Rajasthan Government Health Scheme
The Rajasthan Government has been providing medical facilities to Honourable Members of the Government, MLAs, Ex-MLAs, as well as the State Government officials and pensioners with provisions under the various Laws, Schemes, and Medical Insurance Policies. Private bodies/boards/companies provide medical institutions with their own regulations. Key rules/schemes are as follows:
Rules of Members of the Rajasthan Legislative Council (Medical Services) Laws, 1964
Rules of Members of the Rajasthan Provincial Council Former Members and Family Pensioners (Medical Equipment), 2010
Rules of Rajasthan Civil Services (Medical Attendance), 2013
Rajasthan State Pensioners' Medical Concession Scheme, 2014
Raj Mediclaim Policy
In addition to the above, Ministers, Justice Officials, All Indian Authorities also receive medical facilities under the following rules:
Rules of the Minister of Rajasthan (Medical Attendance), 1961
Rules of Rajasthan Judicial Officers (Medical Facilities), 2008
All Laws of India Services (Medical Attendance), 1954
All state-run hospitals accredited by the State Government and Private-Public Hospitals will be eligible to provide treatment facilities under this program in accordance with the terms and conditions. In the event of a serious emergency, treatment will be allowed in referral hospitals after appropriate referral by the appropriate authority.
The scheme relies on CGHS prices and surgeries otherwise it may be not amended under this program to provide emergency medical treatment in intensive care hospitals.
This program will provide:
Investigations at Government Institutions and Diagnostic Canters
Non-revenue area for IPD / day-care services.
Family Welfare, Obstetrics, and Child Health Services.
Beneficiaries and Scheme Coverage:
In case of Grave Illness - RGHS Coverage:
Cases of Vascular Surgery, Coronary Artery Surgery, Hodgkin's Disease, Urinary Tract Survival for More Than 24 Hours, Acute Myocardial Infarction, Acute Pneumonitis, Acute Respiratory Distress, Cancer, Kidney Failure, Stroke, Multiple Sclerosis, Meningitis, Transplantation of Major Organs such as Kidney, Lungs, Pneumonia, Heart, Liver or Bone Marrow, Injuries, Delivery, Pregnancy Tuberculosis and related complications, swine flu, dengue fever, Appendicitis, Pancreatitis, etc. can be treated in case of emergency.
RGHS: Fully Online and Automated system:
HBEC Hospital Strengthening (Apply and approve the program) on the RGHS web portal: Online and color process
Identified database of family beneficiary status (Jan Aadhar)
Pre-authorization at hospital level only
Payment through Online System in Hospitals
RGHS - Claim Settlement:
The claim payment process will be on the RGHS IT Platform via the RGHS portal and the electronic medical record (EMR) of each beneficiary will be kept with the RGHS cardholder in an electronic Wallet.
Any dispute between the SIPF and the beneficiary, the SIPF and the affiliated impaneled hospitals, and the beneficiary hospital which is unable to operate during or after the scheme period in connection with the validity, interpretation, operation, or alleged violation of any provision of the scheme shall be District Level Grievance Redressal Committee (DGRC), State Level Grievance Redressal Committee (SLGRC) and Appeal Authority.