Archive · 26 Dec 2025
Ayushman Bharat: Payment Delays and Successes
A man named Ram Kumar went to the Punjab and Haryana High Court because the government is taking too long to pay hospitals that treat people under the Ayushman Bharat health scheme.
This scheme helps people get medical treatment without paying money upfront, up to ₹5 lakh per family every year.
The court has asked the government to explain why they are delaying payments and will hear the case again in January 2026.
Meanwhile, Uttar Pradesh has been very successful in implementing the scheme.
They have made payments quickly, treated many serious illnesses, and solved most complaints.
The central government has recognized Uttar Pradesh for its excellent work.
Punjab and Haryana High Court issued notices to Union and State governments over delays in Ayushman Bharat payments.
Petitioner Ram Kumar highlighted persistent delays in reimbursing empanelled hospitals under the scheme.
Ayushman Bharat scheme provides cashless medical treatment up to ₹5 lakh per family per year.
Governments are supposed to reimburse hospitals within 15-30 days of claim submission.
Next hearing scheduled for January 20, 2026.
- Who
- Ram Kumar (petitioner), Punjab and Haryana High Court, Union and State Governments, Uttar Pradesh Government, National Health Authority
- What
- Delays in payments to hospitals under Ayushman Bharat scheme and Uttar Pradesh's success in implementation
- When
- Next hearing on January 20, 2026
- Where
- Punjab and Haryana High Court, Uttar Pradesh
- Why
- Persistent and systemic delays in clearing payments to empanelled hospitals in some states, while Uttar Pradesh has set a national benchmark in timely claim settlements and grievance redressal
Petitioner's View
Government's View
Payment Delays
Petitioner's View
Persistent delays in reimbursing hospitals under the Ayushman Bharat scheme.
Government's View
Uttar Pradesh has achieved significant milestones in timely claim settlements.
- Petitioner
- Ram Kumar
- Scheme
- Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)
- Coverage
- ₹5 lakh per family per year
- Payment Ratio
- 60:40 (Centre:States)
- Reimbursement Deadline
- 15-30 days from claim submission
- Next Hearing
- January 20, 2026
- State Agency
- State Agency for Comprehensive Health and Integrated Services (SACHIS)
- CEO of SACHIS
- Archana Verma
- Specialized Services Expenditure (2024–25)
- ₹894.1 crore
- Specialized Services Expenditure (2025–26)
- ₹1,370.2 crore
- Grievances Received (Jan 2025 to date)
- 41,582
- Grievances Resolved (Jan 2025 to date)
- 41,458
