Mahatma Jyotirao Phule Jan Arogya Yojana

Introduction

• Mahatma Jyotirao Phule Jan Arogya Yojana was launched in 2012 by Government of Maharashtra.
• The scheme was earlier known as Rajiv Gandhi Jeevandayee Arogya Yojana and later renamed to Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana.
• The objective of the scheme is to provide quality medical care to the economically weaker section of the society.
• The scheme covers hospitalization expenses of up to Rs.1,50,000 per family in a policy year.
• For transplantation purposes limit of up to Rs 2,50,000 per family in a policy year.
• Beneficiaries can claim cashless treatment in empanelled hospitals.
• Only Yellow Ration card/Antyodaya Anna Yojana card/Annapurna card/Orange Ration card holders of Maharashtra are eligible under this scheme.
• To apply for Mahatma Jyotirao Phule Jan Arogya Yojana applicant need to visit concerned District/Women/General/Network hospitals.

Benefits

• The scheme covers hospitalization expenses of up to Rs.1,50,000 per family in a policy year.
• For transplantation purposes limit of up to Rs 2,50,000 per family in a policy year.
• Cashless treatment in empanelled hospitals.
• Hospitalization expenses include:
  • Bed charges in General ward.
  • Nursing and Boarding charges.
  • Medical Practitioner and Consultants fees.
  • Surgeons and Anesthetists charges.
  • Oxygen, O.T. & ICU Charges.
  • Cost of Surgical Appliances, Drugs, disposables, consumables, implants, Prosthetic Devices, Blood Transfusion.
  • Cost of X-Ray and Diagnostic Tests.
  • Food to inpatient and one time transportation cost is borne by State Government.

Eligibility

• Applicant should be a resident of Maharashtra.
• Applicant should be holder of Yellow Ration card/Antyodaya Anna Yojana card/Annapurna card/Orange Ration card.

Documents Required

• Aadhar Card
• PAN Card
• Yellow Ration card/Antyodaya Anna Yojana card/Annapurna card/Orange Ration card
• Voter Id
• Driving license
• Passport
• Handicap Certificate (If applicable)
• Bank Passbook
• Senior Citizen Card (If applicable)
• Defense Ex-Servicemen Card. (If applicable)
• Marine Fishery Identity Card (If applicable)

How to Apply

• To apply for Mahatma Jyotirao Phule Jan Arogya Yojana applicant need to visit concerned District/Women/General/Network hospitals.
• Arogyamitras will be presented at the hospitals to guide the applicant through the application procedure.
• Now filling up of application and verification of documents will be initiated.
• After completion of all the formalities, MJPJAY health card will be issued to the beneficiary.
• Now beneficiary can avail the benefit of the scheme through MJPJAY health card in any of the empannelled hospitals.

Features

• Mahatma Jyotirao Phule Jan Arogya Yojana would provide 972 surgeries/therapies/procedures along with121 follow up packages in following 30 identified specialized categories:

  General Surgery	ENT Surgery	Ophthalmology Surgery
  Gynaecology and Obstetrics Surgery	Orthopedic Surgery and Procedures	Surgical Gastro Enterology
  Cardiac and Cardiothoracic Surgery	Pediatric Surgery	Genitourinary System
  Neurosurgery	Surgical Oncology	Medical Oncology
  Radiation Oncology	Plastic Surgery	Burns
  Poly Trauma	Protheses	Critical Care
  General Medicine	Infectious Diseases	Pediatrics Medical Management
  Cardiology	Nephrology	Neurology
  Pulmonology	Dermatology	Rheumatology
  Endocrinology	Gastroenterology	Interventional Radiology

• For beneficiaries covered under both Mahatma Jyotirao Phule Jan Arogya Yojana and Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana Insurance cover of up to Rs. 5,00,000 will be provided per family per year.
• For Beneficiaries covered Mahatma Jyotirao Phule Jan Arogya Yojana only will be insured with a coverage of Rs.1,50,000 to 2,50,000 per family in a policy year.

Important links

• Mahatma Jyotirao Phule Jan Arogya Yojana Guidelines.
• Mahatma Jyotirao Phule Jan Arogya Yojana Portal.
• List of empanelled Hospitals.
• Mahatma Jyotirao Phule Jan Arogya Yojana FAQ.
• Arogyamitras Contact List.

Contact Details

• Mahatma Jyotirao Phule Jan Arogya Yojana Nodal Department Contact list.