Ayushman Card (AB-PMJAY)New Update: Free Treatment for 112 Diseases will Not be Available in Private Hospitals

If you are an Ayushman card holder, there is important update for you. A major change is going to be made to the rules of the Union Government’s ambitious ‘Ayushman Bharat Pradhan Mantri Jan Arogya Yojana’ (AB-PMJAY). From now on, 112 packages related to various diseases and surgeries will be reserved exclusively for government hospitals, and these packages will be removed from the list of private hospitals. This decision will directly impact beneficiaries who were previously able to get free treatment for these conditions at private facilities.

The National Health Authority (NHA) has sent a letter to all states proposing to implement this rule uniformly across the country starting December 1, 2026. Currently, the State Health Authorities (SHAs) are assessing the availability of doctors, capacity, and necessary resources in government hospitals.

AB-PMJAY Free Treatment for 112 Diseases will Not Be Available in Private Hospitals

According to the new arrangements by the NHA, beneficiaries of Ayushman Card holder will no longer be able to get free treatment for these 112 conditions in any private hospital and will have to visit government hospitals instead. The new list includes major treatments related to gynecology, general surgery, psychiatry, general medicine, orthopedics, ENT (ear, nose, and throat), and ophthalmology—covering everything from daycare procedures to major surgeries.

It is worth noting that the Ayushman Bharat Yojana already had a provision reserving certain treatment packages for government hospitals, but its scope has now been significantly expanded. Until now, only 23 treatment packages were reserved for government hospitals under this scheme. With this new decision, 89 additional packages have been added, bringing the total to 112 packages that will now be handled exclusively by government hospitals.

112 Packages Related to Diseases and Surgeries Reserved for Government Hospitals

From now on, only government hospitals will cover free treatment for the following conditions under the scheme:

• Eye Diseases: Cataract and glaucoma surgery.
• Stomach and Liver Diseases: Alcohol-related liver disease, hepatitis, pancreatitis, and diarrhea.
• Surgery and Others: Fistula, cysts (nodules), biopsies, and severe anemia.
• Women-Related Diseases: High-risk delivery, hysterectomy, and Medical Termination of Pregnancy (MTP).
• Respiratory and Infectious Diseases: Malaria, chikungunya, and acute bronchitis.
• Mental Health: Stress management, anxiety, mood disorders, ADHD, and other mental health conditions.

The government’s main objective behind this move is to reduce heavy expenditure on private hospitals and strengthen the healthcare system in government facilities.

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