Ayushman Yojana: New guidelines have been issued regarding 112 types of treatments under the Ayushman Yojana. This could affect many treatments, from cataracts to delivery. Where will patients now get free treatment?

Changes in Ayushman Bharat Scheme

Ayushman Bharat Yojana: Under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY), poor and needy families receive free treatment up to ₹5 lakh annually. This scheme offers treatment in both government and private hospitals. However, the National Health Authority (NHA) has now directed changes to some of the scheme's treatment packages.

Under this, 112 types of treatment are to be reserved for government hospitals. This could reduce the options for Ayushman card holders to seek treatment in private hospitals. Simply put, 112 types of illnesses will no longer be treated in private hospitals.

Now 112 treatments will be reserved for government hospitals.

Under this change, 89 new treatment packages have been added to the 23 previously reserved treatment packages. This will result in a total of 112 treatment packages reserved for government hospitals. State health authorities have been directed to complete the implementation process by December 1, 2026. This change will only apply to the 112 designated packages.

From cataracts to high-risk deliveries

These 112 treatment packages cover a wide range of illnesses and surgeries. These include cataract surgery, glaucoma care, some ENT treatments, and general surgeries. Gynecological treatments such as high-risk deliveries, hysterectomies, and medical abortions are also included. Treatments for severe anemia, malaria, chikungunya, severe diarrhea, hepatitis, and some liver diseases are also included. Packages such as mental health treatments, fracture treatment, and cyst and fistula surgery are also part of this change.

The final decision will rest with the states.

The NHA has directed states to reserve these packages for government hospitals, but the final decision on implementation will rest with state governments and their health authorities. States may also choose to allow some or all related treatments to continue in private hospitals. Ayushman card holders should consult their state's plan and the facilities available at the respective hospital before seeking treatment.