Mahatma Jyotirao Phule Jan Arogya Yojana

Submitted by Rishabh on Thu, 02/05/2024 - 13:14
Maharashtra CM
Scheme Open
Mahatma Jyotirao Phule Jan Arogya Yojana logo
Highlights
  • 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.
  • Only Yellow Ration card/Antyodaya Anna Yojana card/Annapurna card/Orange Ration card holders of Maharashtra are eligible under this scheme.
Overview Of the Scheme
Name of the Scheme Mahatma Jyotirao Phule Jan Arogya Yojana.
Launched in 2012.
Benefits
  • Hospitalization expenses of up to Rs.1,50,000 per family in a policy year
  • For transplantation limit of up to Rs 2,50,000 per family in a policy year.
Beneficiaries Yellow Ration card/Antyodaya Anna Yojana card/Annapurna card/Orange Ration card holders of Maharashtra.
Nodal Department State Health Assurance Society.
Mode of Apply Offline.

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

Contact Details

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