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Ayushman CAPF Scheme (आयुष्मान भारत योजना) – Login, Benefits, Hospital List, pmjay.gov.in

Complete Information of ayushman bharat capf login 2023, ayushman capf scheme benefits, ayushman capf in hindi, ayushman capf card download, capf ayushman card status check 2022-23, ayushman capf scheme full form, ayushman capf card apply online 2023, capf ayushman bharat hospital list, pmjay capf

Complete-Information-of-Ayushman-CAPF-Scheme

Dear readers, the Ayushman (आयुष्मान) CAPF is a joint initiative by the Ministry of Home Affairs and the National Health Authority, which will provide cashless healthcare services to CAPF staff/personnel working from all seven forces, ie. Assam Rifles, BSF, CISF, CRPF, ITBP, NSG, SSB, and their families through the Ayushman Bharat PM-JAY IT platform.

Ayushman CAPF was launched on January 23, 2021, by the Honorable Minister of Home Affairs of the Federation from Guwahati, Assam. Health facilities under the scheme will be available in all CGHS and PM-JAY private hospitals in a phased manner.

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Post of Contents

  • About Ayushman CAPF in Details
    • Ayushman CAPF Eligibility
    • Key Features of Ayushman CAPF
    • How to Avail Cashless Benefits under Ayushman CAPF
    • CGHS & CAPF
  • Status of Ayushman CAPFs Health Card Distribution 2023
    • Contact or Helpline from Ayushman CAPF
      • Resources:
      • Quick Links:
    • Frequently Asked Questions – Ayushman (आयुष्मान) CAPF Scheme

About Ayushman CAPF in Details

The scheme is a joint initiative between the Ministry of home affairs and the National Health Authority. The purpose of the scheme is to provide cashless health services to CAPF employees and their families using the Ayushman Bharat PM-JAY IT platform. The “Ayushman CAPF” scheme was launched on January 23, 2021, in Assam and will be implemented across the country in a phased manner.

About-Ayushman-CAPF

The convergence of Ayushman Bharat and CAPF is the first initiative of its kind to capitalize on the strengths of the current robust IT framework, access to a network of various private hospitals, and the potential to move services across the country. This initiative will help move away from any manual, paper-based process of leveraging healthcare benefits by CAPF employees and their families to a paperless service on the NHA’s IT platform.

In addition, the 24/7 call center, online complaints management system, fraud, and abuse monitoring system, and real-time monitoring dashboards are other key features of the scheme.

Ayushman CAPF Eligibility

Service personnel and their families of Assam Rifles, Border Security Force (BSF), Sashastra Seema Bal (SSB), Central Reserve Police Force (CRPF), Central Industrial Security Force (CISF), National Security Guard (NSG), and Indo-Tibetan Border Police (ITBP) under the scheme.

Ayushman-CAPF-Scheme-ayushmancapf

Here’s everything you need to know about the Ayushman CAPF Scheme:

  • The plan is a joint initiative between the Ministry of home affairs and the National Health Authority. The purpose of the scheme is to provide cashless health services to CAPF employees and their families using the Ayushman Bharat PM-JAY IT platform.
  • A distinguishing feature of the scheme is that it will shift from the manual, paper-based process of leveraging healthcare benefits to a paperless service on MHA’s IT platform.
  • There will also be a 24/7 call center, online complaints management system, fraud and abuse monitoring system, and real-time monitoring dashboards.
  • Beneficiaries of the scheme or program can collect the Ayushman CAPF electronic card from the respective forces. This card will be activated in private hospitals that have been activated using a copy of the service ID and Aadhaar or any other photo ID approved by the government.
  • The electronic card can also be obtained from Pradhan Mantri Aarogya Mitra (PMAM) stationed at Private PM-JAY Hospital using the same documents.

Key Features of Ayushman CAPF

  • Onboarding all CGHS empaneled Health Care
  • Organizations (HCOs) on the NHA IT platform
  • Transfer of paper-based processes to online workflows​
  • Paperless verification of beneficiaries
  • Referral mechanism
  • Claim processing (intimation, submission, scrutiny, and approval/rejection of claims)
  • Online transfer of payments
  • One-time e-KYC authentication on Beneficiary Identification System (BIS)
  • Seamless access for serving personnel and their dependents to healthcare services​
  • Cashless & paperless treatment and diagnostics facilities at the empaneled HCOs upon referral from the CAPF / government Hospitals / CGHS wellness center
  • Health Benefits Packages (HBP) offer more than 1853 procedures across 45 specialties
  • Less waiting time for availing healthcare services​
ayushman-capf-in-assam

How to Avail Cashless Benefits under Ayushman CAPF

Get the Ayushman CAPF Card

  • Beneficiaries can collect the Ayushman CAPF e-card from the respective forces. The card may be activated in an empaneled private hospital, after authentication using a copy of the Force and Aadhaar ID or a government photo ID.
  • Alternatively, the Ayushman CAPF e-card can be obtained from Pradhan Mantri Aarogya Mitra (PMAM) stationed at PM-JAY Empaneled Private Hospital upon submission of the above documents.

Benefit from cashless medical treatment

  • A recipient may benefit from medical treatment at CAPF or government-owned facilities free of charge, as per current guidelines.
  • CAPF or government-owned facilities may refer the beneficiary to CGHS and PM-JAY private hospitals where the recipient can benefit from cashless outpatient / IPD treatment, including diagnoses at CGHS or CAPF private hospitals. In addition, beneficiaries can provide cashless IPD treatment at PM-JAY’s other private hospitals. The beneficiary will be required to register with the hospital using an activated Ayushman CAPF / ID card.

Payment of self-pay medical treatment costs

  • The beneficiary may receive payment in the following scenarios: (1) Self-paying services available at CAPF or government-owned facilities (diagnostics, implants, medications, etc.) (2) Self-paying services available in non-affiliated hospitals, in an emergency situation.
  • To submit a claims reimbursement claim, the beneficiary can log into the website (https://tms.pmjay.gov.in/) using the Ayushman CAPF ID. The beneficiary will be required to provide the required details and upload relevant documents such as prescriptions, referrals, bills, etc. Upon approval, payment will be made to CAPF employees’ bank accounts through UPI, in accordance with the applicable rates.
#HCO TypeReferral required?Services
(As available)
ModeGuidelines/ Rates
1Public HCOs, including MHA and CAPF-owned facilitiesNoOPD / IPDFree services–
OtherSelf-paid(later claim ‘Reimbursement’)CGHS
2Private HCOs empanelled under CGHSYes*OPD/IPD/ DiagnosticsCashlessCGHS
OtherSelf-paid(later claim ‘Reimbursement’)CGHS
3Private HCOs NOT empanelled under CGHS or under AB PM-JAYOnly in Emergency CasesAllSelf-paid(later claim ‘Reimbursement’)CGHS

CGHS & CAPF

LIST OF CGHS EMPANELED PRIVATE HCPs IN ASSAM

Hospital NameDistrictCity/TownAddressPincode
ASG Eye CareKamrup MetroGuwahatiNear Pantaloon Downtown, G.S Road781005
Downtown HospitalKamrup MetroKamrup MetroG.S Road Guwahati 781006781006
Hayat HospitalKamrup MetroKahilipara Road,Lalganesh, Odalbakra, Guwahati781034
Marwari HospitalsKamrup MetroGuwahatiSati Joymoti Road, Aathgaon781008
Narayana Superspeciality HospitalKamrup MetroGuwahatiTularam Bafna, Civil Hospital Complex, Amingoan Guwahati, Assam781031
Ultracare Diagnostic CentreKamrupGuwahatiBeltola Branch,Survey,Guwahati781028
SRL DiagnosticsKamrupGuwahatiSRL Limited, Near Ulubari Flyover, G.S.Road, Ulubari, Guwahati781007
Ils Hospitals AgartalaWest TripuraAgartalaNew Secretariat, Capital Complex
Woodland HospitalEast Khasi HillsShillongWoodland Hospital
Bansara Eye Care HospitalEast Khasi HillsShillongLady Veronica Path, Laitumkhrah

LIST OF CAPF EMPANELED PRIVATE HCPs IN ASSAM

Hospital NameDistrictCity/TownAddressPincode
Aditya Diagnostic & HospitalDibrugarhDibrugarhAmc Road Near Gautam Bazar, Dibrugarh781005
J.J. Memorial Diagnostics & Hospitals Pvt LtdDibrugarhDibrugarhL.G.B Avenue Opposite Polo Ground, Dibrugarh786001
Gnrc DispurKamrup MetroGuwahatiRukminigaon Dispur Secretariat781006
Lower Assam Hospital & Research CentreBongaigaonBongaigaonNorth Bongaigaon783380
Health City Hospital, Guwahati (A Unit Of North East Health City Pvt. Ltd)Kamrup MetroGuwahatiUday Nagar Opp. Bodoland Guest House, Khanapara781022
Dr. Damani Nursing HomeDibrugarhDibrugarhL.G.B Avenue Near Circuit House, Gangapara786001
Sristhi Nursing Home (CISF/ Non-CGHS)DibrugarhDibrugarhPaltan Bazaar, Dibrugarh, Assam786001
ayushman-capf-login

pmjay gov in login process please visit on the official website – https://tms.pmjay.gov.in/OneTMS/loginnew.htm

Status of Ayushman CAPFs Health Card Distribution 2023

CAPFTotal number of BeneficiariesHealth Cards Distributed
NSG3297213632
Assam Rifles235132233419
ITBP333243311827
SSB254573253430
CISF466927466775
BSF10489281002979
CRPF11869981159291
Total35587733441353

Contact or Helpline from Ayushman CAPF

National Health Authority

  • Address: 9th Floor, Tower-l, Jeevan Bharati Building, Connaught Place, New Delhi – 110001
  • Phone Number: 14588
  • Website: https://pmjay.gov.in/

Resources:

  1. Ayushman CAPF Brochure – English
  2. Ayushman CAPF Brochure – Hindi
  3. Ayushman CAPF – Manuals
    • Ayushman CAPF BIS User Manual
    • Ayushman CAPF TMS User Manual
    • Ayushman CAPF Reimbursement User Manual
  4. Ayushman CAPF Launch video
  5. CEO presentation on Ayushman CAPF

Quick Links:

Mera PMJAY

BIS

Hospital Empanelment

Support

Insights

Cyber Suraksha Dishaanirdesh

CAPF Reimbursement login

Covid Vaccine Payment

Download Duplicate Online Cowin Forms

Important Links

Official WebsiteClick Here
AB PM-JAYClick Here
ResourcesClick Here
HospitalsClick Here
Beneficiary View/Upload photoClick Here
Transaction Management System/ Claim processingClick Here
Transaction Management System/Reimbursement PortalClick Here
Grievance PortalClick Here
Ayushman CAPF FAQsClick Here

Frequently Asked Questions – Ayushman (आयुष्मान) CAPF Scheme

What is Ayushman CAPF?

Ayushman CAPF is a convergence scheme that is implemented on the Ayushman Bharat PM-JAY IT platform. This scheme began to provide non-cash or reimbursable healthcare services to serve individuals from all seven CAPFs and their dependent family members.

When is Ayushman CAPF released?

Ayushman CAPF was launched in Assam on January 23, 2021. The scheme will be rolled out across the country in a phased manner. After the implementation of the program begins across India, the benefits provided in the scheme can be availed of in all CGHS and PM-JAY-equipped hospitals in the country.

Who can benefit from this scheme?

All officials/working individuals and their families are from Seven Powers, viz. Assam Rifles, Border Security Force ( BSF), Sashastra Seema Bal (SSB), Central Reserve Police Force (CRPF), Central Industrial Security Force (CISF), National Security Guard (NSG), and Indo-Tibetan Border Police (ITBP) will be covered Under the scheme.

Where can I get the Ayushman CAPF Card?

Ayushman CAPF Cards will be made available to all recipients in their forces/units. The card may be activated in a private hospital after authentication. Alternatively, the Ayushman CAPF electronic card can be obtained from an accredited private hospital. A copy of the force’s ID and Aadhaar card or government-approved photo ID is required for authentication.

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January 16, 2023 by admin Government process Sarkari Yojana 2023 0

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