S&TGS2+ GS3

Health Ministry Marks Eight Years of AB PM-JAY, Five of ABDM

PIB·2026-09-25· Read original

"Health Ministry Marks Eight Years of AB PM-JAY, Five of ABDM"

Prelims Facts

  • •AB-PMJAY covers 1,961 procedures across 27 medical specialties, with cashless cover up to ₹5 lakh per family per year.
  • •Centre-State funding for AB-PMJAY is shared in a 60:40 ratio, rising to 90:10 for North-Eastern and hill states.
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Key Terms

AB-PMJAY

Centrally sponsored scheme giving cashless hospital cover up to ₹5 lakh per family per year.

ABDM

Digital mission building a health-ID, provider registry and facility registry system.

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Study Note

BackgroundCore Concept

Background

Universal health coverage means every citizen can get needed care without facing financial ruin. India's National Health Policy, 2017 set a target of raising public health spending to 2.5% of GDP, a benchmark the country has struggled to reach through budgetary spending alone. To close this gap, the government launched Ayushman Bharat in 2018 with two linked parts. One part strengthens primary care through Ayushman Aarogya Mandirs. The other part protects families from catastrophic hospital bills through a publicly funded insurance scheme, AB-PMJAY.

Over time, this architecture grew to include a digital layer as well. The Ayushman Bharat Digital Mission (ABDM), launched in September 2021, was built to make health records portable across hospitals and states through a unique digital health ID. It is important to be precise about what ABDM actually guarantees. Hospital adoption of ABDM remains voluntary, not mandatory. Enrolment of every citizen is also not automatic. The one accurate claim is that ABDM enables seamless portability of health records for those who do join. This distinction matters because it is easy to assume a digital health mission automatically means universal, compulsory participation, which is not the case.

The Topic Explained

AB-PMJAY is a centrally sponsored scheme. It offers cashless treatment for 1,961 procedures across 27 medical specialties through empanelled public and private hospitals, with a cover of up to ₹5 lakh per family per year. The Centre and States share funding in a 60:40 ratio for most states. This shifts to 90:10 in the Centre's favour for North-Eastern states, Himachal Pradesh, Uttarakhand, and Jammu & Kashmir. In October 2024, the scheme was extended to all senior citizens aged 70 years and above, regardless of income, bringing a large new group of elderly citizens under cover.

ABDM rests on a few core registries. …

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Related PYQs

2022GS1 Prelims

With reference to Ayushman Bharat Digital Mission, consider the following statements:

1.Private and public hospitals must adopt it.

2.As it aims to achieve universal health coverage, every citizen of India should be part of it ultimately.

3.It has seamless portability across the country.

Which of the statements given above is/are correct?

A1 and 2 only
B3 only
C1 and 3 only
D1, 2 and 3
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Practice MCQs

S&Tmedium

Consider the following statements about the Ayushman Bharat Digital Mission (ABDM):

1.Adoption of ABDM by public and private hospitals is mandatory under law.

2.ABDM enables seamless portability of health records across India.

3.Every citizen of India is automatically enrolled under ABDM.

Which of the statements given above is/are correct?

A1 and 2 only
B2 only
C1 and 3 only
D1, 2 and 3
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S&Tmedium

Consider the following statements regarding Ayushman Bharat PM-JAY (AB-PMJAY):

1.It provides health cover of up to ₹5 lakh per family per year for secondary and tertiary care.

2.Funding between the Centre and States is shared in a 50:50 ratio for all states.

3.The scheme covers more than 1,900 medical procedures across over 25 specialties.

Which of the statements given above is/are correct?

A1 and 3 only
B1 only
C2 and 3 only
D1, 2 and 3
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S&Tmedium

Match List I (ABDM/Digital Health Building Block) with List II (Function) and select the correct answer using the codes given below:

List I:

A.ABHA

B.Healthcare Professionals Registry (HPR)

C.Health Facility Registry (HFR)

D.National Health Claims Exchange (NHCX)

List II:

1.Unique digital health ID for citizens

2.Registry of doctors and healthcare professionals

3.Registry of hospitals and health facilities

4.Platform for streamlining health insurance claims

AA-1, B-2, C-3, D-4
BA-2, B-1, C-4, D-3
CA-1, B-3, C-2, D-4
DA-4, B-2, C-3, D-1
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S&Thard

Consider the following statements:

1.The National Health Authority (NHA) is the implementing agency for both AB-PMJAY and ABDM.

2.The Secure Data Environment (SDE) permits any private company unrestricted access to raw, personally identifiable patient data.

3.The National Health Claims Exchange (NHCX) is intended to standardise health insurance claims processing.

Which of the statements given above is/are correct?

A1 and 3 only
B2 and 3 only
C1 only
D1, 2 and 3
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S&Teasy

In which year was AB-PMJAY extended to cover all senior citizens aged 70 years and above, irrespective of their socio-economic status?

A2018
B2021
C2024
D2026
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