Mukhyamantri Ayushman Aarogya Yojana
At a Glance
Scheme Category
Health & Wellness
Target Beneficiaries
All
Brief Description
The Mukhyamantri Ayushman Arogya Yojana, launched on 1 May 2021, aims to reduce medical expenses by offering free treatment for 1,798 procedures in government and empanelled private hospitals. Eligible NFSA, SECC 2011 families, contract workers, small farmers, and others can avail benefits.
Benefit Type
In Kind
Eligibility Criteria
1. Free Category : - Families eligible under the National Food Security Act (NFSA). - Families identified under the Socio-Economic Caste Census (SECC) 2011. - Contractual employees working in state departments, boards, corporations, and government companies. - Small and marginal farmers. - Destitute and helpless families who received COVID-19 ex-gratia relief in the previous year. 1. Premium Category : - Families not included in the free category. - Families who are not government employees or pensioners. - Families who are not availing benefits under the Medical Attendance Rules. - These families can enroll by paying ₹850 per year per family (50% of the premium), while the remaining 50% is borne by the State Government.
Application Mode
Offline
Application Process
- Registration Process for Categories Receiving Free Benefits: 1. Families eligible under the Food Security Act and eligible families as per the Socio-Economic Census 2011 are already eligible under the scheme. Therefore, they do not need to register. 1. Beneficiaries will be required to register on the scheme&39;s registration portal, a link to which is available on the scheme&39;s official website: https://maayojana.rajasthan.gov.in/. Beneficiaries can register online using their SSO ID or by visiting an e-Mitra center. 1. For registration, beneficiaries must have their Aadhaar card/JAN Aadhaar card number/JAN Aadhaar card registration receipt number and Aadhaar card number. 1. Before registration, e-authentication will be performed via OTP on the mobile number registered in the applicant&39;s Aadhaar card, for which the applicant must have the Aadhaar card/Aadhaar card number. 1. Applications for registration of contract workers under the scheme will be verified online by the nodal officer of the concerned department and updated regularly. 1. Small and marginal farmers who are not linked to the Aadhaar card can have their land holdings seeded into the Aadhaar card through e-Mitra, as per the procedure prescribed on the Aadhaar portal. 1. After seeding, the family can be registered online or through e-Mitra on the above-mentioned registration portal of the scheme. 1. After successful registration, the beneficiary will be able to print the policy document. - Category eligible for benefits by paying ₹850/- per family per year: 1. Beneficiaries must register themselves online on the scheme&39;s registration portal or through e-Mitra. These beneficiaries must pay a premium of ₹850 per family per year to the respective e-Mitra center or through digital payment mode. After successful registration, beneficiaries will be able to print the policy document. 1. A detailed step-by-step process for registering under the scheme through e-Mitra or in-person is available on the scheme&39;s website https://maayojana.rajasthan.gov.in/. 1. Registration Fee: Beneficiaries in both categories are not required to pay any fee at the e-Mitra center. The fee for successful registration, premium payment, and printing of the policy document on pre-printed paper will be borne by the State Government. - Process for availing benefits under the scheme: The following steps will be followed to avail free treatment under the scheme: - Identification of Eligible Family: Eligible families will be identified through their Jan-Aadhaar card number/Jan-Aadhaar EID/policy document/Aadhaar card. Therefore, provide this information to the health guide present at the scheme counter at the time of admission to the hospital to ensure the family&39;s eligibility. - Identification of Beneficiary: Once the family&39;s eligibility is confirmed, the patient&39;s eligibility will be verified. For this purpose, by entering the Jan-Aadhaar card number or registration number into the software, the family category and family member details will be displayed. The patient will be identified and biometrically verified. A live photo will be taken in front of the web camera at the time of admission and discharge. - The patient will only be eligible for benefits under the scheme if the selected category and family member details are displayed in the scheme software. - Treatment of the patient will begin according to the package available under the scheme. - Provisions for treatment of children up to one year of age: Even if the name of the eligible family is not included in the Jan-Aadhaar card details, a provision has been made to provide treatment under the scheme to children up to one year of age. For this purpose, treatment can be provided by generating the child&39;s TID in the name of any available family member registered in the Jan-Aadhaar card. - If the name of a child above one year of age is not included in the Jan-Aadhaar card, treatment for that child is not possible under the scheme. (In such a situation, the family should be advised that the child&39;s name can be added to the Jan-Aadhaar card by presenting the birth documents at any e-Mitra center.) However, free treatment under the scheme will be available only after the name is added to the Jan-Aadhaar card. - Provisions regarding treatment for children under five years of age: Biometric verification and the presentation of a photo ID are not mandatory for treatment of children under five years of age. A child&39;s TID can be generated by biometric verification of another family member listed on the family identity card.
Required Documents
- Jan Aadhaar Card/Jan Aadhaar Card Number/Jan Aadhaar Card Registration Receipt Number
- Aadhaar Card Number
FAQs
When was the scheme launched?
The scheme started on 1 May 2021, expanding the Ayushman Bharat–Mahatma Gandhi Rajasthan Health Insurance Scheme.
What is the main objective of the scheme?
To reduce out-of-pocket medical expenses and provide quality treatment through government and empanelled private hospitals.
Who are eligible under the free category?
Families under NFSA, SECC 2011, contractual workers in state departments/boards/corporations/government companies, small & marginal farmers, and families that received COVID-19 ex-gratia in the previous year.
What premium is payable under the premium category?
₹850 per family per year (the rest 50% is borne by the State Government).
What kind of treatment is covered under the scheme?
Only IPD (In-patient Department) and identified procedures.
How many medical packages are covered?
1,798 packages, divided into 3,219 in the scheme software for ease.
Are pre-existing diseases covered?
Yes, all diseases prior to the start of the scheme are included.
What medical expenses are included in the package?
Registration, bed, nursing, consultation, surgery, anesthesia, medicines, diagnostics (X-ray/tests), oxygen, blood, OT, and protective equipment.
Where can beneficiaries get treatment?
At all government hospitals (CHCs, satellite hospitals, sub-divisional, district hospitals, medical colleges), central government hospitals in Rajasthan, and empanelled private hospitals. Search : https://maayojana.rajasthan.gov.in/#/hospital-search
Are infants eligible under the scheme?
Yes, infants up to one year are eligible even if not listed in the family card.