Ayushman Asom (MMJAY) Empanelled Hospitals in Guwahati

The Ayushman Asom - Mukhya Mantri Jan Arogya Yojana (AA-MMJAY) is a significant health insurance initiative by the Government of Assam, designed to provide comprehensive healthcare coverage to the state's residents. This scheme functions in convergence with the national Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), extending benefits to a wider population. The primary goal of AA-MMJAY is to offer cashless medical treatment, ensuring that financial constraints do not prevent families from accessing necessary hospital care.

Managed by the Atal Amrit Abhiyan Society, the scheme provides a safety net for eligible families, covering a wide range of medical procedures and hospitalization expenses. Beneficiaries can receive cashless services up to a specified limit per family per year at any of the empanelled public or private hospitals. This initiative aims to reduce out-of-pocket expenditure on health, which is a major cause of financial distress for many households in the region.

For residents of Guwahati, the capital city of Assam, knowing which hospitals are part of this network is crucial for accessing timely care. This page provides a detailed list of government and private hospitals in Guwahati (Kamrup Metropolitan District) that are empanelled under the Ayushman Asom scheme. Additionally, it offers practical guidance on how to utilize the scheme, the documents required, and the steps to take if you encounter any issues at a listed facility.

Government Empanelled Hospitals in Guwahati

• GAUHATI MEDICAL COLLEGE & HOSPITAL — Bhangagarh
• DR. B BOROOAH CANCER INSTITUTE — Gopinath Nagar
• State Cancer Institute Guwahati — Bhangagarh
• Pandu F.R.U hospital — Pandu
• Sonapur District Hospital,Kamrup(M) — Sonapur

Private Empanelled Hospitals in Guwahati

This list is not exhaustive and is subject to change. Hospitals may be added or removed from the empanelment list by the scheme's governing body. Always verify with the hospital or the official Atal Amrit Abhiyan portal before seeking treatment.

• DISPUR POLYCLINIC AND NURSING HOME — Dispur
• NEMCARE HOSPITALS PVT LTD — Bhangagarh
• Swagat super speciality surgical institute Hospital — Titiraguri
• GNRC DISPUR — Dispur
• Arya Hospital — Ulubari
• Apollo Hospitals Guwahati — GS Road
• Down Town Hospital Ltd. — Bormotoria
• Hayat Hospital — Kahilipara
• Marwari Hospitals — Athgaon
• GNRC Hospitals Six Mile — Six Mile
• Health City Hospital, Guwahati — Khanapara
• Sri Sankaradeva Nethralaya — Beltola
• Ayursundra Superspecialty Hospital — Ahom Gaon
• Rahman Hospitals Pvt Ltd — Six Mile
• Pratiksha Rainbow Childrens Hospital — Borbari
• Medicity Guwahati — Hatigaon

Rates shown are as per the Atal Amrit Abhiyan, Government of Assam (2024) and are subject to periodic revision. Always verify the latest approved rates on the official source.

How to Avail Cashless Treatment at Empanelled Hospitals

To receive cashless treatment under the Ayushman Asom scheme, beneficiaries must follow a straightforward process. The first step is to identify an empanelled hospital for the required medical treatment. Upon arrival, you should locate the dedicated Ayushman Mitra help desk, which is present in every networked hospital. These trained personnel are stationed to guide beneficiaries through the entire process.

You will need to present your Ayushman Asom card or the PMJAY e-card to the Ayushman Mitra, along with a valid photo ID like an Aadhaar card. The Mitra will verify your identity and eligibility using a real-time portal. Once the verification is complete and the hospital confirms that the required treatment is covered under the scheme, a pre-authorization request is sent to the insurance company or the trust.

After the pre-authorization is approved, the hospital will proceed with the admission and treatment without charging any money from the patient for covered procedures. The scheme covers expenses related to the hospitalization, including room charges, nursing fees, surgeon's fees, diagnostics, medicines, and consumables. The entire process is designed to be cashless, relieving the patient's family from the burden of arranging funds during a medical emergency.

Eligibility and Required Documents for Ayushman Asom

Eligibility for the Ayushman Asom - Mukhya Mantri Jan Arogya Yojana is primarily linked to the National Food Security Act (NFSA). Families who are holders of an NFSA ration card (also known as AAY or Priority Household cards) are automatically included as beneficiaries under this scheme. This ensures that the benefits reach the most vulnerable sections of the population.

When visiting an empanelled hospital, beneficiaries should carry specific documents to ensure a smooth and quick verification process. While the Ayushman card is the most important document, having supporting identification is also necessary.

• Ayushman Asom Card or PMJAY e-card: This is the primary proof of eligibility.
• Aadhaar Card: Used for biometric verification of the patient at the hospital.
• NFSA Ration Card: As proof of eligibility under the scheme, it's advisable to carry this, especially if there are any discrepancies.
• Mobile Number: A valid mobile number is often required for communication and OTP verification purposes.

Scope of Coverage: What Is and Isn't Included

The Ayushman Asom scheme provides a comprehensive package of benefits, covering over 1,900 medical and surgical procedures. The coverage is extensive and includes most secondary and tertiary care hospitalizations. The key is that the treatment must require admission to the hospital.

The benefit package includes costs associated with the entire duration of hospitalization. This covers doctor's consultation fees, surgical charges, room and board, nursing charges, medicines and drugs, diagnostic tests, and even the cost of implants where necessary. Importantly, the scheme also covers pre-hospitalization expenses for up to 3 days and post-hospitalization expenses, including diagnostics and medicines, for up to 15 days.

However, there are certain exclusions. The scheme does not cover treatments that are typically handled on an Out-Patient Department (OPD) basis. Cosmetic surgeries, non-emergency procedures conducted at non-empanelled hospitals, and treatments for conditions not included in the approved package list are generally not covered. It is always best to confirm with the Ayushman Mitra at the hospital whether the specific treatment you require is covered under the scheme before starting the treatment.

How to Verify a Hospital's Current Empanelment Status

Hospital empanelment lists can change over time as new facilities are added or existing ones are removed. Before proceeding to a hospital, it is wise to verify its current status under the Ayushman Asom scheme. The most reliable source for this information is the official Atal Amrit Abhiyan portal.

The Government of Assam maintains an updated list of all empanelled hospitals on their website. You can visit the official portal and navigate to the section for PMJAY/MMJAY hospitals to view the latest list for your district. This ensures you have the most current information before making a decision.

In addition to checking the online list, it is highly recommended to call the hospital directly. Speak to their reception or the Ayushman Mitra help desk to confirm that they are actively accepting patients under the Ayushman Asom scheme for the specific treatment you need. This simple step can save you time and prevent any confusion upon arrival.

What to Do if an Empanelled Hospital Refuses Cashless Service

Under the rules of the scheme, an empanelled hospital cannot deny cashless treatment to an eligible beneficiary for a covered procedure. If you find yourself in a situation where a listed hospital asks you to pay cash or refuses service, it is important to know the correct steps to take. Do not make any cash payments for services that are supposed to be covered.

Your first point of contact should be the Ayushman Mitra at the hospital. Politely explain the situation and show them your eligibility documents. They are responsible for resolving such issues. If the Ayushman Mitra is unable or unwilling to help, you should immediately escalate the matter.

Every state has a toll-free helpline number for the Ayushman Bharat and state health schemes. You can find this number on the official Atal Amrit Abhiyan website or on your Ayushman card. Call the helpline and report the hospital's name, location, and the details of the issue. A formal complaint will be registered, and the authorities will intervene to resolve the matter. This grievance redressal mechanism is in place to protect the rights of the beneficiaries.

Frequently Asked Questions

What is the difference between Ayushman Asom-MMJAY and Ayushman Bharat-PMJAY?

Ayushman Bharat-PMJAY is a central government scheme, while Ayushman Asom-MMJAY is a state government scheme in Assam. AA-MMJAY expands the coverage to include families with NFSA ration cards who might not be covered under the national scheme's criteria. Both schemes are implemented in Assam by the Atal Amrit Abhiyan Society and offer similar cashless treatment benefits.

Can I use my Ayushman Asom card in a hospital outside Guwahati?

Yes, you can use your card at any hospital empanelled under the scheme anywhere within the state of Assam. For treatment outside Assam, the portability feature of the national Ayushman Bharat PMJAY scheme allows you to receive cashless treatment at any PMJAY-empanelled hospital across India.

Are all medical treatments covered under the Ayushman Asom scheme?

No, the scheme covers a predefined list of over 1,900 medical and surgical packages that require hospitalization. It does not cover outpatient (OPD) consultations or procedures that are primarily cosmetic in nature. You should always confirm with the Ayushman Mitra at the hospital if your required treatment is included in the benefit package.

How can I check if my family is eligible for the Ayushman Asom scheme?

In Assam, eligibility for Ayushman Asom is primarily for families holding a National Food Security Act (NFSA) ration card. You can verify your eligibility status by visiting the official PMJAY or Atal Amrit Abhiyan website and using your ration card number or by visiting a nearby government-approved service centre.

What should I do in a medical emergency if I cannot reach an empanelled hospital?

The Ayushman Asom scheme is designed to provide cashless treatment exclusively at empanelled hospitals. In an emergency, the priority is to get the patient to the nearest medical facility. However, treatment at a non-empanelled hospital is generally not covered, and you may have to bear the costs yourself as reimbursement options are typically not available.

Is there any cost for getting an Ayushman Asom card?

The issuance of the Ayushman e-card is generally free of cost at government-designated centres and during special enrollment drives. While some private centres may charge a nominal fee for printing the PVC card, the initial generation of the e-card is intended to be free for all beneficiaries.

Related

• Atal Amrit Abhiyan in Assam: eligibility and how to enrol
• Government hospital OPD appointment guides in Assam
• Mukhyamantri Swasthya Bima Yojana: which state scheme is it?

Medical Disclaimer

The information provided in this article is for general informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.