Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana (AB-MGRSBY) Details: Ayushman Bharat Mahatma Gandhi Rajasthan Health Insurance Scheme (AB-MGRHIS) 2021 has been launched by the Rajasthan government. Chief Minister Ashok Gehlot has started this revamped version of Ayushman Bharat Yojana in Rajasthan on 24 February 2021. Along with the complete health benefits of PM Jan Arogya Yojana, AB-MGRHIS will even include COVID-19, Hemodialysis benefits. CM Ashok Gehlot announced Universal Health Care scheme worth Rs. 3,500 crore for the people of the state in Rajasthan Budget 2021. As per the scheme, each family will get an insurance benefit of Rs 5 lakh by paying an annual premium of Rs 850.
Ayushman Bharat Mahatma Gandhi Rajasthan Health Insurance Scheme 2021 Details
Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana 2021 is a mega National Health Protection Scheme for poor people. This is the revamped version of Pradhan Mantri Jan Arogya Yojana in Rajasthan. ABMGRHIS will provide Rs. 5 lakh health insurance for secondary and tertiary hospitalization. Beneficiaries of AB-MGRHIS treatment would be cashless and paperless in all govt. and empanelled private hospitals.
AB-MGRHIS Premium Amount
All the insured people can make claims for treatment in all empanelled hospitals and avail treatment at NHPM treatment package rates. ABMGRHIS is applicable for all rural and urban beneficaries whose name appears in SECC-2011 Data. There will be No online application forms for this scheme. Anti fraud guidelines are also framed against people who demand money to provide insurance benefits. The annual premium amount to avail benefits of this scheme is Rs. 850 per annum.
People can visit any Health and Wellness Center to avail Ayushman Bharat Mahatma Gandhi Rajasthan Health Insurance Scheme benefits. All the ABMGRHIS beneficiaries will be given family cards and arogya mitras will be trained for assistance. Check complete details regarding ABMGRHIS here.
Salient Features of ABMGRHIS Universal Health Care Scheme in Rajasthan
The important features and highlights of Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana are as follows:-
- Health Insurance cover of Rs. 5 lakh per family per year.
- Around 1.10 crore poor and vulnerable families whose name appears in the SECC-2011 Data are eligible. There is no cap on family size and age.
- COVID-19 care and hemodialysis would be covered in Ayushman Bharat Mahatma Gandhi Rajasthan Health Insurance Scheme.
- Revamped Ayushman Bharat Scheme in Rajasthan has been launched on 30 January 2021.
- Cashless and Paperless treatment would be provided in all govt. and empanelled private hospitals.
Informing the Ayushman Bharat Rajasthan Health Insurance Scheme Beneficiaries
The complete procedure to inform the Ayushman Bharat Mahatma Gandhi Rajasthan Health Insurance Scheme Beneficiaries is given below:-
- Family letter would be given to the Identified families.
- Call Centre “14555” is open for Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana beneficiaries.
- Website and App will be launched while marking the official launch of ABMGRHIS.
- People can get info. on Ayushman Bharat Mahatma Gandhi Rajasthan Health Insurance Scheme through hospitals, Common Service Centers and by Mass Media.
Candidates can also check their name in Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana list of beneficiaries.
Ayushman Bharat Rajasthan Swasthya Bima Yojana Golden Cards
Beneficiaries are entitled to get Golden Cards to avail treatment in any govt. / private empanelled hospitals under Ayushman Bharat Mahatma Gandhi Rajasthan Health Insurance Scheme. The government’s ambitious AB-MGRHIS, that will pay up to Rs five lakh in hospitalisation costs to poor and vulnerable families, will also cover drugs and diagnostic expenses 3 days prior to and 15 days post hospitalisation.
An Overview of Rajasthan Universal Health Care Scheme
|योजना का नाम||आयुष्मान भारत-महात्मा गांधी राजस्थान स्वास्थ्य बीमा योजना|
|रोल-आउट की तारीख||09-01-2019|
|कार्यान्वयन का तरीका||ट्रस्ट|
|SECC / RSBY डेटा के अनुसार पीएम-जय पात्र परिवारों की संख्या||58,95,363|
|राज्य द्वारा कवर किए गए अतिरिक्त पीएम-जय परिवारों की संख्या||50,28,504|
|राज्य योजना द्वारा कवर किए गए गैर-पीएम-जय परिवारों की संख्या||–|
|बीमा कंपनी का नाम (यदि लागू हो)||लागू नहीं|
|आइएसए / टीपीए का नाम||हेल्थ इंडिया इंश्योरेंस टीपीए सर्विसेज प्रा Ltd|
|स्वास्थ्य लाभ पैकेजों की संख्या (एचबीपी 1.0)||2,077|
|सरकारी अस्पतालों के लिए आरक्षित पैकेजों की संख्या||34|
|राज्य स्वास्थ्य एजेंसी का नाम (रा.स्वा.अ.)||राजस्थान राज्य स्वास्थ्य आश्वासन एजेंसी|
|स्वास्थ्य एजेंसी का पता||स्वास्थ भवन, तिलक मार्ग, जयपुर|
|स्वास्थ्य एजेंसी का कॉन्टेक्ट नं||0141-2222817|
|रा.स्वा.अ. ईमेल आईडी||[email protected]|
|रा.स्वा.अ. मुख्य कार्यकारी अधिकारी का नाम||श्रीमती सुचि त्यागी (IAS)|
|राज्य स्वास्थ्य एजेंसी का टोल फ्री नं||1800-1806127|
This data is updated upto 15 July 2020 and is taken from https://pmjay.gov.in/hi/rajasthan_profile
Launch of Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana (Update As on 29 August 2019)
From here onward, article is written as on 29 August 2019. Rajasthan government is going to launch Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana from 1 September 2019. Under AB-MGRSBY scheme, govt. will merge central govt’s PM Jan Arogya Yojana (PMJAY) and state govt’s Bhamashah Swasthya Bima Yojna (BSBY). This mega health insurance scheme will cover around 1.1 crore beneficiary families in the state.
Currently, AB-PMJAY scheme and BSBY Scheme has 80% of common beneficiaries for new insurance scheme. The rest of 20% beneficiary families would be included in the AB-MGRSBY scheme. The state govt. will provide cashless and paperless treatment upto Rs. 5 lakh for secondary and tertiary hospitalization. People will be able to avail the AB-MGRSBY Scheme benefits in all empanelled private and public hospitals.
Implementation of AB-MGRSBY Health Care Scheme
Rajasthan govt. is adopting and implementing central govt’s PMJAY as AB-MGRSBY scheme and it will replace existing Bhamashah Swasthya Bima Yojana launched by previous government. After the merger of these health insurance schemes, around 10 lakh more families will be added to the beneficiary list of families. The state govt. is receiving complaints of irregularities in BSBY and these shortcomings will be removed in the AB-MGRSBY Scheme. This scheme will be implemented in the entire state from 1 September 2019. The total number of families covered in BSBY scheme will be increased from 1 crore to 1.1 crore.
There are 80% common beneficiaries of AB-PMJAY and BSBY scheme and rest of 20% families would be added to new insurance scheme. Health dept. is going to carry out activities related to AB-MGRSBY scheme through a dedicated new portal. This portal is already prepared and made operational by department of Information Technology (DoIT). TPA present at the hospitals will perform the claim processing of beneficiary families of Ayushman bharat in Rajasthan. State Health Assurance Agency (SHAA) will implement the Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana (AB-MGRSBY). Rajasthan govt. is committed to ensure the “Right to Health” for a common man.
For more details, click the link – https://health.rajasthan.gov.in/content/raj/medical/bhamashah-swasthya-bima-yojana/en/home.html#