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Ayushman Bharat PM-JAY 2026: ₹5 Lakh Health Cover, Ayushman Card & 70+ Eligibility

National Health Authority, Ministry of Health & Family Welfare

GOVERNMENT APPLICATION & SCHEME GUIDELINES

Check eligibility and get your Ayushman card

Use the National Health Authority beneficiary portal to look up eligibility, complete eKYC and generate or download your card. Citizens aged 70+ can use the senior citizen flow.

This is health-cover eligibility, not a cash payment. Check an empanelled hospital and covered treatment package before admission.

Scheme at a glance

Issuing organisationNational Health Authority, Ministry of Health & Family Welfare
State / UTAll India
Notice referenceAB PM-JAY; Ayushman Vay Vandana (70+ expansion launched 29 October 2024)

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) helps eligible families access cashless treatment for covered secondary and tertiary hospitalisation at empanelled hospitals. The standard cover is up to ₹5 lakh per eligible family per year. Citizens aged 70 or above have a special Ayushman Vay Vandana enrolment route regardless of family income.

Ayushman Bharat PM-JAY 2026 — important details

Scheme Ayushman Bharat PM-JAY 2026
Main benefit Up to ₹5 lakh cashless covered hospitalisation per eligible family per year
Who can apply Eligible PM-JAY listed households; plus citizens aged 70+ under the age-based expansion
Application period Continuous senior-citizen enrolment; no single nationwide application deadline
Started PM-JAY: 23 September 2018; senior-citizen extension: 29 October 2024
Administered in India (subject to scheme and local implementing authority rules)
Senior citizen extension Age 70+ eligible regardless of income, subject to Aadhaar age verification and eKYC
At hospital Use an empanelled hospital and verify the treatment package before admission
Information updated 14 November 2026

Scheme benefits and how they work

Beneficiary type Who can qualify
Existing PM-JAY eligible families Households recognised under PM-JAY beneficiary and applicable state eligibility data
All Indian citizens aged 70+ Ayushman Vay Vandana age-based route irrespective of income; Aadhaar age verification and eKYC apply
Senior member already in PM-JAY household Special additional top-up cover of up to ₹5 lakh per year for those 70+ members, separate from regular younger-family cover
Treatment Specified secondary/tertiary hospitalisation packages at empanelled public and private hospitals

Eligibility — who can register?

  • Under age 70: beneficiary eligibility usually follows PM-JAY notified household records and any applicable state/UT inclusion rules. There is no universal automatic entitlement for every citizen under 70.
  • Age 70 or older: Indian citizens may enrol under Ayushman Vay Vandana regardless of economic status. Age is determined using the Aadhaar record under National Health Authority rules.
  • Eligible senior citizens must complete Aadhaar-based eKYC. Other government health-scheme beneficiaries may be required to exercise a choice of cover according to the official guidelines.
  • Covered care is linked to packages and empanelled facilities. General OPD services are not covered under standard PM-JAY hospitalisation benefits.

Documents / details to keep ready

  • For senior citizens aged 70+: Aadhaar is the only document required for the specific senior-citizen enrolment route under NHA FAQ; Aadhaar-based eKYC is compulsory.
  • For other eligible households: household/identity information required by the beneficiary database and official portal; the authorised operator may ask for an eligible-family record or available supporting identification.
  • For treatment: Ayushman card/beneficiary details and medical documents needed by the empanelled hospital for the package and pre-authorisation process.
  • Mobile number or Aadhaar-linked verification as requested for portal sign-in and OTP; keep personal documents on the official systems only.

How to apply or avail benefits — step by step

  1. Visit the National Health Authority’s official beneficiary portal or Ayushman app. Use the beneficiary login and select the required state or beneficiary search route.
  2. Search the beneficiary records using the available identity/household details. Under 70, verify that your household is listed and eligible under relevant rules.
  3. For a citizen aged 70+, select the Ayushman Vay Vandana senior-citizen enrolment option, verify the age recorded in Aadhaar, and complete Aadhaar eKYC.
  4. Follow portal instructions to create or download the Ayushman card. Use the Add Member option where needed for other family members aged 70+.
  5. Before seeking treatment, find an empanelled hospital and ask its Ayushman helpdesk whether the condition and procedure are part of the available PM-JAY packages.
  6. Use the government support number 14555 or the official grievance service if card or treatment access is disputed.
Helpful before you apply: The ₹5 lakh is a health-cover limit, not money deposited in a bank account. The 70+ extension makes an age-based route available to seniors; it does not make all younger citizens automatically eligible. The official NHA beneficiary portal lets eligible users create or download cards.

Scheme dates and application deadline

PM-JAY launched on 23 September 2018. Ayushman Vay Vandana for citizens aged 70+ launched on 29 October 2024. Official senior-citizen enrolment guidelines describe continuous enrolment through the web portal or app; there is no common application closing date.

Frequently asked questions

Can every Indian family claim ₹5 lakh?

No. For people under 70, household eligibility generally depends on the PM-JAY beneficiary/state databases. All citizens aged 70+ have an independent age-based enrolment route.

Does a senior citizen above 70 need an income certificate?

No. NHA FAQ states that Aadhaar is the sole required document for 70+ Ayushman Vay Vandana enrolment and age is determined using Aadhaar.

Can both parents aged 70+ be added?

Yes. NHA FAQ describes using Add Member to include other qualifying 70+ family members after starting enrolment.

Does PM-JAY cover ordinary outpatient appointments?

Standard PM-JAY is primarily a cashless hospitalisation scheme. Ordinary OPD consultations are not part of the standard covered secondary and tertiary care packages.

Can I use my card anywhere?

At empanelled hospitals under applicable programme portability and package rules; check the official hospital search and speak with an Ayushman helpdesk.

Where can I ask for help?

Call national helpline 14555 or use the official hospital search and grievance portals.

Official government links and useful services

Important: Never give Aadhaar OTPs to unknown agents. Cashless hospitalisation requires an empanelled hospital and a covered treatment package, not just possession of a card.