Ayushman Bharat Pradhan Mantri Jan Arogya Yojana completed eight years on 23 September 2026. The scheme was launched on 23 September 2018 from Ranchi in Jharkhand. It now covers more than 60 crore people and is described as the world's largest government-funded health assurance scheme. Union Health Minister Jagat Prakash Nadda and Prime Minister Narendra Modi marked the anniversary. The Ministry of Health and Family Welfare released fresh performance figures on cards issued, treatments given and money spent. For exams, the scheme is a fixed favourite for questions on health policy, welfare delivery and Universal Health Coverage.
On 23 September 2026, Ayushman Bharat Pradhan Mantri Jan Arogya Yojana completed eight years of operation. Fresh figures were released to mark the day. Union Health Minister Jagat Prakash Nadda said the scheme has transformed healthcare access for millions and now covers more than half a billion people. Prime Minister Narendra Modi said the scheme was rolled out with the idea that every Indian should get quality and affordable healthcare.
The anniversary fell on 23 September 2026. The scheme itself was launched on 23 September 2018 from Ranchi, the capital of Jharkhand. It is now running in all 36 States and Union Territories of India, which makes it a nationwide programme rather than a regional one.
Publicly funded health insurance in India began in a smaller way with the Rashtriya Swasthya Bima Yojana, launched in 2008 under the Ministry of Labour and Employment, which gave a much smaller cover to BPL families. The National Health Policy of 2017 then recommended a large strategic purchasing model for secondary and tertiary care. Ayushman Bharat followed in 2018 with two pillars — PM-JAY for hospital care and Health and Wellness Centres, now renamed Ayushman Arogya Mandirs, for primary care. The current event continues that line rather than breaking from it.
AB PM-JAY is described as the world's largest government-funded health assurance scheme, because more than 60 crore people are eligible under a single programme. Countries such as the United Kingdom run tax-funded national health services that cover everyone directly, while Thailand and Mexico built large publicly funded insurance models. India's design is different — the government buys care from both public and private hospitals instead of only running its own. India's out-of-pocket health spending remains high compared with developed economies, which is exactly the gap the scheme tries to close.
Core Concept: Universal Health Coverage and Publicly Funded Health Insurance
Q1. On which date was the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana launched? [Easy]
A) 2 October 2014
B) 23 September 2018
C) 1 April 2018
D) 15 August 2019
Answer: B
Explanation: The scheme was launched on 23 September 2018, which is why its eighth anniversary fell on 23 September 2026.
Q2. What is the annual cashless health cover per family under AB PM-JAY? [Easy]
A) 2 lakh rupees
B) 3 lakh rupees
C) 5 lakh rupees
D) 10 lakh rupees
Answer: C
Explanation: Each eligible family gets 5 lakh rupees of cover every year for secondary and tertiary hospital care.
Q3. Which component of Ayushman Bharat is meant for primary healthcare? [Moderate]
A) Ayushman Arogya Mandirs
B) Pradhan Mantri Jan Arogya Yojana
C) Ayushman Bharat Digital Mission
D) PM Ayushman Bharat Health Infrastructure Mission
Answer: A
Explanation: Ayushman Arogya Mandirs, earlier called Health and Wellness Centres, deliver primary care and have recorded more than 500 crore visits.
Q4. How many Ayushman cards had been created by the eighth anniversary of the scheme? [Moderate]
A) 30 crore
B) 41 crore
C) 45 crore
D) 48 crore 54 lakh
Answer: D
Explanation: 48 crore 54 lakh Ayushman cards had been created against an eligible population of more than 60 crore.
Q5. Which ministry is the nodal ministry for AB PM-JAY? [Moderate]
A) Ministry of Labour and Employment
B) Ministry of Health and Family Welfare
C) Ministry of Social Justice and Empowerment
D) Ministry of Women and Child Development
Answer: B
Explanation: The Ministry of Health and Family Welfare is the nodal ministry, and the National Health Authority implements the scheme.
Q6. From which city was AB PM-JAY launched in 2018? [Tricky]
A) New Delhi
B) Varanasi
C) Ranchi
D) Ahmedabad
Answer: C
Explanation: The scheme was launched from Ranchi, the capital of Jharkhand, on 23 September 2018.
Q7. Which statement correctly describes the senior-citizen cover under the scheme? [Tricky]
A) All citizens aged 70 and above are covered irrespective of income
B) Only below-poverty-line citizens aged 70 and above are covered
C) All citizens aged 60 and above are covered irrespective of income
D) Only senior citizens who already held an Ayushman card are covered
Answer: A
Explanation: The cover for citizens aged 70 and above applies regardless of income, and more than 1.36 crore Ayushman Vay Vandana cards have been issued.
Q8. How much has the government spent on hospital treatment under PM-JAY in its first eight years? [Tricky]
A) 20,000 crore rupees
B) 50,000 crore rupees
C) 1 lakh crore rupees
D) More than 2 lakh crore rupees
Answer: D
Explanation: Spending on treatment under the scheme has crossed 2 lakh crore rupees over eight years.
PYQ 1:
Which body implements Ayushman Bharat Pradhan Mantri Jan Arogya Yojana at the national level?
A) NITI Aayog
B) Indian Council of Medical Research
C) National Health Authority
D) Central Bureau of Health Intelligence
Answer: C
Explanation: The National Health Authority is the implementing agency for PM-JAY, working with State Health Agencies.
PYQ 2:
Consider the following statements:
AB PM-JAY provides cashless cover for secondary and tertiary hospital care.
Ayushman Arogya Mandirs were earlier known as Health and Wellness Centres.
AB PM-JAY is funded entirely from premium contributions paid by beneficiary families.
Which of the above statements is/are correct?
A) 1 only
B) 1 and 2 only
C) 2 and 3 only
D) All of the above
Answer: B
Explanation: Statements 1 and 2 are correct. Statement 3 is wrong because the scheme is government-funded and beneficiaries pay no premium.
PYQ 3:
Assertion (A): AB PM-JAY is described as the world's largest government-funded health assurance scheme.
Reason (R): It covers more than 60 crore people, with 5 lakh rupees of cashless cover for each family every year.
A) Both A and R are true, and R is the correct explanation of A
B) Both A and R are true, but R is not the correct explanation of A
C) A is true but R is false
D) A is false but R is true
Answer: A
Explanation: Both statements are correct, and the scale of coverage — more than 60 crore people under one government-funded programme — is exactly what makes the claim true.
Question 1 (150 words): Assess the contribution of Ayushman Bharat PM-JAY to financial protection in Indian healthcare.
AB PM-JAY has become the main shield between an Indian family and a catastrophic hospital bill. In eight years since its launch on 23 September 2018, the scheme has funded around 13 crore cashless treatments and spent more than 2 lakh crore rupees on them. The cover of 5 lakh rupees per family per year is large enough to absorb most secondary and tertiary episodes, and portability across more than 38,000 empanelled hospitals means a migrant worker is not tied to his home district.
The gains are real but uneven. Empanelment is thinner in rural blocks, package rates are contested by private hospitals, and claim scrutiny remains a heavy administrative burden. Financial protection also stops at the hospital door, while a large share of household health spending goes on medicines and outpatient care.
The way forward is to pair the insurance arm with stronger primary care through Ayushman Arogya Mandirs, so that fewer illnesses reach the hospital stage at all.
Question 2 (250 words): Ayushman Bharat is described as India's principal instrument for Universal Health Coverage. Examine this claim in the light of its design, its record over eight years, and the constitutional division of responsibility for health.
Universal Health Coverage asks that every person receive needed care without financial hardship, and Ayushman Bharat is the largest Indian attempt to deliver it. The claim is defensible, but it needs qualification on all three counts.
Constitutionally, public health and hospitals lie with the States, while the Union works through centrally sponsored schemes. Article 47 places a duty on the State to improve public health, and courts have read the right to health into the right to life under Article 21. Ayushman Bharat therefore operates as a Centre-State partnership, with the National Health Authority above and State Health Agencies below. Its reach in all 36 States and Union Territories is an achievement of cooperative federalism rather than of central command alone.
On design, the scheme has two arms. PM-JAY buys secondary and tertiary care for more than 60 crore people, covering 1,961 procedures across 27 specialties. Ayushman Arogya Mandirs carry primary care and have crossed 500 crore visits. Universal Health Coverage needs both, and the primary arm is the weaker half in public attention though the larger half in volume.
On record, the numbers are substantial. 48 crore 54 lakh cards created, around 13 crore cashless treatments, and spending above 2 lakh crore rupees mark real financial protection. Yet eligibility is targeted rather than universal in the strict sense, and outpatient spending stays outside the cover.
The honest conclusion is that Ayushman Bharat is India's principal step towards Universal Health Coverage, not its completion. Widening outpatient and medicine cover is the next logical move.