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Health Insurance and Ayushman Bharat

Gaps and Criticisms

Awareness, uneven state adoption, claim delays and financial protection gaps for outpatient costs limit the scheme's impact.

Where it falls short.

Awareness

Many eligible families do not know their entitlements.

Outpatient care

Medicines and diagnostics, a big part of spending, aren’t covered.

State differences

Some states run their own bigger schemes; a few opted out.

Evidence

Studies find mixed impact on reducing out-of-pocket spending.

A pharmacy bill

A family covered for hospitalisation still pays for months of medicines at home.

Judging success only by cards issued

Actual use and protection matter.

Key takeaways
  • Awareness is limited.
  • Outpatient costs remain.
  • States differ.
  • Evidence on impact is mixed.
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