- About Coverfox
The Mahatma Jyotiba Phule Jan Arogya Yojana, formerly known as Rajiv Gandhi Jeevandayee Arogya Yojana (RGJAY), is the flagship health insurance scheme launched by the Government of Maharashtra for the entire state. It was launched on 2nd July, 2012. The primary purpose of this scheme is to provide free quality critical care for low income families. Note: All information has been sourced from the official website of State Health Assurance Society.
|Name of the Scheme||Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY)|
|Launched in||2nd July, 2012 in Maharashtra|
|Launched by||Government of Maharashtra|
|Date of Announcement||2nd July, 2012|
|Date of Implementation||2nd July, 2012|
|Supervised by||State Health Assurance Society, Government of Maharashtra|
|Targeted Towards||Below Poverty Line (BPL) and Above Poverty Line (APL) families (excluding White Card Holders as defined by Civil Supplies Department)|
The Features Of MJPJAY Are:
The Benefits Of MJPJAY Are:
Families belonging to any of the 36 districts of Maharashtra and holding Yellow Ration Card, Antyodaya Anna Yojana Card (AAY), Annapurna Card and Orange Ration Card along with Farmers from 14 agriculturally distressed districts of Maharashtra (Amravati, Akola, Aurangabad, Buldhana, Beed, Hingoli, Jalna, Nanded, Latur, Osmanabad, Parbhani, Wardha, Washim and Yavatmal) are eligible under MJPJAY. The identification for farmers from 14 agriculturally distressed districts of Maharashtra will be based on White Ration Card. This would be done along with 7/12 extract bearing the name of the beneficiary / head of the family or certificate from the concerned Talathi / Patwari. This should state that the beneficiary is a farmer or a family member of the farmer with a valid photo ID proof of the beneficiary.
Once the condition has been successfully diagnosed at the network hospital, the treatment will begin immediately post pre-authorization has been granted. In case the diagnosis has been made in a non-network facility hospital, a referral card will be given to commence treatment in a nearby network hospital. When the cashless treatment has been successfully conducted, the network hospital will send all the relevant details (diagnostic reports, medical bills, and discharge summary) to the insurer. The insurer, in return, will verify all the details and approve the claim settlement.
Post-surgery, follow-up consultations, diagnosis, medicines are free of charge for a period of 10 days.
The Mahatma Jyotiba Phule Jan Arogya Yojana is one of the best initiatives undertaken by the Government of Maharashtra. Not only does it cover the entire state, it also provides medical cover and premium payment for all the registered families.
What is the maximum insurance cover under Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY)?
The maximum insurance cover under Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) is ₹1.5 lakh per family and 2.5 lakhs per operation in case of renal transplant.