Question : CGHS and RSBY

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.