Mahatma Phule Jan Arogya Yojana Maharashtra (cashless treatment of the poor)

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Mahatma Phule Jan Arogya Yojana Maharashtra 2019-20 (cashless treatment of the poor) @ Health Card [Eligibility Criteria, Application Form, List of Diseases And Hospital, Contact number]

There are many people and families in India who are not capable of bearing different types of medicines and treatment. Due to the lack of money such families and people keep suffering from their ailments and then die eventually. Along with the problem of lack of money there is also the problem of lack of affordable medical facilities. Different states of India have been trying their best to meet such problems and enable the poor of the state to access medical facilities. Such initiatives have also been taken by the central government. And one such scheme relating to healthcare for the poor is the Mahatma Jyotiba Phule Jan Arogya Yojana. Well this is not a newly launched yojana, but it is an already existing yojana that has been recently renamed.

Mahatma Jyotiba Phule Jan Arogya Yojana

Name of the schemeMahatma Jyotiba Phule Jan Arogya Yojana
Previous nameRajiv Gandhi Jeevandayee Arogya Yojana
Initial launchJuly 2012, renamed in October 2016
Launched byMaharashtra Government
Area coveredThe state of Maharashtra
Objective of the schemeProvide cashless treatment of the poor
Target group of the schemeFamilies belonging to BPL categories and other needy people and families
Tollfree number18002332200

The main objective of the scheme is to provide financial help to the poor people of the state so that they can avail different treatment facilities for different health ailments.

Recent news about the scheme

So the cashless treatment scheme for the poor which was initially called the Rajiv Gandhi Jeevandayee Arogya Yojana has now been changed to Mahatma Jyotiba Phule Jeevandayeen Yojana. Along with the name certain other changes have also been made to the scheme. The Maharashtra government recently announced about the changes that has been made to the scheme and said that it has been done with an aim of benefitting more and more people of the state. The features of the scheme have been modified in a way that it would be a more comprehensive scheme for the poor.

The cashless treatment scheme for the poor has now been named after the social reformer Mahatma Phule. When the scheme was launched it was called Jeevandayee Yojana and then the scheme was named after Rajiv Gandhi. And now the name of the scheme has again been changed and has been named Mahatma Jyotiba Phule Jeevanda yeeni Yojana.

Addressing the press State Public Health Minister Deepak Sawant said that the tenure of the earlier scheme has ended and so the scheme has been renamed and has been given the required modifications. Along with these modification the Shiv Sena minister also revealed about a new scheme that would provide cashless accident insurance. Under this new scheme the person insured would be covered for three days after an accident.

The change in the name of the scheme has not been appreciated by the Congress ministers. Some of the Maharashtra based Congress MPs have shown disappointment regarding the name change of the scheme. According to them this scheme is a flagship scheme of the Congress party and the BJP should not be modifying it.

Below are the details about the scheme with the recently made modifications.

Features of the scheme

  • The scheme initially covered only families from the Below Poverty Line category and Above Poverty Line categories. But now it also covers Ashramshala, orphanage, old age homes and journalists. Under the recently made modification the scheme would also include the farmers from the 14 identified distressed districts of Maharashtra.
  • Under this scheme the beneficiaries will get and an insurance amount of up to Rs.2 lakh per family on an annual basis. Initially the amount of insurance was Rs.1.5 lakhs. In case of kidney transplant the amount of insurance has been increased from Rs.2.5 lakhs to 3 lakhs.
  • Under this scheme 1100 identified ailments are covered which includes knee replacement, sickle cell, anaemia treatment, and other old age issues. Earlier only 971 aliments were covered.
  • The hospitals which are registered under this scheme will provide the insured with cashless and immediate service. Along with the government hospitals of Maharashtra, the scheme also includes certain private hospitals like Tata Memorial Hospital and Research Centre, RN Cooper, Asian Heart and Research Centre and Seven Hills Healthcare.
  • This scheme not just covers the treatment but also covers follow up charges, consultation charges, and kidney transplants charges.

Eligibility for this scheme

The scheme is now available to Orange card, Yellow card, Antyodaya Card, and Annapurna Card holders. For hospitals that want to be a part of this scheme, should have at least 50 inpatient beds and enough staff. Apart from this the hospitals should have separate wards for males and females.

Applying for this scheme

The application for the scheme can be done by visiting the nearest hospital that is registered with this scheme. The details of the hospitals registered under this scheme is given in the official website of the scheme. When you visit the hospital for registration make sure you carry documents such as- ration card, Aadhaar card, Antyodaya or Annapurna card. The hospital ill guide you with the procedure and they will sent an E-preauthorization request to the insurance companies the department managing this scheme. After verification you will be registered to the scheme and can hence get cashless treatment done.

Some of the ailments that are covered by the scheme

Lobar pneumonia, Aspiration pneumonia, Broncho pneumonia, pneumothorax, pneumoconiosis, pneumonectomy, Diabetic retinopathy, uncontrolled diabetes with infectious emergencies, Diabetic ketoacidosis, snakebite with ventilation support, Diaphragmatic Hernia, Appendicular Perforation, knee and hip replacement surgeries, kidney transplantation, and many others.

The scheme has been doing well so far and has surely helped a lot of poor families in the State of Maharashtra. But then there have also been certain complaints about the scheme. Issues such as treatment not being fully free and patients paying out of their pockets have been reported. But then with the modification that have been made in the scheme, it is expected that more people will be benefited ad that too in a better way. One has to wait to see that how better the scheme does with this changes that have been made to the scheme.


27 Hospitals Names Struck-off From Health Insurance Scheme List

Several central and state sponsored health insurance schemes require the close cooperation from government as well as private hospitals. But the authorities keep a close watch on the performances of these healthcare centers. If they are not up to the mark, their names are removed from the empanelment list. The Chief Operating Officer of Mahatma Jyotiba Phule Jan Arogya Yojana announced on 24th July that 27 hospitals, all located within this state will no longer remain a part of this project. Several complaints against these organizations caused their de-empanelment. The chief office also said that these healthcare institutes were given warnings before taking this final step.

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