Health

49% of authorised hospital admissions are women. Top performing states: Tamil Nadu, Karnataka, Rajasthan. West Bengal has not joined PM-JAY (operates its own Swasthya Sathi scheme). ~65% of claims are from private hospitals. Scheme covers 5 lakh INR per family per year for secondary and tertiary hospitalisation; does not cover OPD or medicines.

Total claim value: 1.92 lakh crore INR. ~65% of admissions at private hospitals. 49% of admissions are women. West Bengal, Delhi (fully) not in scheme. Fraud detection and hospital empanelment quality remain active concerns.