Madhya Pradesh Ayushman Bharat Niramayam + State Top-Up
State-notified public health assurance program providing cashless medical treatment across Madhya Pradesh.
Sum Insured / Cover
₹5 Lakh + ₹5 Lakh State Critical Top-Up
Annual Premium
100% Free / Subsidized by State
Claim Settlement
98.2% (Direct Cashless)
Network / Scope
1,200 Empaneled
✦ Key Benefits & Policy Coverage
Integrated AB-PMJAY with additional ₹5 Lakh state discretionary top-up for expensive oncology and neurosurgery procedures.
What is Missing: Critical Policy Exclusions & Limitations
Eligo disclosure: Private insurance agents and official ads rarely mention these limitations. Verify before relying on this coverage.
State top-up requires State Illness Assistance Fund (RCMS) approval from Collector/CMHO.
✦ Eligibility Requirements
BPL ration card holders, Sambal card holders, and registered construction workers in Madhya Pradesh.
✦ Application, Enrollment & Claims Process
1. Verify family eligibility on state food security or health portal.
2. Obtain state health smart card or link Aadhaar at local CSC.
3. Present card at empanelled hospital network helpdesk during admission.Official Portal
Official Government / PSU Portal
Apply or verify on the official administrative domain
✦ Documents Checklist
Aadhaar Card, State Ration Card / Jan Aadhaar / Parivar Pehchan Patra, Domicile certificate, Mobile number.
✦ Life Situations Where This Scheme Helps
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Having a Baby & Early Childhood
Government financial assistance, healthcare, nutritional support, and savings schemes for expecting mothers, newborns, and infants.
Health Emergency & Medical Care
Cashless hospital treatment up to ₹5 Lakh, free essential medicines, diagnostic services, and critical illness financial support.
Senior Citizens & Retirement Care
Guaranteed pension schemes, free assisted living devices, subsidized healthcare, and geriatric welfare for elderly citizens.
Underwriting Entity & Public Grievance Contact
Administering Body:
Government of India