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Jammu and Kashmir


Overview Jammu and Kashmir
Name of the Scheme Ayushman Bharat Pradhan Mantri Jan Arogya Yojana
Date of roll-out (Ayushman Bharat PM-JAY) 12th January, 2019
Mode of Implemetation Insurance
PM-JAY eligible families
State Scheme eligible families (approx.)
Emapaneled Hospitals
Hospital Empaneled
Medical Colleges
NABH fully accredited hospitals
Public Private
126 29
Name of the Insurance company (if applicable) Bajaj Allianz General Insurance Company Ltd.
Name of the ISA/TPA MD India Healthcare Service (TPA) Pvt. Ltd.
Health Packages
Number of Health Benefit Packages 1,393
Number of packages reserved for government hospitals 11
Contact Details of the State Team
Name of State Health Agency (SHA) SHA J&K
Name of CEO of SHA Shri. Bhupinder Kumar, IAS
Address of SHA Railhead Complex, Jammu & Old Secretariat,
Contact No. of SHA 1912578585
Email Id of SHA
Toll Free no of SHA 1800 233 505554
Note:   Data as on 07-Oct-19

Jammu & Kashmir Factsheet

Name of the State JAMMU AND KASHMIR Mode of Model Insurance Date of Data Download 31 Oct 2019
I. Demographic Details
1 Population Census 2011
Total Male Female Rural Urban
1,25,48,926 66,65,561 58,83,365 91,34,820 34,14,106
2 PM-JAY eligible families 6,13,697
3 Total families (in state as per Census 2011) 21,26,937
4 Percentage of families covered under PM-JAY 29%
II. Hospital Emapanelment
Till Date
Public Private
5 No. of Empaneled hospitals
126 30
III. Beneficary Identifcation
Till Date
6 E-cards generated 11,35,462
III. Transaction Management
Oct 2019 Till Oct 2019
7 Pre-Auths Raised
4,774 37,986
8 Pre-Auths in Amount
1,91,75,677 19,96,89,859
IV. Claims
Oct 19 Till Oct 2019
9 Claims submitted (#)
5,079 35,636
10 Claims submitted (INR)
2,48,26,275 20,38,36,968
V. Portability
Total Outgoing
Oct 2019 Till Oct 2019
Total Incoming
Oct 2019 Till Oct 2019
11 Total Pre-Auths
0 225
0 63
12 Total Claims (Till Date)
0 125
0 48
Jammu and Kashmir

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