The Rajiv Gandhi Jeevandayee Arogya Yojana was initially introduced by the Maharashtra State Government in July 2012. On 1 April 2017 it was renamed as the Mahatma Jyotirao Phule Jan Arogya Yojana. The purpose of MJPJAY is to offer cashless healthcare services to beneficiaries who meet the program’s criteria for severe diseases needing hospitalization. The beneficiaries are also covered by MJPJAY for COVID-19 treatment. For the recipient household, the highest amount of health insurance coverage available is Rs.1,50,000. In this post you get every necessary information regarding this yojana such as benefits, objectives, overview, eligibility criteria, required documents and registration process.
Overview Of Mahatma Jyotirao Phule Jan Arogya Yojana 2024
| Name of the Yojana | Mahatma Jyotirao Phule Jan Arogya Yojana 2024 |
| Introduced by | Maharashtra Health Ministry |
| Beneficiaries | Citizens |
| Objective | Provide medical treatment to those in need |
| Official Website | https://www.jeevandayee.gov.in/ |
Objective Of Mahatma Jyotirao Phule Jan Arogya Yojana 2024
The primary goal of the yojana is to provide treatment to the financially disadvantaged residents of Maharashtra state as chosen by the state government. This covers farmers in 14 districts, including those with ration cards of any sort who have experienced natural disasters and have very little financial help. This yojana offers costly medical services including transplant therapy and surgery to these impoverished individuals. For each of these illnesses, government hospitals in the state of Maharashtra have been chosen.
Benefits Of Mahatma Jyotirao Phule Jan Arogya Yojana 2024
- The scheme pays for all hospitalization costs for the eligible individual up to a maximum of Rs.1.5 lakh per family per insurance annually.
- The yearly policy maximum for hospitalization expenditures related to kidney transplant has been increased to up to Rs.2.5 lakh per household.
- Every family member is eligible for the benefit on a floater basis. During the policy year, the whole coverage of Rs.1.5 lakh or Rs.2.5 lakh, depending on the circumstances, may be used by one individual or distributed among all family members.
- Benefits of 996 medical and surgical procedures, together with 121 follow-up treatments are provided to MJPJAY beneficiaries.
- Surgery, tests, prescription drugs, and follow-up consultations and therapy are all covered under the scheme.
- General surgery, ENT surgery, obstetrics and gynecology, cardiac and cardiothoracic surgery, ophthalmology, pediatric surgery, radiation therapy, plastic surgery and orthopedic surgery and treatments among others.
Eligibility Criteria
- The applicant must live in Maharashtra state.
- An Antyodaya Anna Yojana Card (AAY), an Annapurna Card, white, yellow or orange Ration Card are required for the beneficiary.
- Additionally covered are farmers who are a part of the agriculturally disadvantaged districts.
Required Documents
- Applicant Photography
- Aadhaar Card
- PAN Card
- Voter ID
- School/College ID
- Handicap Certificate
- Health Card of RGJAY or MJPJAY
- Bank Account Details
- Mobile Number
List Of Diseases And Treatments Covered Under MJPJAY
- Burns
- Cardiology
- Cardiovascular and Thoracic surgery
- Critical Care
- Dermatology
- Endocrinology
- ENT surgery
- General Medicine
- General Surgery
- Hematology
- Infectious diseases
- Interventional Radiology
- Medical Gastroenterology
- Medical Oncology
- Neonatal and Pediatric Medical Management
- Nephrology
- Neurology
- Neurosurgery
- Obstetrics and Gynecology
- Ophthalmology
- Orthopedics
- Pediatric Surgery
- Pediatric Cancer
- Plastic Surgery
- Polytrauma
- Prosthesis and Orthosis
- Pulmonology
- Radiation Oncology
- Rheumatology
- Surgical Gastroenterology
- Surgical Oncology
- Urology (Genitourinary Surgery)
- Mental disorders
- Oral and Maxillofacial Surgery
How To Register Of Mahatma Jyotirao Phule Jan Arogya Yojana 2024
- Recipients have the option to attend health camps or visit a nearby empanelled network hospital. Hospital Arogyamitras help beneficiaries and provide referral letters according to diagnosis.
- When enrolling patients, Arogyamitras at network hospitals verify that the ration cards and photo ID are legitimate. Test findings and admission notes are recorded by the Medical Coordinator in a special database.
- A hospital submits an e-preauthorization request under MJPJAY (996) for operations that qualify.
- Pre-authorization is reviewed and approved by the insurer’s medical professionals. Rejected requests are sent for examination to a technical committee. The ultimate say on approval or rejection belongs to ADHS-SHAS.
- Decisions must be made within 12 hours, and the process must be completed within the allotted time. For urgent approvals, Emergency Telephonic Intimation (ETI) is utilized.
- Medical and surgical care is provided cashless at Network Hospital. Daily treatment notes are updated on the site by the medical coordinator.
- Diagnostic results, discharge summaries, and payment acknowledgements are uploaded by the network hospital. Patients are informed about follow-up procedures at the time of discharge.
- Up to ten days following discharge, free tests, medications and follow-up consultations are offered.
- Within 15 working days, the insurer reviews bills and processes claims payments. The insurance company runs the SHAS portal, which includes a claim settlement mechanism.
FAQ’s
Does MJPJAY require me to pay a fee for my treatment?
No, the hospital will not charge the recipient for any of the medical treatments that are covered by the packages.
Do COVID-19 treatment costs get covered by the Mahatma Jyotiba Phule Jan Arogya Yojana?
Yes, treatment for COVID-19 or the novel coronavirus, is covered under the Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY).
Where can I locate the Mahatma Jyotiba Phule Jan Arogya Yojana’s list of network hospitals?
Visit their official website to view the list of hospitals that are either network or empanelled under the Mahatma Jyotiba Phule Jan Arogya Yojana.
What is the Official Website of this scheme?
https://www.jeevandayee.gov.in