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Zero Balance Health Insurance Scheme India – Complete Guide 2026

Published On: 9 January 2026
Zero Balance Health Insurance Scheme India

In today’s time, rising hospital expenses have become a serious financial burden for millions of Indian families. A single medical emergency can wipe out years of savings. To solve this problem, the Government of India introduced the Zero Balance Health Insurance Scheme India, which allows eligible citizens to get health insurance with zero premium and cashless treatment benefits.

This article will give you a complete guide on how zero balance health insurance works, who can apply, how to register online, and how to use your card for free treatment.

What is Zero Balance Health Insurance Scheme?

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The Zero Balance Health Insurance Scheme is a government-supported health insurance plan that provides free medical coverage to economically weaker families without charging any yearly premium.

Under this scheme, beneficiaries can get:

  • Cashless hospitalization
  • Free surgeries
  • Medicine coverage
  • Diagnostic tests
  • Post-hospitalization benefits

It is mainly implemented through the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) and selected state-level schemes.

Key Features of Zero Balance Health Insurance Scheme India

FeatureDetails
Premium₹0 (Zero Balance)
CoverageUp to ₹5 Lakh per family per year
Treatment TypeCashless
Network HospitalsGovernment + Private
Pre-existing DiseasesCovered
Family CoverageYes
Age LimitNo upper age limit

Who is Eligible for Zero Balance Health Insurance?

You can apply if you belong to:

  • BPL (Below Poverty Line) families
  • SECC 2011 database holders
  • Ration card holders
  • Unorganized workers
  • Senior citizens without insurance
  • Disabled persons
  • Widows
  • Street vendors & daily wage workers

Documents Required

  • Aadhaar Card
  • Ration Card
  • Mobile Number
  • Bank Account (optional)
  • Passport size photo

How to Apply for Zero Balance Health Insurance Online

Step 1: Visit Official Website

Go to https://pmjay.gov.in

Step 2: Check Eligibility

Enter your mobile number and Aadhaar details.

Step 3: Find Your Name

Search your family in the database.

Step 4: Complete e-KYC

Verify with Aadhaar OTP.

Step 5: Download Health Card

Download your Ayushman Card.

Hospital List – Where Can You Use It?

You can use your card at more than 28,000+ empanelled hospitals across India including:

  • Government hospitals
  • Multi-specialty private hospitals
  • District hospitals

You can search your nearest hospital on the official portal.

Diseases Covered

  • Heart surgery
  • Cancer treatment
  • Kidney dialysis
  • Accident treatment
  • Maternity care
  • ICU care
  • COVID and viral treatments

Claim Process (Cashless Treatment)

  1. Visit empanelled hospital
  2. Show your Ayushman card
  3. Hospital verifies online
  4. Treatment starts (No payment required)
  5. Government settles bill directly

Benefits of Zero Balance Health Insurance

  • 100% free premium
  • Cashless hospitalization
  • No paperwork
  • Covers entire family
  • No age limit
  • No medical test needed

State Wise Zero Balance Schemes

StateScheme
DelhiArogya Kosh
UPMukhyamantri Jan Arogya Yojana
RajasthanChiranjeevi Yojana
GujaratMukhyamantri Amrutam Yojana
Tamil NaduCM Comprehensive Scheme

Why This Scheme is Important

This scheme has helped more than 50 crore Indians get access to free medical care. It protects poor families from falling into debt because of hospital bills.

Conclusion

The Zero Balance Health Insurance Scheme India is a life-saving initiative for millions of families. It ensures that no one in India has to avoid treatment due to lack of money. If you or your family are eligible, apply today and secure your health without paying a single rupee.

Sumit Chauhan

Is a seasoned content writer with several years of experience crafting engaging and informative articles on topics such as make money strategies, business insights, and government schemes (Sarkari Yojana).

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