Mahatma Jyotiba Phule Jan Arogya Yojana

What is Covered?  

Under the RGJAY scheme, APL and BPL families can avail of free hospitalization for the following specialities:  

1. General surgery  
2. Opthalmology surgery  

1. ENT surgery  
2. Cardiac and cardiothoracic surgery  
3. Paediatric surgery  
4. Gynaecology and obstetrics surgery  
5. Plastic surgery  

1. Nephrology  
2. Burns  
3. Endocrinology  
4. Pneumonia  
5. Diarrhoea  

1. Hernia  
2. Appendicitis  
3. Snakebite (Ventilation support for snakebite)  

How to Register for RGJAY Scheme?

Given below are the steps to register for the RGJAY scheme:  

Step 1 - Visit your nearest empanelled hospital and provide your valid ration card and a photo ID to the Medical Coordinator.  

Step 2 - The Medical Coordinator will capture certain information like admission notes and test reports on the database.  

Step 3 - The pre-authorization request will be forwarded to the insurance company that is associated with the RGJAY scheme.   

Step 4 - The request will also be reviewed by the medical specialists, doctors and the insurer.  

Step 5 -  Once the documents are reviewed, the claim will be verified by the insurer.  

Step 6 - The beneficiary will receive cashless medical treatment and hospitalization services.  

Step 7 - The beneficiary can also avail of free follow consultation and diagnostics services up to ten days from the date of discharge.  

How to Login to RGJAY Scheme?

Given below are the steps to log in to RGJAY scheme:  

Step 1 -  Visit the Official Website at https://www.jeevandayee.gov.in

Step 2 -  Enter your ‘Username’ and ‘Password’.  

Step 3 - Click on the ‘Login’ button to enter the portal. 

Eligibility Criteria:

Here are the eligibility criteria to register for RGJAY Scheme:  

1. Families having Yellow Ration Card, Annapurna Card, Orange Ration Card, and Antyodaya Anna Yojana (AAY) are eligible to register for the RGJAY scheme.  
2. Farmers belonging to 14 agriculturally distressed districts of Maharashtra having white ration cards are also eligible.  

Documents Needed for Rajiv Gandhi Jeevandayee Arogya Yojana:

Given below are the documents which are needed to be submitted to avail of RGJAY scheme facilities:  

1. White, orange, or yellow ration card  
2. Voter ID card  
3. Aadhar card  
4. PAN card  
5. Driving license  

1. School ID card  

RGJAY Claim Settlement Process:  

Given below is the step-by-step claim settlement process for the RGJAY scheme:  

Step 1 - Visit your nearest empanelled hospital and get a diagnosis for your medical condition.  

Step 2 -The hospital will send a request to the insurance provider for pre-authorization.  

Step 3 - Once the pre-authorization is received, the treatment for the diagnosed medical condition will start.  

Step 4 - Once the medical treatment gets over, the empanelled hospital will provide all the important documents to the insurance provider  

Step 5 - The insurance provider will go through the documents and approve the claim.  

RGJAY Toll Free Number:

You can get in touch with their toll-free number 1800 233 2200.