{"id":1866,"date":"2026-11-06T10:20:20","date_gmt":"2026-11-06T10:20:20","guid":{"rendered":"https:\/\/www.coversure.in\/blog\/?p=1866"},"modified":"2026-11-06T10:20:20","modified_gmt":"2026-11-06T10:20:20","slug":"blog-health-insurance-ayushman-bharat-delhi-10-lakh","status":"publish","type":"post","link":"https:\/\/www.coversure.in\/blog\/health-insurance\/blog-health-insurance-ayushman-bharat-delhi-10-lakh\/","title":{"rendered":"What is Ayushman Bharat Delhi?"},"content":{"rendered":"<table>\n<thead>\n<tr>\n<th><b>QUICK GIST<\/b><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">Delhi joined Ayushman Bharat PM-JAY on 5 April 2025, when the Delhi government signed an MoU with the Union Health Ministry, becoming the 35th state or UT to implement it. Eligible families get \u20b95 lakh a year from the central scheme, plus a \u20b95 lakh top-up from the Delhi government, for a total of \u20b910 lakh per family per year. The scheme was expected to benefit over 6.5 lakh families, about 30 lakh people, plus around 6 lakh senior citizens aged 70 and above, who are covered under Ayushman Vay Vandana regardless of income. Card distribution began on 10 April 2025. Treatment is cashless for secondary and tertiary hospitalisation at empanelled hospitals, with more than 30,000 empanelled hospitals across India. You can check eligibility on the PM-JAY beneficiary portal or the Ayushman app.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><b>Ayushman Bharat in Delhi: \u20b910 Lakh Cover, the 70+ Rule, and What Every Dilliwala Family Should Check<\/b><\/h2>\n<h3><b>The capital finally joins the club<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">For years, Ayushman Bharat ran in almost every state except a handful. Delhi was one of the last to join. That changed on 5 April 2025.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">And Delhi didn&#8217;t just join. It added its own \u20b95 lakh on top of the central \u20b95 lakh, so eligible families now have up to \u20b910 lakh a year.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There&#8217;s a second big change too. Every Delhi resident aged 70 or above can get Ayushman Vay Vandana cover, whatever their income.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you live in Delhi, or your parents do, here&#8217;s what that means.<\/span><\/p>\n<table>\n<thead>\n<tr>\n<th><b>Juggling your parents&#8217; Vay Vandana card, your office policy and a 10-year-old family floater?<\/b><span style=\"font-weight: 400;\"> Delhi traffic is enough stress. <\/span><a href=\"https:\/\/www.coversure.in\/?utm_source=blog&amp;utm_medium=website&amp;utm_campaign=blog&amp;utm_id=1#bookacall\"><span style=\"font-weight: 400;\">Book a call with us <\/span><\/a><span style=\"font-weight: 400;\">and we&#8217;ll sort out how they fit together. Chhole bhature not included.<\/span><\/th>\n<\/tr>\n<\/thead>\n<\/table>\n<h3><b>What Ayushman Bharat gives in Delhi<\/b><\/h3>\n<table>\n<thead>\n<tr>\n<th><span style=\"font-weight: 400;\">Who<\/span><\/th>\n<th><span style=\"font-weight: 400;\">Cover<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">Eligible PM-JAY families<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u20b95 lakh (central) + \u20b95 lakh (Delhi top-up) = \u20b910 lakh per family per year<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Residents aged 70+<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Ayushman Vay Vandana cover, regardless of income (check the portal for whether Delhi&#8217;s top-up applies)<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Cashless secondary and tertiary hospitalisation<\/b><span style=\"font-weight: 400;\"> under defined treatment packages.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>30,000+ empanelled hospitals across India,<\/b><span style=\"font-weight: 400;\"> so you can use it beyond Delhi.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>No premium.<\/b><\/li>\n<\/ul>\n<table>\n<thead>\n<tr>\n<th><b>Already have a private policy?<\/b> <a href=\"https:\/\/www.coversure.in\/knowyourpolicy\"><span style=\"font-weight: 400;\">Know Your Policy<\/span><\/a><span style=\"font-weight: 400;\"> explains it in plain language: what&#8217;s covered, what isn&#8217;t and what conditions apply. Then you can see where it overlaps with your Ayushman card.<\/span><\/th>\n<\/tr>\n<\/thead>\n<\/table>\n<h3><b>How to get your Ayushman card in Delhi<\/b><\/h3>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Check eligibility<\/b><span style=\"font-weight: 400;\"> on the PM-JAY beneficiary portal (beneficiary.nha.gov.in) or the Ayushman app.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Keep documents ready.<\/b><span style=\"font-weight: 400;\"> Aadhaar and, for seniors, proof of Delhi residence.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Complete e-KYC<\/b><span style=\"font-weight: 400;\"> using Aadhaar OTP or biometrics.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Download your card,<\/b><span style=\"font-weight: 400;\"> or the Vay Vandana card if you&#8217;re 70+.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Use it<\/b><span style=\"font-weight: 400;\"> at an empanelled hospital for covered treatment.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">National helpline: <\/span><b>14555<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<table>\n<thead>\n<tr>\n<th><b>Want to check your name or download your card?<\/b><span style=\"font-weight: 400;\"> Go to the <\/span><a href=\"https:\/\/beneficiary.nha.gov.in\/\"><span style=\"font-weight: 400;\">official PM-JAY beneficiary portal<\/span><\/a><span style=\"font-weight: 400;\">. It&#8217;s quicker than the queue at your local dispensary.<\/span><\/th>\n<\/tr>\n<\/thead>\n<\/table>\n<p>&nbsp;<\/p>\n<table>\n<thead>\n<tr>\n<th><b>Family in Delhi, Noida and Gurugram?<\/b><span style=\"font-weight: 400;\"> Three states, three schemes. The <\/span><a href=\"https:\/\/unfold.coversure.in\/state-health-schemes\"><span style=\"font-weight: 400;\">CoverSure State Health Scheme Calculator<\/span><\/a><span style=\"font-weight: 400;\"> lines them up side by side.<\/span><\/th>\n<\/tr>\n<\/thead>\n<\/table>\n<h3><b>What Delhi families should know<\/b><\/h3>\n<p><b>It isn&#8217;t universal.<\/b><span style=\"font-weight: 400;\"> Regular PM-JAY eligibility follows the scheme&#8217;s criteria. Many middle-class Delhi families won&#8217;t qualify, so check rather than assume.<\/span><\/p>\n<p><b>Seniors have a choice to make.<\/b><span style=\"font-weight: 400;\"> Seniors already covered under CGHS, ECHS or CAPF schemes need to choose between their existing scheme and Ayushman Bharat.<\/span><\/p>\n<p><b>Check the hospital first.<\/b><span style=\"font-weight: 400;\"> Not every Delhi hospital is empanelled. Confirm before a planned admission.<\/span><\/p>\n<p><b>Hospital stays only.<\/b><span style=\"font-weight: 400;\"> Routine OPD isn&#8217;t the focus of the scheme.<\/span><\/p>\n<p><b>It&#8217;s new in Delhi.<\/b><span style=\"font-weight: 400;\"> Rollout details, such as which hospitals take part, have been evolving since 2025. Check for updates.<\/span><\/p>\n<table>\n<thead>\n<tr>\n<th><b>Have a private family floater you&#8217;ve renewed without reading since 2018?<\/b><span style=\"font-weight: 400;\"> A <\/span><a href=\"https:\/\/policycheck.coversure.in\/?utm_source=blog&amp;utm_medium=website&amp;utm_campaign=blog&amp;utm_id=1\"><span style=\"font-weight: 400;\">Policy Health Check<\/span><\/a><span style=\"font-weight: 400;\"> reviews it across 30+ parameters for \u20b999, benchmarked against 1,500+ plans. Especially useful now that your parents might have a Vay Vandana card too.<\/span><\/th>\n<\/tr>\n<\/thead>\n<\/table>\n<p>&nbsp;<\/p>\n<table>\n<thead>\n<tr>\n<th><b>Ayushman card for the family, Vay Vandana for Papa, office policy for you, car insurance in the glovebox?<\/b> <a href=\"https:\/\/coversure.onelink.me\/40Yt\/blog\"><span style=\"font-weight: 400;\">Add your state scheme to your CoverSure insurance portfolio<\/span><\/a><span style=\"font-weight: 400;\"> and see all of it in one place. Switch on <\/span><a href=\"https:\/\/coversure.onelink.me\/40Yt\/blog\"><span style=\"font-weight: 400;\">Family Share<\/span><\/a><span style=\"font-weight: 400;\"> so your siblings can find everything without a 2 a.m. phone call.<\/span><\/th>\n<\/tr>\n<\/thead>\n<\/table>\n<h3><b>Ayushman Bharat (Delhi) vs a private health plan<\/b><\/h3>\n<p><b>Where Ayushman Bharat in Delhi stands out<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>\u20b910 lakh per family<\/b><span style=\"font-weight: 400;\"> for eligible families, at no cost.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Cover for every resident aged 70+,<\/b><span style=\"font-weight: 400;\"> regardless of income.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>30,000+ empanelled hospitals<\/b><span style=\"font-weight: 400;\"> across India.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>No premium, no medical tests.<\/b><\/li>\n<\/ul>\n<p><b>Where a private plan usually adds more<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Open to everyone,<\/b><span style=\"font-weight: 400;\"> not just eligible families.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Room choice and comfort,<\/b><span style=\"font-weight: 400;\"> depending on the plan.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Actual bills paid,<\/b><span style=\"font-weight: 400;\"> subject to terms, rather than package rates.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Restoration, cumulative bonus and add-ons.<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tax benefit<\/b><span style=\"font-weight: 400;\"> under Section 80D in the old tax regime (please verify current limits).<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For eligible families, Ayushman Bharat is a strong base. For seniors on Vay Vandana, a private plan may still help with room choice and hospitals outside the network.<\/span><\/p>\n<h3><b>Where \u20b910 lakh still leaves gaps<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Meet the Sharmas (a hypothetical eligible family; numbers are illustrative). They live in Shahdara.<\/span><\/p>\n<table>\n<thead>\n<tr>\n<th><span style=\"font-weight: 400;\">Situation (hypothetical)<\/span><\/th>\n<th><span style=\"font-weight: 400;\">Covered?<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">Father&#8217;s cardiac surgery at an empanelled hospital, \u20b93.5 lakh<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Daughter&#8217;s planned surgery at a non-empanelled private hospital nearby<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Grandmother&#8217;s (age 72) cataract surgery<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes, via Vay Vandana<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Regular diabetes check-ups and medicines<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Mostly outside the scheme<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">For Delhi families, the gaps tend to be about which hospital and what kind of care, not the amount.<\/span><\/p>\n<table>\n<thead>\n<tr>\n<th><b>Underinsured, overinsured or balanced?<\/b><span style=\"font-weight: 400;\"> The <\/span><a href=\"https:\/\/www.coversure.in\/riskcalculator\"><span style=\"font-weight: 400;\">CoverRisk Calculator<\/span><\/a><span style=\"font-weight: 400;\"> weighs your income, life stage, dependants and liabilities and tells you where you stand. Free and fast, unlike the Ring Road.<\/span><\/th>\n<\/tr>\n<\/thead>\n<\/table>\n<h3><b>Who is eligible?<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Families eligible under PM-JAY<\/b><span style=\"font-weight: 400;\"> in Delhi. Check on the beneficiary portal or the Ayushman app.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>All Delhi residents aged 70 and above,<\/b><span style=\"font-weight: 400;\"> regardless of income, through Ayushman Vay Vandana.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Seniors under CGHS, ECHS or CAPF<\/b><span style=\"font-weight: 400;\"> must choose between their existing scheme and Ayushman Bharat.<\/span><\/li>\n<\/ul>\n<h3><b>At a glance<\/b><\/h3>\n<table>\n<thead>\n<tr>\n<th><span style=\"font-weight: 400;\">Detail<\/span><\/th>\n<th><span style=\"font-weight: 400;\">Ayushman Bharat PM-JAY (Delhi)<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">Joined<\/span><\/td>\n<td><span style=\"font-weight: 400;\">MoU signed 5 April 2025; cards from 10 April 2025<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Cover<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u20b95 lakh central + \u20b95 lakh Delhi top-up = \u20b910 lakh per family per year<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Reach<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Over 6.5 lakh families (about 30 lakh people) plus about 6 lakh seniors aged 70+<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Hospitals<\/span><\/td>\n<td><span style=\"font-weight: 400;\">30,000+ empanelled hospitals across India<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Premium<\/span><\/td>\n<td><span style=\"font-weight: 400;\">None<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Main limitations<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Not universal, empanelled hospitals only, hospitalisation focus, choose-one rule for some seniors<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Helpline<\/span><\/td>\n<td><span style=\"font-weight: 400;\">14555<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Official website<\/span><\/td>\n<td><a href=\"https:\/\/beneficiary.nha.gov.in\/\"><span style=\"font-weight: 400;\">beneficiary.nha.gov.in<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<table>\n<thead>\n<tr>\n<th><b>No time to scroll? Swipe instead.<\/b><span style=\"font-weight: 400;\"> Ayushman Bharat in Delhi in a quick LinkedIn carousel. <\/span><a href=\"https:\/\/www.linkedin.com\/posts\/coversurein_ayushman-bharat-pm-jay-delhi-activity-7516047844361969664-KPhz?utm_source=li_share&amp;utm_content=feedcontent&amp;utm_medium=g_dt_web&amp;utm_campaign=copy\"><span style=\"font-weight: 400;\">Swipe through it on CoverSure&#8217;s LinkedIn<\/span><\/a><span style=\"font-weight: 400;\"> and forward it to every RWA group you&#8217;re in.<\/span><\/th>\n<\/tr>\n<\/thead>\n<\/table>\n<h3><b>Quick answers (FAQs)<\/b><\/h3>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Is Ayushman Bharat available in Delhi?<\/b><span style=\"font-weight: 400;\"> Yes, since Delhi signed the MoU on 5 April 2025.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>How much cover does it give in Delhi?<\/b><span style=\"font-weight: 400;\"> Up to \u20b910 lakh per eligible family per year, including the Delhi top-up.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Can senior citizens in Delhi get an Ayushman card?<\/b><span style=\"font-weight: 400;\"> Yes. All residents aged 70+ can get Ayushman Vay Vandana cover, regardless of income.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>How do I check eligibility?<\/b><span style=\"font-weight: 400;\"> On the PM-JAY beneficiary portal or the Ayushman app.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Can I use it outside Delhi?<\/b><span style=\"font-weight: 400;\"> Yes, at empanelled hospitals across India.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>I have CGHS. Can I get Vay Vandana?<\/b><span style=\"font-weight: 400;\"> You&#8217;ll need to choose one of the two.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Is there a premium?<\/b><span style=\"font-weight: 400;\"> No.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>&#8220;Hey Google, what&#8217;s the Ayushman Bharat helpline?&#8221;<\/b><span style=\"font-weight: 400;\"> Call 14555.<\/span><\/li>\n<\/ol>\n<table>\n<thead>\n<tr>\n<th><b>Ayushman handles the hospital. CoverSure handles the paperwork chaos.<\/b> <a href=\"https:\/\/coversure.onelink.me\/40Yt\/blog\"><span style=\"font-weight: 400;\">Download the CoverSure app<\/span><\/a><span style=\"font-weight: 400;\"> for one-place policy storage, <\/span><a href=\"https:\/\/www.coversure.in\/insurance-renewal\"><span style=\"font-weight: 400;\">renewal<\/span><\/a><span style=\"font-weight: 400;\"> reminders and <\/span><a href=\"https:\/\/www.coversure.in\/SoS\"><span style=\"font-weight: 400;\">SOS<\/span><\/a><span style=\"font-weight: 400;\"> alerts.<\/span><\/th>\n<\/tr>\n<\/thead>\n<\/table>\n<p><span style=\"font-weight: 400;\">Next up: Madhya Pradesh. <\/span><a href=\"https:\/\/coversure.onelink.me\/40Yt\/blog\"><span style=\"font-weight: 400;\">Subscribe to the CoverSure newsletter<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>QUICK GIST Delhi joined Ayushman Bharat PM-JAY on 5 April 2025, when the Delhi government signed an MoU with the Union Health Ministry, becoming the 35th state or UT to implement it. Eligible families get \u20b95 lakh a year from the central scheme, plus a \u20b95 lakh top-up from the Delhi government, for a total [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":1867,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[7],"tags":[124],"class_list":["post-1866","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-insurance","tag-state-health-insurance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.6 (Yoast SEO v22.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ayushman Bharat Delhi: \u20b910 Lakh Cover, Eligibility &amp; Card<\/title>\n<meta name=\"description\" content=\"Delhi joined Ayushman Bharat in April 2025 with a \u20b95 lakh state top-up, taking eligible families to \u20b910 lakh a year. 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