04 June 2019
Bhubaneswar: While hectic discussion is on between the Centre and State Government to implement Ayushman Bharat - Pradhan Mantri Jan Aarogya Yojana (AB-PMJAY) scheme here in the State, Odisha Chief Secretary has on May 31 already written to the National Health Authority (NHA) Chief Executive Officer (CEO) proposing for integration of both the health schemes.
In his letter to NHA CEO Dr Indu Bhusan, Odisha Chief Secretary Aditya Prasad Padhi has proposed, “For the State of Odisha, NHA may consider the option of mutually arriving at a notional percentage of PM-JAY eligible beneficiaries out of the total beneficiaries using public facilities, and factor in the average claim size under PM-JAY for calculating the grant-in-aid entitlement of the State for free services in public health facilities.”
“For service provided by private hospitals under component CB, the scheme can be implemented as envisaged under PM-JAY with beneficiary verification along with national portability. Hence, NHA may consider the above option for Odisha, for seamless integration of BSKY with PM-JAY,” concludes Padhi in his D.O. letter.
With reference to NHA CEO’s earlier letter to Odisha Government on 24.04.2019, the Chief Secretary has also highlighted on the two main components of Biju Swasthya Kalyan Yojana (BSKY), the State Health Assurance Scheme of Odisha, 2018.
A. Free health services for all (irrespective of income, status or residence) in all State Government health care facilities starting from Sub center level to Government Medical College and Hospitals and all Government Blood Banks. All treatment is cashless and no document is required to be produced by the beneficiary.
B. Additional facility of free healthcare for over 70 lakh families, through annual health coverage of Rs 5 lakh per annum per family (Rs 7 lakh for women members) in private empanelled hospitals within and outside the State. All Biju Krushak Kalyan Yojana card holders, RSBY card holders, BPL card holders, AAY card holders and low income certificate families are covered under this benefi
C. It is relevant to note here that under component (A) there is no provision for verification of any document of beneficiaries at public hospitals. This is along the lines of several existing universal health coverage programmes currently being promoted by the MoHFW Gol such as the free drugs service, PM National Dialysis Programme, free diagnostics service, free blood services, free healthcare for all pregnant women, infants, children upto 18 years, and the elderly.
Besides all cases of TB, Leprosy, Malaria, Cancer, Diabetes, Hypertension, Eye care, etc, are provided free healthcare services without any entitlement card being required to be produced by the beneficiaries under the existing Government of India schemes.