[259]
GOVERNMENT OF PUDUCHERRY
HEALTH SECRETARIAT
(G.O. Ms. No. 1, Puducherry, dated 24th January 2025)
NOTIFICATION
The Lieutenant-Governor is pleased to extend the benefits of the
“Ayushman Bharat – Prathan Mantri Jan Arogya Yojana (AB – PMJAY)”
to the senior citizens of aged 70 years and above in the Union territory
of Puducherry.
La Gazette de L' État de Poudouchéry
The Gazette of Puducherry
PART - II
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2025 } | 31 {
No.
7
Poudouchéry
Vendredi
31
Janvier
2025
No.
Puducherry
Friday
31st
January
2025
(11 Magha 1946)
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LA GAZETTE DE L'ETAT
[PART–II
2. The salient features of the extension of the Scheme are as
below:
(a) The benefits of AB PM-JAY would now be available to all
senior citizens of the age 70 years and above irrespective of their
socio-economic status. These benefits will be available to senior citizens
of 70 years and above in families already covered under AB PM-JAY
(hereinafter referred to as ‘existing families’), as well as in families which
are not covered under the AB PM-JAY, (hereinafter referred to as
‘new families’).
(b) The only eligibility criteria for availing benefits under the
Scheme would be attainment of age of 70 years or above by the
individual. This would be determined on the basis of age recorded in
Aadhaar. As per prevailing practice, Aadhaar would be the only document
required for enrolment. Aadhaar-based e-KYC will be mandatory for
enrolment and issuance of Ayushman Cards for eligible senior citizens
of both existing and new families.
(c) Beneficiaries with other Central and State Government
Health Insurance Schemes will be given a one-time option to choose
between their current Scheme or the AB PM-JAY Scheme to avoid
duplication.
(d) Senior citizens of the age 70 years and above holding active
private health insurance policies or senior citizens of the age 70 years
and above who are beneficiaries of the Employees’ State Insurance
Scheme would also be eligible to avail benefits under the extended
Scheme.
(e) An additional shared top-up cover of up to
5 lakh per year
will be provided for the senior citizens aged 70 years and above in
families already covered under AB PM-JAY. This top-up cover up to
a total of 5 lakh will be provided for treatment of senior citizens if,
the other members have utilized full or part of the original family wallet.
Further, if senior citizens (of the age 70 years and above) utilize full or
part of the original family wallet of 5 lakh, other members of the family
will be provided a top-up cover up to 5 lakh.
(f) A shared cover of 5 lakh per family per year will be
available for senior citizens in families not currently covered under
AB PM-JAY. This cover will be exclusive to senior citizens aged 70 years
and above.
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PART–II]
LA GAZETTE DE L'ETAT
(g) The additional cost of covering senior citizens including
administrative expenses will be shared between the Central and State
Governments as per the existing guidelines of fund release in AB PM-JAY.
(h) Registration for all eligible senior citizens aged 70 years and
above will be application-based only.
(i) Enrolment will be a continuous process, allowing registration
throughout the year.
(j) A separate module has been created in mobile phone
application (Ayushman App) and in web portal (beneficiary.nha.gov.in)
for enrolment of those senior citizens who would like to avail the
benefits under the Scheme. Desirous senior citizens would have to apply
on this portal or app.
(k) A distinct Ayushman Card will be issued to all eligible
senior citizens with the age 70 years and above for both existing and
new families.
3. This issues with the concurrence of the Finance Department,
Puducherry, vide its ID No. 21173/PRO/FD/F4/A2/2024-2025, dated
07-01-2025.
(By order of the Lieutenant-Governor)
S. MURUGESAN,
Under Secretary to Government (Health-I).
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online publication at “https://styandptg.py.gov.in”
Published by the Director, Government Press, Puducherry.