- विवरण
- फ़ायदे
- पात्रता
- आवेदन प्रक्रिया
- आवश्यक दस्तावेज़
- अधिकतर पूछे जाने वाले सवाल
- स्रोत और संदर्भ
- प्रतिपुष्टि
आपको बाहरी वेबसाइट पर भेजा जा रहा है। आगे बढ़ने पर आपकी जानकारी संबंधित विभाग के साथ साझा की जाएगी।
आपका मोबाइल नंबर जन समर्थ के साथ साझा किया जाएगा और आपको बाहरी वेबसाइट पर पुनः निर्देशित किया जाएगा।
कुछ गलत हो गया। कृपया बाद में पुन: प्रयास करें
आपने इस योजना के लिए पहले ही आवेदन कर दिया है। आप 30 दिन बाद ही पुनः आवेदन कर सकते हैं, अर्थात
योजनाओं के लिए आवेदन करने से पहले आपको साइन इन करना होगा
आपको बाहरी वेबसाइट पर भेजा जा रहा है। आगे बढ़ने पर आपकी जानकारी संबंधित विभाग के साथ साझा की जाएगी।
आपका मोबाइल नंबर जन समर्थ के साथ साझा किया जाएगा और आपको बाहरी वेबसाइट पर पुनः निर्देशित किया जाएगा।
कुछ गलत हो गया। कृपया बाद में पुन: प्रयास करें
आपने इस योजना के लिए पहले ही आवेदन कर दिया है। आप 30 दिन बाद ही पुनः आवेदन कर सकते हैं, अर्थात
ऐसा लगता है कि आपने अपना आवेदन पहले ही शुरू कर दिया है।अधिक जानने के लिए कृपया जाएँ
आवेदन करें
योजनाओं के लिए आवेदन करने से पहले आपको साइन इन करना होगा
आपको बाहरी वेबसाइट पर भेजा जा रहा है। आगे बढ़ने पर आपकी जानकारी संबंधित विभाग के साथ साझा की जाएगी।
आपका मोबाइल नंबर जन समर्थ के साथ साझा किया जाएगा और आपको बाहरी वेबसाइट पर पुनः निर्देशित किया जाएगा।
कुछ गलत हो गया। कृपया बाद में पुन: प्रयास करें
आपने इस योजना के लिए पहले ही आवेदन कर दिया है। आप 30 दिन बाद ही पुनः आवेदन कर सकते हैं, अर्थात
ऐसा लगता है कि आपने अपना आवेदन पहले ही शुरू कर दिया है।अधिक जानने के लिए कृपया जाएँ
आवेदन करें
पात्रता की जाँच करें
Maharashtra
Mahatma Jyotirao Phule Jan Arogya Yojana
Cashless Service
Diseases
Health Insurance
Hospital
Hospital
विवरण
The Mahatma Jyotirao Phule Jan Arogya Yojana (MJPJAY), launched by the Government of Maharashtra under Public Health and Family Welfare Department,The scheme provides cashless medical services for secondary and tertiary treatments through empaneled hospitals. Initially targeted at low-income families, the scheme now covers all families in the state, offering up to ₹1.5 lakh under MJPJAY and ₹5 lakh under Ayushman Bharat annually. From 1st July 2024, it ensures comprehensive, cashless healthcare for the entire population of Maharashtra.
फ़ायदे
- Health Coverage for Categories A to E (Excluding D): ₹5 lakhs per family per year on a floater basis under both schemes.
- Health Coverage for Category D: ₹1 lakh per person per year.
Medical Benefits
• For categories A to E (Excluding D) - 1356 Health Benefits Packages under 34 specialities.
• For category D – 184 Health Benefits Packages for Road accident patients.
Follow-up treatment
- 262 Health Benefits Packages for both schemes (for categories A to E)
Treatment Reserved for Govt. Hospitals
- 119 Health Benefits Packages for both the schemes (for categories A to E)
Benefits under Health Packages
The health packages provide comprehensive coverage, ensuring a cashless treatment experience for patients. The benefits include:
Hospitalization Costs
- Bed charges in general wards.
- Nursing and boarding charges.
- Surgeons, anaesthetists, medical practitioners, and consultants' fees.
Medical Expenses
- Charges for oxygen, O.T., and ICU facilities.
- Cost of surgical appliances, drugs, disposables, consumables, implants, and prosthetic devices.
- Expenses for blood transfusion (as per State Government policy).
Diagnostics and Support Services
- X-rays and diagnostic tests.
- Food for inpatients during hospitalization.
Transportation Costs
- One-time transport cost by State Transport or second-class rail fare from the hospital to the patient’s residence.
- In the unfortunate event of a patient's death, the cost of transporting the deceased's body from the network hospital to their village or township.
- The package covers all costs from the date of reporting to discharge, including treatment complications, ensuring a truly cashless experience for patients.
Scheme on Assurance Mode
The Integrated Scheme is being implemented on an Assurance Basis. This means that the claims of the network hospitals for the expenses of the patients undergoing treatment under the scheme are being paid directly by the State Health Assurance Societies to the respective network hospitals. Accordingly, the State Health Assurance Society is paying claims up to ₹5 lakh per family per year of groups A, B, C and E and ₹1 lakh per person per year for road accident victims of group D.
पात्रता
Category A: Families holding Yellow, Antyodaya Anna Yojana (AAY), Annapurna Yojna and Orange Ration Card.
Category B
• White ration card holder families (including Govt./Semi Gov employees).
• A family without having any kind of ration card but having domicile certificate of Maharashtra
Category C
• Students in Govt. and Govt. recognized Ashram School
• Children in Govt. and Govt. recognized Orphanages
• Women in Govt. and Govt. recognized Women's Ashram
• Sr. citizens in Govt. and Govt. recognized old age homes
• Journalists and their dependent family members as per criteria of Directorate General of Information and Public Relations Office.
• Construction workers and their families (who are resident of outside of Maharashtra) registered with Maharashtra Building and Other Construction Workers Board.
Category D
- Road traffic accident victims from outside Maharashtra and outside India who met with an accident on roads in Maharashtra
Category E
Families holding below mentioned ration cards from 865 villages of Belgaon, Karwar, Kalburgi and Bidar Districts of Maharashtra- Karnataka border
1) Antyodaya Anna Yojana (AAY)
2) Priority House Holder (PHH)
3) Annapurna Yojna
आवेदन प्रक्रिया
ऑफलाइन
Step 1: The interested applicant should visit the any Govt./Pvt. network hospital in State, and request the hard copy of the prescribed format of the application form from the concerned authority.
Step 2: In the application form, fill in all the mandatory fields, paste the passport-sized photograph (signed across, if required), and attach copies of all the mandatory documents (self-attest, if required).
Step 3: Submit the duly filled and signed application form along with the documents, within the prescribed period (if any), to the authority.
Step 4: Request a receipt or acknowledgement from the concerned authority to whom the application has been submitted. Ensure that the receipt contains essential details such as the date and time of submission, and a unique identification number (if applicable).
NOTE: Ensure that the application is submitted within the prescribed period, if any.
Note 1: The claim settlement module along with electronic clearance and the payment gateway will be part of the workflow in the State Health Assurance Society (SHAS) portal and will be operated by the Insurer.
Note 2: The reports will be available for scrutiny on the State Health Assurance Society (SHAS) login.
आवश्यक दस्तावेज़
List of valid photo ID proofs to be accepted along with document of eligible criteria:
1. Aadhaar Card or Aadhaar Registration Slip with a photo of the beneficiary. An Aadhaar Card would be insisted upon as an identification document and in the absence of an Aadhaar card/number; any document that is accepted for issuance of an Aadhaar card will also be accepted.
2. Pan Card
3. Voter ID
4. Driving License
5. School/College Id
6. Passport
7. Freedom Fighter ID card
8. Health Card of RGJAY / MJPJAY
9. Handicap Certificate
10. Nationalized Bank Passbook with Photo
11. Senior citizen card issued by the Central Government or State Government
12. Defense ex-servicemen card issued by Sainik Board
13. Marine Fishery Identity card (Issued by Ministry of Agriculture / Fisheries Department Government of Maharashtra).
14. Any photo ID proof issued by the Government of Maharashtra/ Government of India
अधिकतर पूछे जाने वाले सवाल
What is the full form of MJPJAY?
MJPJAY's full form is Mahatma Jyotiba Phule Jan Arogya Yojana.
When was MJPJAY started?
MJPJAY was launched in 28 districts of Maharashtra on April 1st, 2020.
What is the objective of MJPJAY?
MJPJAY aims to provide cashless, quality medical care to the beneficiaries under the scheme for catastrophic illnesses requiring hospitalization for surgery and treatment under identified specialized services through a network of health care providers.
How much assistance is available under MJPJAY Yojana?
MJPJAY Yojana 2024 provides coverage up to ₹ 1,50,000/- per policy year per family to meet all expenses related to hospitalization of the beneficiary. For renal transplants, this limit has been increased to ₹ 2,50,000/- per family per policy year.
Who is eligible for receiving Maintenance Haemodialysis treatment under MJPJAY?
A patient suffering from chronic kidney disease requiring maintenance HD and who has a health card is eligible. If the patient does not have a health card, he or she should have an orange or yellow ration card or an Antyodaya or Annapurna card along with valid ID proof.
Which services are provided under package of Maintenance Haemodialysis under MJPJAY for the patient?
The package includes pre- and post-treatment diagnostics,consultation, hospital charges, consumables, and medicines.
The detailed package is as follows:
>> Investigations
Creatinine tests (Monthly)
Complete blood count (CBC, Monthly)
HIV/Hep.A/Hep.C tests (once every three months)
Serum electrolytes (as per advise)
Blood glucose, if required
>> Consultion
Clinical examination by Nephrologist/Medical Cordinator.
>> Consumable
-Dialyser (It will be used upto optimal capacity and replaced if needed free of charge under scheme),
-Tubing (It will be used upto optimal capacity and replaced if needed free of charge under scheme),
- Fistula Needle (It will be used upto optimal capacity and replaced if needed free of charge under scheme).
- IV fluids,
- Haemodialysis Part A/B and
o Heparin.
>> Medicines
Inj. Erythropoetin, as per the advice of Nephrologist
What should be frequency of dialysis cycles under MJPJAY for each approved preauth?
The frequency of dialysis should be a minimum of 8 cycles and a maximum of 12 cycles, as recommended by the nephrologist or medical coordinator based on his or her serum creatinine level.
Does patient have to pay any extra money for treatment?
No. The patient should not pay any extra money to the hospital or center for services that are covered under the approved package.
Will Balance Sum Insured used for dialysis patient limit other household members to avail services under MJPJAY?
The maximum sum assured under MJPJAY is ₹ 1,50,000/- per family, on a family-floater basis. If the dialysis patient has utilized a particular amount from the sum assured, other family members can still avail services under MJPJAY till the total amount of ₹ 1,50,000/- gets exhausted. This amount of Sum Insured cannot get extended under any circumstances (except if patient requires a renal transplant, where BSI will be considered as ₹ 2,50,000/-)
Can HIV or HCV positive cases avail Maintenance Haemodialysis service under MJPJAY ?
Yes. If a patient is a beneficiary of MJPJAY and is HIV or HCV positive, then he or she can still avail services under MJPJAY. Empanelled hospitals and stand-alone dialysis centers must have dedicated machines for HIV or HCV-positive patients. Under no circumstances shall these units be used for other patients.
If patient requires blood transfusion, is cost of blood transfusion covered under package?
No. Maintenance Haemodialysis package does not cover the cost of a blood transfusion.
In case of a query or to register a complaint what should I do ?
In case of a query, you can contact Arogyamitra or call the toll-free number. Arogyamitra is available round the clock in the hospital or center and will facilitate and guide you if any problem arises. But if you are not satisfied, then call our toll-free numbers, 155388 or 18002332200, to register a complaint.
क्या ये सहायक था?
समाचार और अपडेट
कोई नई खबर और अपडेट उपलब्ध नहीं है
शेयर
आपको बाहरी वेबसाइट पर भेजा जा रहा है। आगे बढ़ने पर आपकी जानकारी संबंधित विभाग के साथ साझा की जाएगी।
आपका मोबाइल नंबर जन समर्थ के साथ साझा किया जाएगा और आपको बाहरी वेबसाइट पर पुनः निर्देशित किया जाएगा।
कुछ गलत हो गया। कृपया बाद में पुन: प्रयास करें
आपने इस योजना के लिए पहले ही आवेदन कर दिया है। आप 30 दिन बाद ही पुनः आवेदन कर सकते हैं, अर्थात
योजनाओं के लिए आवेदन करने से पहले आपको साइन इन करना होगा
आपको बाहरी वेबसाइट पर भेजा जा रहा है। आगे बढ़ने पर आपकी जानकारी संबंधित विभाग के साथ साझा की जाएगी।
आपका मोबाइल नंबर जन समर्थ के साथ साझा किया जाएगा और आपको बाहरी वेबसाइट पर पुनः निर्देशित किया जाएगा।
कुछ गलत हो गया। कृपया बाद में पुन: प्रयास करें
आपने इस योजना के लिए पहले ही आवेदन कर दिया है। आप 30 दिन बाद ही पुनः आवेदन कर सकते हैं, अर्थात
ऐसा लगता है कि आपने अपना आवेदन पहले ही शुरू कर दिया है।अधिक जानने के लिए कृपया जाएँ
आवेदन करें
योजनाओं के लिए आवेदन करने से पहले आपको साइन इन करना होगा
आपको बाहरी वेबसाइट पर भेजा जा रहा है। आगे बढ़ने पर आपकी जानकारी संबंधित विभाग के साथ साझा की जाएगी।
आपका मोबाइल नंबर जन समर्थ के साथ साझा किया जाएगा और आपको बाहरी वेबसाइट पर पुनः निर्देशित किया जाएगा।
कुछ गलत हो गया। कृपया बाद में पुन: प्रयास करें
आपने इस योजना के लिए पहले ही आवेदन कर दिया है। आप 30 दिन बाद ही पुनः आवेदन कर सकते हैं, अर्थात
ऐसा लगता है कि आपने अपना आवेदन पहले ही शुरू कर दिया है।अधिक जानने के लिए कृपया जाएँ
आवेदन करें
पात्रता की जाँच करें
Maharashtra
Mahatma Jyotirao Phule Jan Arogya Yojana
Cashless Service
Diseases
Health Insurance
Hospital
Hospital
विवरण
फ़ायदे
पात्रता
आवेदन प्रक्रिया
आवश्यक दस्तावेज़
अधिकतर पूछे जाने वाले सवाल
The Mahatma Jyotirao Phule Jan Arogya Yojana (MJPJAY), launched by the Government of Maharashtra under Public Health and Family Welfare Department,The scheme provides cashless medical services for secondary and tertiary treatments through empaneled hospitals. Initially targeted at low-income families, the scheme now covers all families in the state, offering up to ₹1.5 lakh under MJPJAY and ₹5 lakh under Ayushman Bharat annually. From 1st July 2024, it ensures comprehensive, cashless healthcare for the entire population of Maharashtra.
क्या ये सहायक था?
शेयर
समाचार और अपडेट
कोई नई खबर और अपडेट उपलब्ध नहीं है
