The Employees’ State Insurance (ESI) Corporation had entered into a partnership with the National Health Authority (NHA), leading to a convergence between AB-PMJAY and the ESI Scheme, thereby allowing ESI beneficiaries (who are more than 13 crore in number) to access services at AB-PMJAY empanelled hospitals and vice versa.

This convergence was first piloted in Ahmednagar (Maharashtra) and Bidar (Karnataka). Upon successfully completing this pilot project, the convergence of the ESI Scheme with PM-JAY was extended to 157 districts in 12 states/UTs. ESI beneficiaries of these districts will be able to access medical care services in AB-PMJAY empanelled hospitals.

The AB-PMJAY and ESIC convergence is aimed at leveraging the presence of an established network of 30,000+ empanelled hospitals under AB-PMJAY. It will also create a higher demand for health services at ESIC-empanelled hospitals that may be underutilized.

Benefits

1.  ESI beneficiaries will get free access to healthcare providers and packages at AB-PMJAY empanelled hospitals by using their ESI cards, especially in the absence of an ESIC healthcare delivery institution in their vicinity.

2.  Similarly, beneficiaries of AB PM-JAY can use their PM-JAY card to access free treatment at ESIC empanelled hospitals.