PMJAY (Pradhan Mantri Jan Arogya Yojana) is a government healthcare scheme in India aimed at providing financial protection to poor and vulnerable families against hospitalization expenses. The services covered under PMJAY include:
1. Hospitalization expenses: Coverage for medical and surgical procedures, including pre and post-hospitalization expenses, up to a specified limit.
2. Secondary and tertiary care: Access to secondary and tertiary healthcare services for a wide range of medical conditions, including critical illnesses.
3. Diagnostic services: Coverage for diagnostic tests and procedures essential for the diagnosis and management of medical conditions.
4. Medications and consumables: Provision of essential medications, medical supplies, and consumables required during hospitalization.
5. Consultation fees: Coverage for fees associated with consultations with healthcare providers, including specialists and surgeons.
6. Transportation expenses: Reimbursement or provision of transportation expenses incurred for hospitalization, including ambulance services.
7. Follow-up care: Coverage for follow-up consultations, medications, and diagnostic tests post-hospitalization, as deemed necessary by healthcare providers.
8. Package rates: Services are provided based on predefined package rates for different medical procedures and treatments, ensuring transparency and standardization of costs.
It's important to note that the specific services covered under PMJAY may vary slightly depending on the state or region in India and updates to the scheme's guidelines.