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Health Insurance and Ayushman Bharat

Employer, Government and Social Insurance

Government employees have CGHS, formal-sector workers ESIC, and many firms give group cover, while informal workers rely on public schemes or nothing.

A patchwork.

CGHS

The Central Government Health Scheme covers central government employees and pensioners.

ESIC

The Employees’ State Insurance Corporation covers lower-income formal-sector workers.

Group cover

Employers buy group policies, but coverage ends when the job does.

Gaps

The informal sector and the middle ‘missing middle’ remain under-covered.

A job change

An employee loses health cover when she quits and must buy her own.

Assuming employer cover is enough

It ends with employment.

Key takeaways
  • CGHS covers central employees.
  • ESIC covers some workers.
  • Group cover is tied to jobs.
  • The missing middle lacks cover.
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