Pradhan Mantri Swasthya Suraksha Yojana (PMSSY)

What is Pradhan Mantri Swasthya Suraksha Yojana?

Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) is a Government of India scheme of the Ministry of Health and Family Welfare, announced in 2003, with two stated objectives: correcting regional imbalances in the availability of affordable and reliable tertiary healthcare, and augmenting facilities for quality medical education in the country.

PMSSY works through two instruments. First, PMSSY sets up new AIIMS-like institutions in states that had no public super-speciality hospital of that calibre. Second, PMSSY upgrades existing government medical colleges, typically by building super-speciality blocks and financing modern equipment and additional faculty posts. According to the Union Health Minister's statement in the Lok Sabha, 22 new AIIMS have been approved so far, of which 20 are operational for clinical or academic activity, and 75 government medical colleges and institutions have been approved for upgradation.

PMSSY is not a benefit scheme. PMSSY has no beneficiary list, no card and no application form for a citizen. The mistake readers make most often is searching for a PMSSY registration; what actually exists is a hospital you can walk into.

Key objectives

• Correct regional imbalance in tertiary healthcare across states.
• Reduce the need for patients to travel to Delhi, Mumbai, Chennai or Vellore for cancer, cardiac, neurology, nephrology and transplant care.
• Increase the number of MBBS and postgraduate medical seats in under-served states.
• Retain specialist doctors in regions that previously had no teaching hospital capable of employing them.

Main features

• Implemented in successive phases, beginning with Phase-I: six new AIIMS and the upgradation of 13 government medical colleges.
• Phase-I approved cost of each new AIIMS was Rs 820 crore - Rs 620 crore for construction and Rs 200 crore for medical equipment and modular operation theatres.
• Phase-I upgradation of each government medical college was budgeted at Rs 120 crore, of which Rs 100 crore came from the central government and Rs 20 crore from the state.
• New AIIMS are established as autonomous institutions under an Act of Parliament, each with a teaching hospital, an MBBS programme and nursing courses.
• Land for a new AIIMS is provided free of cost by the state government.
• The revised total outlay of PMSSY stands at about Rs 14,832 crore, according to the Ministry of Health and Family Welfare.

Who is eligible under PMSSY?

Who can access PMSSY funding:

• State and union territory governments, which propose a site for a new AIIMS and offer suitable encumbrance-free land free of cost.
• Government medical colleges and institutions nominated by their state for upgradation, appraised by the Ministry of Health and Family Welfare.
• Central government institutions covered under specific phase approvals.

You cannot apply if:

• You are an individual patient or student. PMSSY pays no money to individuals and issues no card. You can use an AIIMS or an upgraded college, but you cannot apply to PMSSY.
• You are a private medical college or private hospital. PMSSY upgradation is confined to government medical colleges and institutions.
• You are an NGO or company seeking a grant. Private firms participate only as construction contractors or equipment suppliers through the tender process run by the Ministry or its executing agency.
• You are a state proposing a college for upgradation without meeting the criteria for the relevant phase - selection is decided phase by phase against criteria notified for that phase.

This is worth stating plainly: individuals are not eligible for a personal benefit under PMSSY. Any website offering "PMSSY registration" or a "PMSSY form" for a citizen is misrepresenting the scheme.

What documents are required for PMSSY?

The requirements below apply to state governments and institutions, not to citizens. The last two rows are what a patient should carry to an AIIMS.

How to apply under PMSSY

PMSSY has no citizen application. Two institutional routes exist, and a third path is what a patient actually does.

1. A state government identifies a site for a new AIIMS and formally offers land free of cost, or nominates one or more government medical colleges for upgradation.
2. The Ministry of Health and Family Welfare appraises the proposal against the criteria for the current phase, considering regional imbalance, existing tertiary capacity and the state's readiness.
3. The proposal is placed for Cabinet approval where a new institution or a new phase is involved, and a per-institution cost is sanctioned.
4. Funds are released for construction and equipment, executed through the designated construction agency, and the institution is later established as an autonomous body.
5. Contractors, equipment suppliers and manpower agencies participate only by bidding on the tenders published by the Ministry, the executing agency or the institution.

How to get treatment at a PMSSY hospital

1. Identify the nearest new AIIMS or PMSSY-upgraded government medical college for the speciality you need.
2. Book an OPD appointment on the national ORS portal at ors.gov.in, or take a token at the hospital registration counter.
3. Carry a photo ID to generate your OPD registration card, plus any referral letter and previous investigation reports - super-speciality departments generally see referred patients first.
4. If your family is eligible under Ayushman Bharat PM-JAY, present the card at the Ayushman Mitra desk for cashless treatment up to Rs 5 lakh per family per year.
5. If you cannot afford charges and are not PM-JAY eligible, ask the medical social worker about the institution's poor-patient welfare fund and the Rashtriya Arogya Nidhi.

How much benefit does PMSSY provide?

PMSSY provides no cash to individuals. The sanctioned amounts are per institution, and the published Phase-I figures are:

• Rs 820 crore per new AIIMS - Rs 620 crore construction, Rs 200 crore medical equipment and modular operation theatres.
• Rs 120 crore per government medical college upgraded - Rs 100 crore central share and Rs 20 crore state share.

Costs for later phases were revised and are notified institution by institution rather than as one national figure, so a figure for a specific AIIMS should be checked in the relevant Cabinet approval or Parliament reply rather than assumed from Phase-I.

The benefit a citizen actually receives is indirect but large: super-speciality care at government rates in a state where none existed, and additional MBBS and postgraduate seats at the upgraded colleges.

What PMSSY has delivered

• 22 new AIIMS approved, of which 20 are operational for clinical or academic activity, according to the Health Minister's Lok Sabha statement.
• 75 government medical colleges and institutions approved for upgradation across the scheme's phases, rising from 13 in Phase-I.
• Each new AIIMS runs an MBBS programme, nursing courses and a teaching hospital, adding both treatment capacity and medical seats.

Construction delay and faculty shortage have been recurring findings in audit and parliamentary scrutiny of the new AIIMS, so the status of any single institution is worth checking before travelling for treatment.

How PMSSY differs from other health schemes

• PMSSY builds tertiary institutions - AIIMS and super-speciality blocks.
• PM-ABHIM builds primary and secondary infrastructure - sub-centres, urban health centres, block units, district labs and critical care blocks.
• Ayushman Bharat PM-JAY pays for treatment, up to Rs 5 lakh per family per year, at empanelled hospitals including AIIMS.
• National Health Mission funds the day-to-day running of the public health system.

Only PM-JAY gives an individual something to claim.

Help and grievance redressal

• Individual AIIMS or medical college - patient relations or medical social work department, for treatment and billing issues
• ors.gov.in for OPD appointment booking across participating hospitals
• State health helpline: 104; National Health Helpline: 1075
• Ministry of Health and Family Welfare, PMSSY division, via mohfw.gov.in for project and policy queries
• PM-JAY helpline: 14555 or 1800-111-565 for cashless treatment issues at an empanelled AIIMS

There is no PMSSY beneficiary registration. Any agent charging a fee to enrol you under PMSSY is defrauding you.