Odisha launched a Unified Health Coverage Scheme by integrating: Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), Gopabandhu Jan Arogya Yojana (Odisha’s state scheme) and Ayushman Vayo-Vandana Yojana (New scheme for senior citizens). With this, Odisha becomes the 34th state to implement the AB-PMJAY scheme.
Key Highlights
| Feature | Details |
| Coverage | ₹5 lakh per family per annum + ₹5 lakh additional for women members |
| Beneficiaries | 1.03 crore families (3.46 crore people) of state |
| Senior Citizens | Under Ayushman Vayo-Vandana Yojana: all individuals aged 70+ eligible regardless of income |
| Healthcare Access | Free, cashless treatment in over 29,000 empanelled hospitals across India (Govt. + Pvt.) |
| Family Coverage | Every member of a family will receive a separate health card |
| Senior Citizens Covered | Over 23 lakh senior citizens in Odisha |
| Launch Event | 1,400+ PHCs joined via VC; district-level programs held simultaneously with ministerial participation |
Why is this Scheme Significant?
- It merges central and state health insurance schemes for wider reach.
- It removes income barriers for senior citizens’ medical coverage.
- Portability across India enhances access to treatment, especially outside Odisha.
- Replaces Odisha’s earlier opposition to AB-PMJAY due to its own Gopabandhu scheme.
About AB-PMJAY (Launched: 2018)
| Parameter | Details |
| Ministry | Ministry of Health & Family Welfare |
| Implementing Body | National Health Authority (NHA) |
| Type | Centrally Sponsored Scheme under Ayushman Bharat |
| Funding Ratio | Centre:State = 60:40 (Normal), 90:10 (NE/Himalayan States), 100% (UTs without legislature) |
| Target Group | Poorest 40% (~55 crore individuals) |
| Eligibility Data | SECC-2011 + RSBY (old beneficiaries) |
Components of Ayushman Bharat Mission:
Ayushman Arogya Mandirs (AAMs):
- Formerly Health & Wellness Centres (HWCs).
- Aim: Deliver Comprehensive Primary Healthcare (NCDs, MCH, mental health, etc.).
- Target: 1.5 lakh centers.
PM-JAY Insurance Cover:
- ₹5 lakh/family/year for secondary and tertiary care
- Cashless and paperless services at empanelled hospitals.
- No restriction on family size, age, or gender.
- Covers all pre-existing conditions from day one.
- Includes 3 days pre-hospitalization + 15 days post-hospitalization.