“We have proposed that the insurance companies will have to mandatorily refund the excess premium if the claim ratio turns out to be less than 85 percent under this project. This will ensure that insurance agencies do not have windfall gain from the ambitious scheme which aims at supporting the poorest 40 percent of the population for expenditure on health treatment,” said Bhushan .

The PMSSY, which is a central sector scheme, aims at correcting the imbalances in the availability of affordable tertiary health care facilities in different parts of the country in general, and augmenting facilities for quality medical education in the under-served states in particular.