For supporting people below poverty line in terms of healthcare, Modi Government’s ambitious health-care scheme, Ayushman India, will need Rs 20,000 Crore in the first year. In the coming years, if the coverage increases, it may require a sum of Rs 50,000 Crore. A senior General Insurance Company official said, “Based on the experience, there will be a change in the price of the scheme with the maturity level.”
He said, “Initially, the premium can be of Rs 2,000 per family annually for this scheme, which can reach up to Rs 5,000 for a long period.” They say that the government wants to cover the existing diseases also. Therefore the premium can be higher. When the policyholder does not have any disease, then insurance companies provide a policy with low premiums.
The cabinet approved the Ayushman India. Under the scheme, the government has planned to provide health care to 100 Million poor families. If it is implemented then it will be the biggest scheme of this kind in the world. Under the 10-Year-old Rashtriya Swasthya Bima Yojana (RSBY), 30 Million families of below the poverty line were benefitted. These figures differ state-to-state.
Another expert said, “If only one premium is kept for all the states, then some states will pay more while some will pay less.” He said, setting a premium will create a cross-subsidy condition.” If maternity, pre-existing diseases are covered and the condition of the waiting period is withdrawn then the government will have to pay more premiums to insurance companies.
Many states are already running health insurance schemes such as Aarogyasriin Andhra Pradesh, Jharkhand and Uttarakhand, Comprehensive Health Insurance Scheme in Kerala, Biju Krushak Kalyan Yojana in Odisha, and Mukhyamantri Swasthya Bima Yojana in Jharkhand & Uttarakhand.