PMJAY Beneficiary
Complete guide for PM-JAY beneficiaries - Know your rights, benefits, and how to access services
A PMJAY beneficiary (Pradhan Mantri Jan Arogya Yojana beneficiary) is a person whose family is identified in the Socio-Economic Caste Census (SECC) 2011 database as economically vulnerable and eligible for free health coverage under the PM-JAY scheme.
Beneficiaries are entitled to ₹5 lakh annual health coverage per family for cashless treatment at over 27,000 empanelled hospitals across India. The scheme covers approximately 50 crore beneficiaries from 10.74 crore families, making it the world's largest health insurance program.
50 Crore+
Total Beneficiaries
₹5 Lakh
Coverage Per Family
27,000+
Empanelled Hospitals
Beneficiary eligibility is determined by the SECC 2011 database. Families meeting the following criteria are eligible beneficiaries:
Rural Beneficiaries (Deprivation Criteria)
- • Households with only one room, kutcha walls and roof
- • No adult member between age 16 to 59 years
- • Female-headed households with no adult male
- • Households with disabled member and no able-bodied adult
- • Scheduled Caste/Scheduled Tribe households
- • Landless households deriving income from manual labor
Urban Beneficiaries (Occupational Criteria)
- • Rag pickers, beggars, domestic workers
- • Street vendors, cobblers, hawkers
- • Construction workers, plumbers, masons, painters
- • Transport workers, drivers, rickshaw pullers
- • Mechanics, electricians, repair workers
- • Washermen, sweepers, sanitation workers, gardeners
Check Beneficiary Status: Visit beneficiary.nha.gov.in to verify if you're a PMJAY beneficiary.
Right to Free Treatment
Cashless treatment at all empanelled hospitals
Right to ₹5 Lakh Coverage
Annual health coverage for entire family
Right to Choose Hospital
Treatment at any empanelled hospital nationwide
Right to Non-Denial
Cannot be denied treatment if eligible
Right to Respectful Treatment
Dignified treatment by hospital staff
Right to Complaint
File complaints for denial or poor service
Right to Information
Access to treatment details and coverage info
Right to Portability
Use card in any state across India
💰 ₹5 Lakh Annual Health Coverage
Beneficiaries get ₹5 lakh health coverage per family per year for hospitalization expenses. This covers all major surgeries, treatments, and medical procedures.
🏥 Cashless Treatment at 27,000+ Hospitals
Beneficiaries receive cashless treatment at all empanelled hospitals. No payment required - hospital directly settles bills with National Health Authority.
📋 1,949+ Treatment Packages Covered
Beneficiaries are covered for all major diseases including cancer, cardiac surgeries, kidney transplant, neurological procedures, maternity care, and more.
🌍 Nationwide Portability
Beneficiaries can use their card at any empanelled hospital across India. Treatment available in any state, not just where card was issued.
👨👩👧👦 Entire Family Covered
All family members (up to 5) covered under single beneficiary card. ₹5 lakh coverage is shared among all family members.
🔄 Pre-existing Conditions Covered
Beneficiaries with pre-existing diseases are covered from day one with no waiting period. Chronic conditions fully covered.
Beneficiaries can access the NHA Beneficiary Portal at beneficiary.nha.gov.in for online services:
Check Beneficiary Status
Verify if you're a PMJAY beneficiary
Download Beneficiary Card
Get your card PDF instantly
View Family Members
See all beneficiaries in your family
Find Empanelled Hospitals
Locate hospitals near you
Transaction History
View past hospitalizations
Coverage Balance
Check remaining coverage
Check Your Eligibility
Visit beneficiary.nha.gov.in and verify if your family is in the SECC 2011 database. Enter your mobile number, Aadhaar, or ration card details to check beneficiary status instantly.
Understand Your Beneficiary Status
If eligible, you'll see your family details and beneficiary status. Note your Health Account Number and list of family members covered under the scheme.
Get Your Beneficiary Card
Visit nearest CSC center or empanelled hospital with Aadhaar card. Complete biometric verification to generate your Ayushman card. The card will be issued immediately.
Access Beneficiary Portal
Register on beneficiary.nha.gov.in using your mobile number. Access online services including card download, hospital search, and transaction history.
Use Your Beneficiary Benefits
Visit any empanelled hospital when needed, show your card at Ayushman Mitra desk, complete biometric verification, and receive cashless treatment under your ₹5 lakh coverage.
Important Information for PMJAY Beneficiaries
- • Beneficiary status is based on SECC 2011 database - cannot be changed
- • All beneficiary services are 100% FREE - never pay for checking or card
- • Beneficiaries can use card at any empanelled hospital nationwide
- • Treatment is completely cashless - no payment at hospital
- • Beneficiaries have right to file complaints for denial of service
- • ₹5 lakh coverage is per family per year, not per beneficiary
- • Beneficiaries can check status anytime at beneficiary.nha.gov.in
PM-JAY Toll-Free Helpline: 14555
Timing: Monday to Saturday, 9:00 AM to 6:00 PM
Email: support@pmjay.gov.in
Beneficiary Portal: beneficiary.nha.gov.in
For queries about beneficiary status, eligibility, card generation, or any issues, contact the helpline or visit the beneficiary portal.