J&K Approves ₹666 Crore in PMJAY-SEHAT Medical Claims; Chief Secretary Orders Strict Scrutiny to Prevent Fraud

JAMMU, FEBRUARY 28, 2026 — In a major boost to universal healthcare access, Chief Secretary Atal Dulloo announced that medical claims worth ₹666.34 crore have been approved under the PMJAY-SEHAT scheme during the current policy period.

Chairing the 11th Governing Council Meeting of the State Health Agency (SHA), the Chief Secretary revealed that between April 17, 2025, and February 25, 2026, over 3.52 lakh pre-authorizations were granted, reflecting a surge in cashless treatments across both public and private hospitals in Jammu and Kashmir.

To safeguard the integrity of the mission, Dulloo directed the implementation of a “foolproof” mechanism and a third-party monitoring system to eliminate fraudulent claims, ensuring that every rupee of the taxpayer-funded scheme reaches genuine beneficiaries.

Data presented by CEO Ananth Dwivedi indicates that the public sector led the charge with approvals worth ₹444.75 crore, while private healthcare providers accounted for ₹221.59 crore, showcasing a balanced and robust healthcare ecosystem in the Union Territory.

The financial health of the scheme remains strong, with a projected year-end outgo estimated to reach ₹772 crore based on current demand. As of late February, the agency has already disbursed ₹183.09 crore in settled claims, while strictly rejecting over 28,000 invalid applications totaling ₹55.58 crore following rigorous technical audits.

The Chief Secretary emphasized that timely disbursals and transparent oversight are the cornerstones of the Omar Abdullah-led Government’s health agenda. By bridging the gap between high-end private care and accessible public facilities, the PMJAY-SEHAT initiative continues to provide vital financial risk protection to millions, reinforcing Jammu and Kashmir’s position as a leader in healthcare equity and digital governance.