Government Health Schemes

Free and subsidised healthcare for eligible citizens — national programmes and state schemes explained clearly.

50 crore+

Beneficiaries (PM-JAY)

25,000+

Cashless hospitals

₹5 lakh

Max coverage (PM-JAY)

Free

Premium for BPL families

National Schemes

Central government programmes — available across all states for eligible citizens.

Ayushman Bharat PM-JAY

Pradhan Mantri Jan Arogya Yojana

CashlessFree₹5 lakh / family / year

Covered Amount

₹5,00,000

Per family per year — fully cashless at network hospitals

Who It Covers

Low-income families (SECC database)

Reach

~12 crore families · 50 crore beneficiaries

Network

25,000+ empanelled hospitals across India

Key Benefits

No premium — fully funded by central and state governments
Covers pre-existing diseases from day one
Includes 3 days pre-hospitalisation, 15 days post-hospitalisation
Portability — valid at any empanelled hospital across India
Covers secondary and tertiary care hospitalisation
Includes surgery, chemotherapy, ICU, and more

CGHS

Central Government Health Scheme

OPD + HospitalisationPartial Cashless80+ Cities

Covered Amount

Full coverage

OPD + hospitalisation at CGHS wellness centres and empanelled hospitals

Who It Covers

Central government employees, pensioners, MPs, judges, freedom fighters

Reach

80+ cities · Millions of central govt beneficiaries

Network

Wellness centres + 8,000+ empanelled private hospitals

Key Benefits

Covers outpatient treatment — consultations, diagnostics, medicines
Cashless at CGHS wellness centres and empanelled private hospitals
Reimbursement for treatment at non-empanelled hospitals in emergencies
Covers serving employees + pensioners + their dependant family members
Includes dental and ophthalmic consultations
Wellness centres located in all major central government offices and colonies

ESIC

Employees' State Insurance Scheme

Salaried EmployeesFamily CoverageComprehensive Benefits

Covered Amount

Full coverage

Medical, cash sickness benefit, maternity, and more — all from one scheme

Who It Covers

Employees earning ≤ ₹21,000/month (₹25,000 for disabled employees)

Reach

Factories, shops, establishments with 10+ employees in notified areas

Network

1,500+ ESI hospitals and dispensaries

Key Benefits

Full medical care for employee and entire family — at no direct cost
Cash sickness benefit: 70% of daily wages for up to 91 days per year
Maternity benefit: full wages for 26 weeks (12 weeks for adoption)
Permanent disability benefit: up to 90% of wages for life
Dependent benefit: 90% of wages to family on death due to employment injury
Medical care continues even after retirement for those who contributed for 5+ years

State Schemes

State-specific programmes — in addition to or extending national coverage.

1 scheme available

Maharashtra residents eligible for PM-JAY also qualify for national coverage — the schemes below are in addition to or integrated with PM-JAY benefits.

MJPJAY

Mahatma Jyotiba Phule Jan Arogya Yojana

Cashless
CashlessFarmers IncludedState + Central

Coverage

₹1.5 – ₹2.5 lakh

Per family per year · ₹2.5 lakh for organ transplant, cancer, and major illnesses

For

Yellow and orange ration card holders; farmers, journalists, ASHA workers

Highlights

  • ₹1.5 lakh for most procedures; ₹2.5 lakh for organ transplant, burns, cancer
  • Merged with PM-JAY — eligible families get up to ₹5 lakh combined
  • Includes farmers under GR-defined distress districts

How to access your scheme

Three steps — from checking eligibility to walking in for treatment.

Step 1

Check eligibility

Visit mera.pmjay.gov.in or call 14555. Enter your mobile number or ration card number. Your name will show if you're listed in the SECC database.

Step 2

Get your card

Visit your nearest Common Service Centre (CSC), empanelled hospital, or district office with your Aadhaar and ration card. The Ayushman card is issued free.

Step 3

Go cashless

Walk into any empanelled hospital, present your health card, and treatment begins — no cash required. The hospital handles the insurer directly.

Common Questions

Practical answers about government health scheme eligibility and usage.

Not sure which scheme applies to you?

Our team will check your eligibility, help you get your Ayushman card, and guide you to the right empanelled hospital for your treatment.