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EconomyIndian Express10 June 2026
With Ayushman Bharat roll-out in Bengal, what happens to Swasthya Sathi beneficiaries?
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๐ Summary:
- The new West Bengal government is rolling out the Centre's Ayushman Bharat (PM-JAY) scheme; existing Swasthya Sathi beneficiaries are likely to be onboarded too
- Ayushman Bharat will cover ~1.43 crore poor families, elderly (70+) and frontline workers (ASHA, Anganwadi); Swasthya Sathi covers ~2.45 crore families with up to Rs 5 lakh annual cover
- Cost-sharing: for PM-JAY beneficiaries, Centre pays 60% and state 40% of premium; for extending cover to other residents, the state pays the entire premium
- Benefit is portability across the national network of 36,000+ empanelled hospitals; the new State Health Authority is uploading patient and hospital data to the national portal; BJP-run Bengal unlikely to seek co-branding
๐ฏ UPSC Relevance: GS2 โ health governance, Centre-state fiscal sharing in welfare schemes, universal health coverage
๐ Prelims Facts:
- PM-JAY beneficiaries: poorest 40% (SECC 2011), all aged 70+, frontline health workers
- PM-JAY cover and Swasthya Sathi cover both up to Rs 5 lakh/family/year; 36,000+ empanelled hospitals; State Health Authority implements PM-JAY
๐ Key Term: Portability (PM-JAY) โ a beneficiary can use the Ayushman card to access empanelled hospitals in any state, not just their home state
Ayushman BharatPM-JAYSwasthya Sathihealth insuranceWest Bengal
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