article, how many patients had received treatment under the Ayushman Bharat scheme in Delhi till December 2025?

Q4Application/ImpactMedium

What is identified as a primary reason for the limited participation of major private hospital chains in the Ayushman Bharat PM-JAY scheme in Delhi?

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