Mahatma Jyotirao Phule Jan Arogya Yojana

Scheme Introduction: A Brief Overview

• Mahatma Jyotirao Phule Jan Arogya Yojana was launched in 2012 by the Government of Maharashtra.
• The scheme was earlier known as Rajiv Gandhi Jeevandayee Arogya Yojana and later renamed to Mahatma Jyotirao Phule Jan Arogya Yojana (MJPJAY).
• 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.
• However, for transplantation purposes the scheme covers a limit up to Rs 2,50,000 per family in a policy year.
• Beneficiaries can claim cashless treatment in empanelled Government and Private 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 applicants need to visit concerned District/Women/General/Network hospitals.
• Beneficiaries can avail 996 medical and surgical treatment under the Mahatma Jyotirao Phule Jan Arogya Yojana.
• To receive the benefits of Mahatma Jyotirao Phule Jan Arogya Yojana, applicants must meet the eligibility criteria outlined in the scheme.
• Applicants can apply for the Mahatma Jyotirao Phule Jan Arogya Yojana offline through network hospitals.
• For application submission, authority has stationed Arogya Mitra in each network hospital.
• For more details about the Mahatma Jyotirao Phule Jan Arogya Yojana, beneficiaries can visit its official portal or may contact the Arogya Mitra.

Scheme 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 the State Government.

Eligibility Requirements

• Applicants with the following eligibility criteria are eligible to receive Mahatma Jyotirao Phule Jan Arogya Yojana benefits : -

  Applicants should be residents of Maharashtra. Families holding : - Yellow Ration Card. Antyodaya Anna Yojana Ration Card. Annapurna Ration Card. Orange Ration Card (Annual income of 1 Lakh). Farmers families holding white ration card from following 14 districts : - Aurangabad, Jalna, Beed, Parbhani, Hingoli, Latur, Nanded, Osmanabad, Amravati, Akola, Buldhana, Washim, Yavatmal, and Wardha. Govt. Orphanage Children. Govt Ashram Shala Students. Female inmates of Govt. Mahila Ashram. Senior Citizens of Govt. Old Age Homes. Journalists and their families approved by DGIPR. Construction workers and their families registered with Maharashtra Building and Other Construction Welfare Board.

Required Documents

• Applicants must furnish the following documents when submitting application form for Mahatma Jyotirao Phule Jan Arogya Yojana : -
  • Aadhaar 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
  • Health Card MJPJAY.
  • Freedom Fighter ID Card.
  • Senior Citizen Card (If applicable)
  • Defense Ex-Servicemen Card. (If applicable)
  • Marine Fishery Identity Card (If applicable)

Steps to Apply

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

Key Features of the Scheme

• It provides universal health coverage for all Maharashtra Citizens.
• Hospitalization under 34 specialties is required for medical surgeries.
• It also covers pre-existing disease from day one.
• Beneficiaries can avail cashless medical treatment in any empanelled Govt./ Pvt Hospitals.
• In emergency cases beneficiaries can avail benefits through intimation over call.
• Mahatma Jyotirao Phule Jan Arogya Yojana would provide 996 surgeries/therapies/procedures along with 121 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.
• 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.

Relevant Links

• Mahatma Jyotirao Phule Jan Arogya Yojana Guidelines.
• Mahatma Jyotirao Phule Jan Arogya Yojana Portal.
• List of empanelled Hospitals.
• Speciality wise hospitals list.
• District Wise Hospitals List.
• Mahatma Jyotirao Phule Jan Arogya Yojana Aarogya Mitra list in Network Hospitals.
• Mahatma Jyotirao Phule Jan Arogya Yojana FAQ.
• Arogyamitras Contact List.

Contact Information

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