Central Government Health Scheme (CGHS) and Rashtriya Swasthya Bima Yojana (RSBY)

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GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA

UNSTARRED QUESTION NO: 142
ANSWERED ON: 21.06.2019

CGHS and RSBY

Rajiv Pratap Rudy
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether the Central Government Health Scheme (CGHS) and Rashtriya Swasthya Bima Yojana (RSBY) has been effective in reducing the burden of out-ofpocket spending of poor households;

(b) if so, the details thereof, if not, the reasons therefor;

(c) the total number of beneficiaries under CGHS and RSBY during the last four years, year-wise and State-wise; and

(d) the total funds allocated under the CGHS and RSBY to the beneficiaries in the country, State/UT-wise particularly in Bihar?
ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE
(SHRI ASHWINI KUMAR CHOUBEY)

(a) & (b): Central Government Health Scheme (CGHS) is a contributory scheme primarily of Central Government Employees and Pensioners. CGHS subscribers are provided health facilities including OPD, medicines, reimbursement of expenditure incurred on hospitalization etc. On the other hand, Rashtriya Swasthya Bima Yojana (RSBY), which has now been subsumed in Ayushman Bharat-PMJAY, provided hospitalization cover of upto Rs. 30,000/- per Annum (on family floater basis) to upto 5 members of BPL and 11 other categories of unorganized workers’ families. No assessment to measure reduction in out of pocket spending of poor households by RSBY has been done by the Government. 

(c): The number of CGHS beneficiaries during last four years is at Annexure-I. The total number of enrolled families under RSBY during the last four years year- wise and State-wise is at Annexure-II.

(d): Details of Funds allocated to CGHS Cities including CGHS, Patna, are at Annexure-III. There is no beneficiary wise allocation of Funds under RSBY by the Central Government. The details of funds released under RSBY State/ UT wise is at Annexure IV. No amount was released to Bihar during last four years.


Annexure-I  
  
City NameAs on 31-03-2016As on 31-03-2017As on 31-03-2018As on 31-03-2019
AGARTALA464918304367
AHMEDABAD & GANDHINAGAR 42151 47418 53188 60101
AIZAWAL252649572
AMBALA22210
BENGALURU101319106342111942119140
BERHAMPUR2224
BHOPAL11503132391481016351
BHUBANESHWAR15895173591922921966
CHANDIGARH24896275883037533556
CHENNAI94193100424108371115461
CUTTACK293335306
DEHRADUN17870217672477129618
DELHI AND NCR1349104145596915547861665908
GANGTOK171941163
GAYA0022
GOA44547923152
GUNTUR22238
GUWAHATI36812402084376249483
HYDERABAD157044167698177570187989
IMPHAL68828152385
INDORE893142618172481
JABALPUR74262789568286986467
JAIPUR43364481205263257908
JALANDHAR25283448
JALPAIGURI00012
JAMMU1442202030405889
KANPUR70331756087973684377
KOLKATA123256133265144197155017
LUCKNOW55232596276426670093
MEERUT35331373343952742090
MORADABAD3333
MUMBAI139473150389167429184138
NAGPUR70487736737653579432
NELLORE161618134
PATNA35164378824114044955
PONDICHERRY154117316342026
PRAYAGRAJ51441539475644359305
PUNE96957103550109327115826
RAIPUR1751946791037
RAJAHMUNDRY14141515
RANCHI12349136881508216779
SHILLONG12340143271696419760
SHIMLA387165020862948
SILIGURI00023
TIRUNELVELI881010
TRICHY331377420472
TRIVANDRUM32248346873725639662
VADODARA00133
VARANASI6490122366
VIJYAWADA242628123
VISAKHAPATNAM338964371347717205
TOTAL2710182292679631491613399206


Annexure II   
RSBY Schem e: Statewise Status for the last four years
S.No.State
No. of Enrolled Families
Year2015-162016-172017-182018-19
1Assam142110414211041421104*
2Bihar689914470284097028409*
3Chhattisgarh3442749414622741462274146227
4Gujarat1876628269149726914972691497
5Haryana437850***
6Himachal Pradesh480588480588480588480588
7Jharkhand1682894***
8Karnataka6731881620662062066206206620
9Kerala2021572206095320444172044417
10Manipur70925709257092570925
11Meghalaya256138256138130516130516
12Mizoram152983194886194886194886
13Nagaland*255314233328233328
14Orissa4462959446295944629594462959
15Punjab232352***
16Rajasthan2769097***
17Tripura492022481331481331481331
18Uttar Pradesh285229***
19Uttarakhand1464242285229**
20West Bengal6150716629044662904466290446
Grand Total41331073363326263588325327433740
 * States not implementing RSBY during the period. 

Annexure III
     
Funds Allocated to CGHS Cities for the year 2019-20
  CGHS City  STATE( Rs. in Thousand)
1AHEMDABADGUJARAT630994
 2 ALLAHABAD UTTAR PRADESH 585699
3BANGALOREKARNATAKA1340889
 4 BHOPAL MADHYA PRADESH 229998
5BHUBANESWARORRISA269871
6CHANDIGARHCHANDIGARH419711
7CHENNAITAMIL NADU1365202
8DEHRADUNUTTRAKHAND424642
9GUWAHATIASSAM251698
 10 HYDERABADTELANGNA & ANDHRA PRADESH 1749372
 11 JABALPUR MADHYA PRADESH 699188
12JAIPURRAJASTHAN955593
13KANPURUTTAR PRADESH845071
14KOLKATAWEST BENGAL2100954
 15 LUCKNOW UTTAR PRADESH 924927
 16 MEERUT UTTAR PRADESH 645765
17MUMBAIMAHARASHTRA1808931
18NAGPURMAHARASHTRA985104
19PATNABIHAR479401
20PUNEMAHARASHTRA1105580
21RANCHIJHARKHAND157935
22SHILLONGMEGHALAYA90851
23THIRUVANTHAPURAMKERALA528490
24Delhi & NCRDelhi18174458

  Annexure-IV
   
RSBY Scheme: Statewise fund release Status for the last four years
Amount released in Financial Year (Rs. In Crore)
Sr. No.Name of State2015-162016-172017-182018-19
1Assam23.2454.720.000.00
2Chhattisgarh88.77114.09171.380.00
3Gujarat74.2422.3415.0731.55
4Haryana4.670.600.000.00
5Himachal Pradesh13.9012.306.150.00
6Karnataka94.9945.897.3921.93
7Kerala112.3773.2977.5386.90
8Madhya Pradesh1.000.000.000.00
9Manipur1.172.200.000.00
10Meghalaya4.104.100.0011.08
11Mizoram9.4314.1312.965.48
12Nagaland0.000.004.870.00
13Odisha59.5531.7055.7555.76
14Puducherry0.170.000.000.00
15Punjab2.800.000.000.00
16Rajasthan53.570.000.000.00
17Tripura15.6410.830.040.00
18Uttar Pradesh11.910.000.000.00
19Uttarakhand10.200.009.150.00
20West Bengal93.3850.4795.019.73
Grand Total675.10436.66455.30222.42

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