- Details
- Benefits
- Eligibility
- Application Process
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- Frequently Asked Questions
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Maharashtra
Mahatma Jyotirao Phule Jan Arogya Yojana
Details
Benefits
- 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.
- 262 Health Benefits Packages for both schemes (for categories A to E)
- 119 Health Benefits Packages for both the schemes (for categories A to E)
- Bed charges in general wards.
- Nursing and boarding charges.
- Surgeons, anaesthetists, medical practitioners, and consultants' fees.
- 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).
- X-rays and diagnostic tests.
- Food for inpatients during hospitalization.
- 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.
Eligibility
- Road traffic accident victims from outside Maharashtra and outside India who met with an accident on roads in Maharashtra
Application Process
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.
Documents Required
Frequently Asked Questions
What is the full form of MJPJAY?
When was MJPJAY started?
What is the objective of MJPJAY?
How much assistance is available under MJPJAY Yojana?
Who is eligible for receiving Maintenance Haemodialysis treatment under MJPJAY?
Which services are provided under package of Maintenance Haemodialysis under MJPJAY for the patient?
What should be frequency of dialysis cycles under MJPJAY for each approved preauth?
Does patient have to pay any extra money for treatment?
Will Balance Sum Insured used for dialysis patient limit other household members to avail services under MJPJAY?
Can HIV or HCV positive cases avail Maintenance Haemodialysis service under MJPJAY ?
If patient requires blood transfusion, is cost of blood transfusion covered under package?
In case of a query or to register a complaint what should I do ?
News and Updates
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You're being redirected to an external website. By proceeding, your details will be shared with the relevant department.
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You have already submitted an application for this scheme. You may apply again only after 30 days i.e. after
It seems you have already initiated your application earlier.To know more please visit
Apply Now
Check Eligibility
Maharashtra
Mahatma Jyotirao Phule Jan Arogya Yojana
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