Archive · 12 Aug 2025
Hospitals Struggle with Ayushman Bharat Dues, Services Suspended
Ayushman Bharat is a health insurance plan for poor people in India, offering up to 5 lakh rupees for medical care.
However, many private hospitals are not getting paid by the government for treating patients in this scheme.
This has led hospitals in places like Haryana to stop offering services to these patients.
Across the country, hospitals are owed a lot of money.
Hospitals are pushing for higher payments from the government for the services they provide.
Private hospitals in Haryana suspended services for Ayushman Bharat patients due to pending dues.
The Ayushman Bharat scheme provides up to ₹5 lakh annual cashless health insurance for the poor.
Hospitals struggle to recover dues from the government for treatments under the scheme nationwide.
Unpaid dues to empanelled hospitals were over ₹1.21 trillion as of February, according to an RTI.
Hospitals are also pushing for higher prices for procedures under the scheme to be viable.
- Who
- Private hospitals, the Indian government, and patients under Ayushman Bharat.
- What
- Private hospitals are suspending services due to unpaid dues from the Ayushman Bharat scheme.
- When
- Ongoing, with hospitals in Haryana suspending services this month.
- Where
- India, with issues particularly in Haryana and other states.
- Why
- Hospitals are not being paid on time or enough for the services provided under the Ayushman Bharat scheme.
Private Hospitals' Perspective
Government's Perspective
Payment Disputes
Private Hospitals' Perspective
Hospitals are not being paid adequately or promptly for services rendered under the Ayushman Bharat scheme.
Government's Perspective
The government states a large percentage of claims are settled, while hospitals are still owed a lot.
Procedure Pricing
Private Hospitals' Perspective
Prices of medical procedures under the scheme are too low, making them unsustainable.
Government's Perspective
The government has not responded on this issue
- Scheme Name
- Ayushman Bharat Pradhan Mantri Jan Arogya Yojna (PMJAY)
- Coverage
- Cashless health insurance up to ₹5 lakh annually
- Beneficiaries
- India’s poorest and most vulnerable people
- Hospitals Involved
- Public and private hospitals
- Haryana Hospitals
- Over 600 suspended services
- Pending Dues (Estimate)
- Over ₹1.21 trillion as of February
