Mahatma Jyotirao Phule Jan Arogya Yojana
The Mahatma Jyotirao Phule Jan Arogya Yojana, launched by the Government of Maharashtra, offers cashless treatment for identified diseases through a network of government and private healthcare providers.
About This Scheme
Benefits
₹5.0 L · annual
Health Coverage for Categories A to E (Excluding D): ₹5 lakhs per family per year on a floater basis under both schemes.- Health Coverage for Category D: ₹1 lakh per person per year.
Medical Benefits
For categories A to E (Excluding D) - 1356 Health Benefits Packages under 34 specialities.
For category D – 184 Health Benefits Packages for Road accident patients.
Follow-up treatment
262 Health Benefits Packages for both schemes (for categories A to E)
Treatment Reserved for Govt. Hospitals
119 Health Benefits Packages for both the schemes (for categories A to E)
Benefits under Health Packages
The health packages provide comprehensive coverage, ensuring a cashless treatment experience for patients. The benefits include:
Hospitalization Costs
Bed charges in general wards.
Nursing and boarding charges.
Surgeons, anaesthetists, medical practitioners, and consultants' fees.
Medical Expenses
Charges for oxygen, O.T., and ICU facilities.
Cost of surgical appliances, drugs, disposables, consumables, implants, and prosthetic devices.
Expenses for blood transfusion (as per State Government policy).
Diagnostics and Support Services
X-rays and diagnostic tests.
Food for inpatients during hospitalization.
Transportation Costs
One-time transport cost by State Transport or second-class rail fare from the hospital to the patient’s residence.
In the unfortunate event of a patient's death, the cost of transporting the deceased's body from the network hospital to their village or township.
The package covers all costs from the date of reporting to discharge, including treatment complications, ensuring a truly cashless experience for patients.
Scheme on Assurance Mode
₹5.0 L · annual
The Integrated Scheme is being implemented on an Assurance Basis. This means that the claims of the network hospitals for the expenses of the patients undergoing treatment under the scheme are being paid directly by the State Health Assurance Societies to the respective network hospitals. Accordingly, the State Health Assurance Society is paying claims up to ₹5 lakh per family per year of groups A, B, C and E and ₹1 lakh per person per year for road accident victims of group D.
Eligibility
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Required Documents
- ✦List of valid photo ID proofs to be accepted along with document of eligible criteria:
- ✦Aadhaar Card or Aadhaar Registration Slip with a photo of the beneficiary. An Aadhaar Card would be insisted upon as an identification document and in the absence of an Aadhaar card/number; any document that is accepted for issuance of an Aadhaar card will also be accepted.
- ✦Pan Card
- ✦Voter ID
- ✦Driving License
- ✦School/College Id
- ✦Passport
- ✦Freedom Fighter ID card
- ✦Health Card of RGJAY / MJPJAY
- ✦Handicap Certificate
- ✦Nationalized Bank Passbook with Photo
- ✦Senior citizen card issued by the Central Government or State Government
- ✦Defense ex-servicemen card issued by Sainik Board
- ✦Marine Fishery Identity card (Issued by Ministry of Agriculture / Fisheries Department Government of Maharashtra).
- ✦Any photo ID proof issued by the Government of Maharashtra/ Government of India
✦ Required ◦ Optional
How to Apply
Quick Info
- Level
- Central Government
- Max benefit
- ₹5.0 L