What is Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY)
With the aim of providing free and quality health care to low-income families, MJPJAY was introduced by the Maharashtra state government. The program provides free health care especially specialized hospital-based services to consult, operate and perform treatment options through a designated network of health care providers. First introduced as Rajiv Gandhi Jeevandayee Arogya Yojana (RGJAY).
MJPJAY will provide coverage to cover all medical expenses during the recipient's hospital stay at a guaranteed amount of Rs.1,50,000 per family per annum. An annual stipend of Rs.1,50,000 can be received by an individual or the whole family for free accommodation.
Covered things Under Mahatma Jyotiba Phule Jan Arogya Yojana
The coverage under Mahatma Jyotiba Phule Jan Arogya Yojana includes 971 treatments/surgeries/procedures and 121 tracking packages in 30 special categories. These include:
• Orthopedic and surgical procedures, general surgery, ENT surgery, gynecological and obstetric surgery, cardiothoracic surgery, ophthalmology surgery, pediatric surgery, radiation surgery, plastic surgery, etc.
• Government has set 132 procedures to be performed on skilled public hospitals or public colleges.
• The maximum operating limit for kidney transplantation is Rs.2,50,000.
• Consultation and medication after hospitalization are covered for up to 10 days from the date of issue.
Not Covered things under Mahatma Jyotiba Phule Jan Arogya Yojana
Under the program, all approved medical care will be provided except 131 scheduled procedures such as vaginal or abdominal hysterectomy, hernia, cholecystectomy, appendectomy, discectomy, etc. will only be performed at skilled public hospitals or public colleges.
Features and Benefits of Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY):
Below are the key features of MJPJAY:
• Health insurance premiums and premium fees are borne by the Maharashtra State Government.
• Total insurance amount of Rs.1,50,000 per annum per household.
• The scheme can be used by an individual or by a family float.
• Includes surgery, diagnosis, treatment and follow-up interactions with treatment.
• All existing diseases are covered from day one.
• Apart from the included public hospitals, there are many private hospitals included.
• Availability of health camps run by experienced public hospitals.
Benefits of Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY):
The MJPJAY program offers several benefits to people belonging to the BPL and APL families. Below are the benefits of the scheme:
• Includes 971 types of surgeries/treatments/procedures in 30 special categories.
• Includes about 121 types of tracking procedures in 30 special sections.
• Only qualified public hospitals and medical colleges will carry out state procedures set out 132.
• Upper renal replacement is Rs.2,50,000.
List of Diseases and Treatment Covered Under MJPJAY
All existing diseases are covered from day one under the program, below is a list of diseases and treatments compiled under MJPJAY:
• General Surgery
• Ophthalmology Surgery
• ENT surgery
• Gynecology and Obstetric Surgery
• Gastroenterology Surgery
• Orthopedic Surgery and Procedures
• Cardiovascular and cardiac surgery
• Genitourinary system
• Child Surgery
• Surgical Oncology
• Medical Oncology
• Plastic surgery
• Radiation Oncology
• Essential Care
• Infectious Diseases
• General Medicine
• Pediatrics Medical Management
• Skin Treatment
• Interventional Radiology
Eligibility for Mahatma Jyotiba Jan Arogya Yojana (MJPJAY):
Below the Mahatma Jyotiba Jan Arogya Yojana (MJPJAY) eligibility process:
• Families who are part of the identified affected districts in Maharashtra province.
• You must carry a White / Orange / Yellow Ration Card, Antyodaya Anna Yojana Card (AAY), or Annapurna Card.
• Farmers from many of the most affected agricultural areas such as Amaravati, Aurangabad, Akola, Buldhana, Hingoli, Beed, Jalna, Latur, Nanded, Osmanabad, Wardha, Parbhani, Yavatmal, and Washim.
• The basis for identifying farmers from these agricultural districts is based on the issuance of 7/12, their White Ration Card and the name of the beneficiary or the head of the family, or a certificate from the relevant Patrol or Talat.
How to register for the Mahatma Jyotiba Jan Arogya Yojana (MJPJAY) Scheme?
Below is the registration process for the MJPJAY program in the Maharashtra region:
• Step 1: Individuals or families will contact the nearest Network / District / Women / General Hospital and contact Arogyamitra to initiate an application for the program.
• Step 2: When you visit the State Health Center, you will be given a referral card that can be issued by Network Hospital and the initial medical examination at the Government Health Facility.
• Step 3: You can also visit health facilities organized by Network Hospital and get a referral card.
Step 4: After that you need to provide the transfer card and your Yellow or Orange Card. You can also replace your Antyodaya or Annapurna Card in lieu of a share card.
• Step 5: Once you have produced the above information, the start of diagnosis and testing will begin.
• Step 6: Depending on the diagnosis, you will be admitted to Network Hospital.
• Step 7: An E-authorization application will be submitted to the insurance company and the same will be reviewed by MJPJAY.
• Step 8: The medical professionals of the insurance company and MJPJAY will review the application for accreditation and approve the application if all conditions are met. This authorization will be issued within 24 hours and as soon as there is an emergency authorization marked “EM”.
• Step 9: With official authorization, you will be offered free medical treatment or treatment.
• Step 10: The hospital will send all initial debts, diagnostic reports, summary summonses, and other relevant documents to the insurance company to resolve the claim.
• Step 11: The insurance company will review the documents and approve the claim and cancel the payment at the hospital.
• Step 12: The network hospital will provide a free consultation, medication, and diagnostics under the plan for up to 10 days from the date of discharge.
Documents Required to Apply for Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY):
For identification purposes, other than the assignment card (Orange / Yellow / White), you need to submit any of the following KYC documents
• Pan Card
• Driver's License
• Aadhar Card
• Voting ID
• Disability Certificate
• National Bank Book Passport with a picture
• School / college ID
• In urban areas, Local Government Institutions / Tahsildar stamps and signatures on the applicant's photograph.
• In rural areas, Tahsildar stamp and signature on photo of the applicant.
• Liberty author ID card
• Higher citizenship card issued by the central and provincial government of India
• Protection card issued by the Sainik board
• Any proof of photo ID issued by the government. YeMaharashtra / Govt. of India.
• Marine Fisheries Identity Card.
In the case of a newborn baby, the name and picture may not be found on the card or the appropriate Yellow or Orange Ration card, send a photo of the baby and one of the parents and a White / Orange / Yellow assignment card. and the child's birth certificate.
How to apply for Mahatma Jyotiba Jan Arogya Yojana Card Online?
To apply for or receive the Mahatma Jyotiba Jan Arogya Yojana card, you need to contact the nearest General Hospital, Women / District / Network. Arogyamitra, who represents the program, will help you get a health card.
Please note, if you visit the State Health Center, you will be given a referral card from the Network Hospital for a medical examination. You can also go to health camps run by Network hospitals and you can get a health card.
Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) Application Form:
The government's main objective in launching this health program is to provide free access to health care for the poor and vulnerable sections of society, especially those belonging to BPL and APL families.
To apply for the Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) program, beneficiaries should contact the nearest General, Women, District or Network Hospital to register.
Mahatma Jyotiba Phule Jan Arogya Yojana's (MJPJAY) Prosecution Procedures:
Below is the MJPJAY program claim process:
• Step 1: Diagnosis is made to find out the condition.
• Step 2: Treatment will begin immediately if a diagnosis is made at the network hospital as soon as the previous diagnosis is obtained from the insurance company.
• Step 3: If the diagnosis is not made at the network hospital, a referral card will be issued by Arogyamitra to start treatment at the intensive care hospital.
• Step 4: The network hospital will receive e-Authorization from the insurance company in online mode.
• Step 5: Upon receiving approval from the insurance company, a skilled hospital will begin treatment.
• Step 6: Once the treatment and surgery have been completed, the hospital will share all relevant documents such as medical bills, diagnostics, and summary of the insurance company.
• Step 7: The insurance provider will verify all the relevant documents and approve the payment of the claim.
• Step 8: The network hospital will provide consultation, diagnosis and medication for up to 10 days from the date of issue.
Mahatma Jyotiba Phule Jan Arogya Yojana's (MJPJAY) toll-free number
Below is the MJPJAY helpline number and address
Toll Free Number: 1800-233-2200 / 155 388
• Mahatma Jyotiba Phule Jan Arogya Yojana,
• World Health Organization,
• ESIS Compound Hospital,
• Ganpat Jadhav Marg,
• Mumbai - 400018