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What is ‘waiting’ concept in Ayushman Bharat card?
11/13/2021 11:11:00 PM

Early Times Report

Jammu, Nov 13: The episode of Naresh Kapoor of Gandhi Nagar has exposed that all activities of the present dispensation of the Union Territory of Jammu and Kashmir are confined only on papers and in media.
As reported by the Early Times in Saturday’s edition, Jammu’s prestigious Narayana Hospital has refused to admit a patient suffering from high fever and low platelets on a much-touted ‘Ayushman Bharat’ card.
Ironically, the hospital authorities told family members of the patients that three days was waiting for the ‘Ayushman Bharat’ card. The biggest question in this episode is what is the concept of waiting in the “Ayushman Bharat” card? It means that the poor patients who required emergency treatment have to wait for three days.
Some health experts with whom the Early Times talked failed to clarify the concept of waiting in the ‘Ayushman Bharat’ card. They pointed out that there must be some glitch in the whole system.
Despite repeated attempts authorities were not ready to clarify regarding the ‘waiting’ concept. It appears that like other schemes, this health insurance for all residents of J&K appears to be confined only in the media and on the ground patients are not getting treatment in private hospitals.
“First of all, I failed to understand what is the concept of waiting in health insurance card”, said victim Naresh Kapoor who is now gradually recovering from fever, adding, “second if there is waiting for three days, hospital authorities should make bill after three days”.
Important to mention here that on December 26, 2020, it was announced with much publicity that the Jammu and Kashmir has become the first among Indian states and UTs to offer free health insurance to all its residents.
It was announced that the scheme called Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) SEHAT will cover 21 lakh families of the UT and provide universal health coverage to all. It will also cover government employees.
“The scheme will provide free insurance cover to all residents of Jammu and Kashmir. A financial cover up to Rs 5 lakh per family will be offered to all residents. The plan envisages extension of the already operational PM Jan Arogya Yojana to 15 lakh additional families to provide full financial protection,” J&K administration officials told at that time. The new scheme will operate on insurance mode in convergence with the already operational PMJAY.
“The most important feature of the scheme is it will be portable across the country, which means J&K residents can avail of the free health insurance cover at any hospital empanelled under the national PMJAY scheme anywhere in India,” the government claimed. At present, there are 2,41,48 empanelled hospitals under the Central health scheme.
J&K’s new expanded health protection scheme will ensure that all beneficiary families can avail of any of the 1,592 procedures offered by the PMJAY.
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