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Monday 6 July 2020

Story of ‘reluctance’ of Rajasthan, Maharashtra governments to join Ayushman Bharat false, claims Centre

Both the States will join Ayushman Bharat as soon as the issues of overlap and conflict with their older health insurance and food security schemes are resolved

New Delhi: Some news reports claimed in the morning of 9 July that Maharashtra and Rajasthan governments were “reluctant” to join Ayushman Bharat. These reports are factually incorrect according to the Union government.

Both the States fully support Ayushman Bharat and are not reluctant to join it, a rejoinder from the Narendra Modi government to media houses asserts. Both the States have strong health insurance schemes, which are currently operational, the message reads.

The Press Information Bureau (PIB) has reported that Maharashtra is implementing Mahatma Jyotiba Phule Jan Arogya Yojana (MJPAY) since 2012, covering about 2.24 crore families, providing a benefit cover of Rs 1.5 lakh per family per annum.

The proposed coverage under Ayushman Bharat is 84 lakh families, informs the PIB. Whereas Rajasthan is implementing Bhamashah Health Insurance Scheme since 2015 covering about 92 lakh families, belonging to National Food Security Act and Rashtriya Swasthya Bima Yojana, providing a benefit cover to each family per annum of Rs 30,000 for common diseases and Rs 3 lakh for critical illness. The proposed coverage under Ayushman Bharat is 60 lakh.

Both the States already cover more people than proposed to be covered under Ayushman Bharat. However, the benefit package in terms of health conditions covered and total coverage per family of Rs 5 lakh are larger under Ayushman Bharat.

The two States are currently reviewing the financial and operational implications of the convergence with Ayushman Bharat to avoid any disruption of services, and ensure that the convergence can be done efficiently and current legal contracts can be honored.

Rajasthan and Maharashtra have ongoing contracts with insurance agencies, too. Any modification of benefit packages would also require negotiations with them.

Both the States will join Ayushman Bharat as soon as these issues are resolved, the government communicated via PIB.

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