PMJAY: Healthcare Services to Transgender Persons:

• The National Health Authority (NHA) and the Department of Social Justice and Empowerment recently signed a Memorandum of Understanding (MoU) for providing holistic health services to transgender persons under Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY).
  • It will extend all healthcare benefits to transgender persons (holding a transgender certificate issued by the National Portal for transgender persons) across the country.
  • Under AB-PMAJY, every eligible person gets a health insurance cover of up to Rs 5 lakh every year.
  • Apart from this, special packages are also being prepared for the transgender category, which will also include special packages like gender reassignment surgery (SRS) and treatment for transgenders.

Pradhan Mantri Jan Arogya Yojna (PM-JAY):

• The scheme was launched in September 2018 and recommended by the National Health Policy 2017, to achieve the vision of Universal Health Coverage (UHC).

• It is a Centrally Sponsored Scheme having a central sector component under Ayushman Bharat Mission
  • PM-JAY was earlier known as the National Health Protection Scheme (NHPS) before being rechristened.
  • It subsumed the then-existing Rashtriya Swasthya Bima Yojana (RSBY) which had been launched in 2008.

Eligibility:

• The households included are based on the deprivation and occupational criteria of Socio-Economic Caste Census 2011 (SECC 2011) for rural and urban areas respectively.
  • The coverage mentioned under PM-JAY, therefore, also includes families that were covered in RSBY but are not present in the SECC 2011 database.

Eligibility:

• The households included are based on the deprivation and occupational criteria of Socio-Economic Caste Census 2011 (SECC 2011) for rural and urban areas respectively.
  • The coverage mentioned under PM-JAY, therefore, also includes families that were covered in RSBY but are not present in the SECC 2011 database.

Cover Under PM-JAY:

1. The cover under the scheme includes all expenses incurred on the following components of the treatment.
2. Medical examination, treatment and consultation
3. Pre-hospitalization
4. Medicine and medical consumables
5. Non-intensive and intensive care services
6. Diagnostic and laboratory investigations
7. Medical implantation services (where necessary)
8. Accommodation benefits.
9. Food services
10. Complications arising during treatment
11. Post-hospitalization follow-up care up to 15 day

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