| QUICK GIST |
|---|
| The Chief Minister Jan Arogya Yojana (CM-JAY) is Tripura’s state-funded health scheme, launched on 15 February 2024. It covers about 4.15 lakh families who were left out of Ayushman Bharat PM-JAY, which already covers around 5.12 lakh families in the state, so together every family in Tripura can have cover. CM-JAY mirrors PM-JAY, giving ₹5 lakh per family per year in cashless, paperless treatment at empanelled hospitals in Tripura, plus free medicines for 15 days after discharge. State government employees can join if they give up their annual medical allowance of ₹6,000. Patients not on the PM-JAY list can be enrolled directly by Ayushman Mitras at the hospital. As per a state document, about 4.48 lakh CM-JAY cards had been issued by August 2024. The scheme is run by the Tripura Health Protection Society. |
CM-JAY Tripura: How the State Closed the Gap Ayushman Bharat Left Open
The other 4.15 lakh families
Tripura has around 9.75 lakh families. When Ayushman Bharat arrived, a little over half of them were covered. The rest, about 4.15 lakh families, had no state-funded health insurance at all.
In February 2024, Tripura changed that with the Chief Minister Jan Arogya Yojana. Now, at least on paper, every family in the state has access to ₹5 lakh of cover a year, whether through PM-JAY or CM-JAY.
CM-JAY even includes state government employees, if they’re willing to trade their medical allowance for it. Here’s how it works.
| Agartala job, parents in Udaipur, and nobody sure which scheme they’re on? We’ll help you figure it out. Book a call with us. Faster than a rickshaw ride across Agartala at peak hour. |
|---|
What CM-JAY covers
- ₹5 lakh per family per year, floater basis, modelled on PM-JAY.
- Cashless and paperless treatment at empanelled hospitals in Tripura.
- Free medicines for 15 days after discharge.
- Same hospital network as PM-JAY within the state.
- No premium for families.
| Have a private policy too? Know Your Policy explains it in plain language, so you can see whether it covers treatment outside Tripura, which CM-JAY may not. |
|---|
How to get CM-JAY
- Check if your family is on PM-JAY. If not, you’re likely eligible for CM-JAY.
- Bring ID: Aadhaar and ration card.
- Visit an empanelled hospital or centre for verification.
- Get your card. If you’re admitted and not on PM-JAY, the hospital’s Ayushman Mitra can enrol you.
- Use it at empanelled hospitals in Tripura.
Helplines: 14555 / 1800-345-3797.
| Want to check your status? Visit the official Tripura AB-PMJAY portal. More reliable than the neighbourhood tea stall’s update. |
|---|
| Family in Tripura, Assam and Mizoram? The CoverSure State Health Scheme Calculator compares all three. |
|---|
Worth knowing
PM-JAY or CM-JAY? Check which one you’re on. They run side by side, and your card type affects where you can be treated.
CM-JAY is built around hospitals in Tripura. A state document describes cashless care at empanelled hospitals within Tripura. PM-JAY cards work across India, but don’t assume a CM-JAY card does. Ask before travelling for treatment.
Employees give something up. State employees joining CM-JAY forgo their ₹6,000 annual medical allowance.
Hospital stays only. No routine OPD cover.
| Bought a private plan before CM-JAY existed? A Policy Health Check reviews it across 30+ parameters for ₹99, against 1,500+ plans. It might now be most useful for treatment outside Tripura. |
|---|
| CM-JAY card, discharge papers and a 15-day medicine slip? Add your state scheme to your CoverSure insurance portfolio and keep everything together. Turn on Family Share so family can find the card when needed. |
|---|
CM-JAY vs a private plan
What CM-JAY does well
- ₹5 lakh free for families outside PM-JAY.
- Free medicines for 15 days after discharge.
- Open to state employees who swap their medical allowance.
- On-the-spot enrolment at hospitals.
Where a private plan usually adds more
- Hospitals across India, useful for treatment in Guwahati, Kolkata or beyond.
- Higher sums insured and room choice.
- Restoration, cumulative bonus and 80D tax benefit (old regime; please verify limits).
When treatment means leaving the state
Meet the Debbarmas (a hypothetical CM-JAY family; numbers are illustrative). They live in Agartala.
| Event (hypothetical) | Covered? |
|---|---|
| Mother’s gallbladder surgery in Agartala, ₹80,000 | Yes, plus 15 days of free medicines |
| Father referred to a Kolkata hospital for cardiac surgery | Check with the scheme first; CM-JAY is described as Tripura-based |
| Travel and stay in Kolkata | No |
| Under-covered or over-covered? The CoverRisk Calculator weighs your income, life stage, dependants and liabilities and tells you where you stand. Free. |
|---|
Who is eligible?
- Tripura families not covered under PM-JAY or another government scheme (about 4.15 lakh families).
- State government employees, if they give up the annual medical allowance.
- Seniors aged 70+ can also use the national Vay Vandana card.
At a glance
| Detail | CM-JAY (Tripura) |
|---|---|
| Launched | 15 February 2024 |
| Run by | Tripura Health Protection Society |
| Cover | ₹5 lakh per family per year |
| Who qualifies | Families outside PM-JAY; state employees who forgo medical allowance |
| Extras | Free medicines for 15 days after discharge |
| Cards issued | About 4.48 lakh (by 31 August 2024) |
| Hospitals | Empanelled hospitals in Tripura |
| Premium | None |
| Main limitations | Tripura-based network, no OPD |
| Helplines | 14555 / 1800-345-3797 |
| Official website | abpmjay.tripura.gov.in |
| Want the swipe version? CM-JAY in a quick LinkedIn carousel. Swipe through it on CoverSure’s LinkedIn and share it with every family that thought they weren’t covered. |
|---|
Quick answers (FAQs)
- What is CM-JAY? Tripura’s state scheme giving ₹5 lakh cover to families left out of PM-JAY.
- When was it launched? 15 February 2024.
- Can government employees join? Yes, if they give up the ₹6,000 annual medical allowance.
- Are medicines covered after discharge? Yes, for 15 days.
- Does CM-JAY work outside Tripura? It’s described as Tripura-based. Check before travelling.
- Is OPD covered? No.
- Is there a premium? No.
- “Hey Google, what’s the Ayushman helpline?” Call 14555.
| CM-JAY covers the hospital. CoverSure covers the rest. Download the CoverSure app for policy storage, renewal reminders and SOS alerts. |
|---|
Next up: Mizoram. Subscribe to the CoverSure newsletter.


