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Modicare a hoax, excludes outpatient care: Congress

IANS  |  New Delhi 

The on Saturday said the much publicised Ayushman Bharat scheme, also known as Modicare, was a "jumla" (hoax) as it excludes outpatient treatment, which constitutes 87 per cent of patients.

"The claim that 'Modicare' has provided each household of Rs 5 lakh is a huge fraud. The cheapest equivalent private sector plan in the market for a family headed by a 30-year old costs Rs 5,252 per year," said.

He said most plans are in the Rs 10,000-15,000 range, but Pradhan Mantri (PMJAY) claims to provide the same for Rs 1,100, with a central contribution of Rs 660.

"In Chhattisgarh, the calculated that the Rs 1,100 premium is enough to cover only Rs 50,000 and made for only Rs 50,000

"All claims above Rs 50,000 and Rs 5 lakh are paid by the state insurance trust, the Mukhyamantri Sanjeevani Sahayata Kosh Yojana, to which the central government contributes no money," Ramesh said.

"The calculates the actual cost of providing Rs 5 lakh cover as Rs 2,000 per year. The claim that 'Modicare' is giving Rs 5 lakh of insurance to the people is a 'classic jumla'," he said.

He said patients will not have access to adequate under PMJAY because it excludes outpatient treatment.

"Outpatient treatment is a serious financial burden that accounted for 63 per cent of the Rs 4,955 spent by households out of their pockets on in 2014. The Modi government's lack of focus on primary reflects in its spending priorities.

"Under the National Mission, 1.5 lakh primary centres and sub-centres are to be upgraded into Health and Wellness Centres. But measly budget allocations of Rs 1,200 crore in 2018-19 and Rs 1,600 crore in 2019-20 show a lack of intent," he said.



(This story has not been edited by Business Standard staff and is auto-generated from a syndicated feed.)

First Published: Sat, March 16 2019. 22:28 IST