Hospitals confused over Covid-19 claims with no defined package under PMJAY

Centre had said PMJAY would cover Covid-19, but had left it to states to formulate their own packages. Most hospitals are regarding patients as respiratory failure cases for insurance purposes

Even after almost two months of lockdown, many states do not have defined insurance packages to treat Covid-19 under the government’s mass health insurance scheme, Pradhan Mantri Jan Arogya Yojna (PMJAY).

Treatment for Covid-19 is free in government hospitals. However, hospitals, particularly private ones, are finding it difficult to process the treatment claims under PMJAY as there are no defined packages. Most hospitals are blocking Covid1-19 patients as respiratory failure cases.  

In March-end, the Centre had announced that PMJAY would cover the cost of Covid-19 treatment, and had left it to the state governments to formulate their own packages. PMJAY