Parliament Parliament Q&A
AB-PMJAY provides ₹5 lakh annual coverage per family for bottom 40%
The question asked for details on financial disbursements, operational progress, and fraud control measures under the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) for FY 2025-26.
The answer was provided by the Ministry of Health and Family Welfare.
Asked and answered by: Asked by: Shri Rajesh Verma and Dr. D. Purandeswari; Answered by: Ministry of Health and Family Welfare (Minister Shri Jagat Prakash Nadda).
What the government said
- 3.75 crore Ayushman cards created in FY 2025-26.
- 2.74 crore hospital admissions authorized in FY 2025-26.
- 5,074 hospitals empanelled.
- Rs. 8,438.27 crore released to States/UTs in FY 2025-26.
- Funding is demand-driven based on utilization certificates.
- AI/ML-based automated triggers used for fraud detection within 24 hours of claim submission.
- Savings of Rs. 676.14 crore from pre-payment scrutiny as on 31.07.2026.
- 2,359 hospitals de-empanelled and 1,200 suspended as on 31.05.2026.
- 29 FIRs lodged and penalties of Rs. 328.49 crore levied for violations.
Also in the document
- The answer states that the scheme provides cashless coverage of Rs. 5 lakhs per family per year for the bottom 40% of the population.
- The government reports that claims confirmed as fraudulent are not paid, resulting in specific financial savings.
- State-wise data for FY 2025-26 and cumulative data from FY 2018-19 to FY 2026-27 are provided in an annexure.
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The original document
Parliament of India — Questions & Answers (Lok Sabha, starred)
Question to govt · Ref. LS Q287 (Session 8) · 7 Aug 2026
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