Ayushman Bharat Mahatma Gandhi Health Insurance Scheme 2022: Registration, Eligible Beneficiary List

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Ayushman Bharat Mahatma Gandhi Health Scheme Apply | Ayushman Bharat Mahatma Gandhi Health Insurance Scheme Registration | Ayushman Bharat Mahatma Gandhi Swasthya Bima Yojana Form

As you all know that in today’s time health care is becoming very expensive. Keeping this in mind, Ayushman Bharat Mahatma Gandhi Health Insurance Scheme has been started by the Government of Rajasthan. Today we are going to provide you all the important information related to this scheme through this article. Like what is Ayushman Bharat Mahatma Gandhi Health Insurance Scheme?, its benefits, purpose, eligibility, important documents, features, application process etc. So friends, if you want to get all the important information related to Ayushman Bharat Mahatma Gandhi Health Yojana 2022 , then you are requested to read this article of ours till the end.

Contents

Ayushman Bharat Mahatma Gandhi Swasthya Bima Yojana

This scheme has been started by the Government of Rajasthan. Under this scheme health cover of ₹ 500000 will be provided to the beneficiaries. This scheme has been launched by Rajasthan Chief Minister Ashok Gehlot on 30 January 2021. Under Ayushman Bharat Mahatma Gandhi Health Insurance Scheme , 1 crore 10 lakh families will be benefited. Earlier the health cover under this scheme was ₹ 330000, now it has been increased to ₹ 500000. Under the Ayushman Bharat Mahatma Gandhi Health Scheme 2022 , treatment of up to ₹ 50000 for common diseases and ₹ 500000 for serious diseases can be found. Under this scheme, treatment can be done from both private and government hospitals.

Ayushman Bharat Mahatma Gandhi Health Insurance Scheme

Ayushman Bharat Mahatma Gandhi Health Insurance Scheme 2022 Premium

Medical expenses up to 5 days before and 15 days after hospitalization are also covered under this scheme. To take advantage of this scheme, it is mandatory for the beneficiaries to show their Aadhar card or Jan Aadhar card. Under Ayushman Bharat Mahatma Gandhi Swasthya Bima Yojana , the total annual premium is Rs 1750 crore, out of which about 80% which is 1400 crore will be borne by the state government. Earlier 1401 packages were available under this scheme which has now been increased to 1576. State portability will also be started under this scheme soon. Through this portability, the beneficiaries will be able to get free treatment in other states as well.

Key Highlights Of Ayushman Bharat Mahatma Gandhi Health Yojana 2022

scheme nameAyushman Bharat Mahatma Gandhi Health Insurance
who launchedGovernment of Rajasthan
beneficiarycitizens of rajasthan
ObjectiveProviding insurance cover.
Official websiteclick here
Year2022
insurance cover₹500000
Number of Beneficiaries1 crore 10 lakh

ayushman bharat mahatma gandhi big scope of health insurance

Earlier Ayushman Bharat Mahatma Gandhi Health Insurance Scheme was operated under the name of Bhamashah Health Insurance Scheme. Then only the families of National Food Security Scheme were eligible under this scheme. But now the eligible families of socio-economic census have also been included under this scheme . So that the scope of this scheme is huge. Pradhan Mantri Ayushman Bharat Yojana is not operated by the Rajasthan government in the state. Because only the families included in the Socio Economic Survey 2011 in Ayushman Bharat Insurance Scheme were eligible. Under Ayushman Bharat Mahatma Gandhi Health Scheme 2022 , eligible families of both socio-economic census and national food security have been included.

Ayushman Bharat Mahatma Gandhi Swasthya Bima Cashless Treatment

A special feature of this scheme is that cashless treatment is provided under this scheme. This means that the beneficiaries need not deposit money in the hospital for any kind of treatment. A card will be provided to them under Ayushman Bharat Mahatma Gandhi Health Insurance Scheme 2022 . They have to show this card in the hospital. After which their treatment will be done through cashless medium. The entire cost of treatment will be borne by the Rajasthan government. If you also want to take advantage of this scheme, then you have to apply by visiting the official website as soon as possible. Cashless treatment under this scheme is provided only by the empaneled hospital.

Ayushman Bharat Mahatma Gandhi Swasthya Family Floater Plan

This plan is a family floater plan. This means that the sum insured under this scheme can be used by all the members of the family. It is beneficial as compared to other plans. Under Ayushman Bharat Mahatma Gandhi Health Insurance Scheme , any member of the beneficiary’s family can get treatment up to ₹ 500000 in M ​​Panel Hospital through cashless medium. Pre and post hospitalization expenses are also covered under this plan. Under this scheme, many empaneled hospitals are in the state and soon the scope of this scheme will be extended outside the states as well.

Objective of Ayushman Bharat Mahatma Gandhi Health Insurance Scheme

As you all know that there are many people in Rajasthan who are unable to get their treatment due to their financial condition. Ayushman Bharat Mahatma Gandhi Swasthya Bima Yojana has been launched by the Rajasthan government for all such people . The main objective of this scheme is to provide insurance cover to all the eligible citizens of Rajasthan. So that he can get his treatment done in any government or private hospital . Now the citizens of Rajasthan will be able to get their treatment up to ₹ 500000 free without worrying about money. The health of the citizens of the state will also improve through this scheme.

Benefits and Features of Ayushman Bharat Mahatma Gandhi Health Insurance Scheme

  • Ayushman Bharat Mahatma Gandhi Swasthya Bima Yojana has been started by the Government of Rajasthan.
  • Under this scheme, health care up to ₹ 500000 will be provided to the beneficiaries.
  • Ayushman Bharat Mahatma Gandhi Health Insurance Scheme has been launched by Rajasthan Chief Minister Ashok Gehlot on 30 January 2021.
  • 1 crore 10 lakh families will be benefited through this scheme.
  • Earlier the health cover under this scheme was ₹ 330000, now it has been increased to ₹ 500000.
  • Under this scheme, treatment of up to ₹ 50000 for common diseases and ₹ 500000 for serious diseases can be available.
  • Under the Ayushman Bharat Mahatma Gandhi Health Insurance Scheme , you can get your treatment done in both private and government hospitals.
  • Medical expenses up to 5 days before and 15 days after hospitalization are covered under this plan.
  • To take advantage of Ayushman Bharat Mahatma Gandhi Swasthya Bima Yojana, it is mandatory for the beneficiaries to show their Aadhar card or Jan Aadhar card.
  • The annual premium under this scheme is Rs 1750 crore out of which Rs 1400 crore will be borne by the state government.
  • Earlier 1401 packages were available under this scheme which has been increased to 1576.
  • State portability will also be started under this scheme soon. This means that now the beneficiaries of this scheme will be able to get their free treatment in other states also.
  • Earlier this scheme was known as Bhamashah Health Insurance Scheme.
  • Under this scheme, eligible families of Socio Economic Survey 2011 and National Food Security have been included.
  • Under this scheme, cashless treatment of beneficiaries will be done.
  • This scheme is a family floater scheme.

What are the things not covered under Ayushman Bharat Mahatma Gandhi Health Insurance Scheme?

  • Medical expenses due to overuse of any intoxicant.
  • Congenital external diseases, anomalies etc.
  • Illnesses resulting from suicide or attempted suicide.
  • unnecessary plastic surgery.
  • Vaccination is not covered under this plan.
  • hospitalization in unnecessary condition
  • There is a surgical procedure to be identical to the opposite sex, including hormone replacement therapy.
  • Unnecessary dental treatment.
  • Unnecessary vitamins and tonics.

Ayushman Bharat Mahatma Gandhi Health Scheme 2022 Claim Settlement

Beneficiaries will have to keep some essential documents under this scheme during their medical treatment. Through these documents, the beneficiaries will be able to get their treatment done in the hospital. Document verification will be done by the hospital. After which the hospital will settle the claim by contacting the insurance company. These important documents are Bhamashah card, enrollment slip and Aadhar card of the patient. To take advantage of this scheme, it is mandatory to link the Bhamashah card of the patient with the Aadhar card. The HH ID number of the family may also be required at the time of claim. After verification, cashless treatment up to Rs 5 lakh will be provided to the beneficiary.

Ayushman Bharat Mahatma Gandhi Health Insurance Scheme Package List

packageSpecialtycode
Septoplasty + FESSENT39020001
AppendicectomyGeneral Surgery39010001
Prolapse Uterus LeFort’sObstetrics & Gynecology39040001
Lensectomy + VitrectomyOphthalmology39070001
Pacemaker implantation – TemporaryCardiology & CTVS19120001A
PneumonectomyChest Surgery29140002A
FistulectomyDentistry19110001A
Colonoscopy with BiopsyGastrology29190001A
Chelation Therapy for Thalassemia MajorGeneral Medicine19100001A
PemetrexedMedical Oncology29160020A

Eligibility of Mahatma Gandhi Health Insurance Scheme

  • It is mandatory for the beneficiary to be a permanent resident of Rajasthan.
  • To take advantage of this scheme, it is mandatory for the beneficiary to have Aadhar card and Jan Aadhar card.
  • Beneficiaries should be included in the Socio Economic Survey 2011 households eligible for National Food Security.
  • The beneficiary should be from a financially poor family.

Mahatma Gandhi Health Insurance Scheme Important Document

  • Aadhar Card
  • Jan Aadhar Card
  • Ration card
  • income certificate
  • Proof of residence
  • proof of age
  • Passport size photograph
  • mobile number

Process to apply online in Ayushman Bharat Mahatma Gandhi Health Insurance Scheme

Ayushman Bharat Mahatma Gandhi Health Insurance Scheme
  • Now the home page will open in front of you.
  • On the home page, you have to click on the link of apply online.
  • After this an application form will open in front of you.
  • You have to enter all the important information asked in this application form.
  • After this you have to attach all the important documents.
  • Now you have to click on submit button.
  • In this way you will be able to apply under Ayushman Bharat Mahatma Gandhi Swasthya Bima Yojana.

Process to apply offline under Ayushman Bharat Mahatma Gandhi Health Insurance

  • First of all you have to go to the health department of your district.
  • Now you have to take the form of this scheme from the health department.
  • After this you have to enter all the important information asked in this form.
  • Now you have to attach all the important documents from the form.
  • After this you will have to submit this form to the health department.
  • In this way you will be able to apply under Ayushman Bharat Mahatma Gandhi Swasthya Bima Yojana.

Process to see list of empaneled hospitals

List of empaneled hospitals

Process to view nodal officer list

nodal officer list
  • As soon as you click on this link nodal officer list will open in front of you.

Beneficiary list view process

Ayushman Bharat Mahatma Gandhi Health Insurance Scheme
Beneficiary list
  • After this, you have to select the city body, area and district.
  • Now you have to click on the Search button.
  • Beneficiary list will be on your computer screen.

Procedure to check eligibility of the scheme

  • First of all you have to go to the official website of Jansoochna.
  • Now the home page will open in front of you.
  • On the home page, you have to click on the link of eligibility of the scheme.
  • After this you have to select Ayushman Bharat Mahatma Gandhi Health Insurance Scheme in the scheme.
  • As soon as you select the scheme, the eligibility will open in front of you.

Beneficiary Identification Form Filling Process

  • First of all you have to go to the official website of SSO Rajasthan .
  • Now the home page will open in front of you.
beneficiary identification form
  • On the home page, you have to login by entering your username, password and captcha code.
  • Now you have to search AB MGRSBY in the search box.
  • After this you have to click on the option of AB MGRSBY.
  • Now the dashboard will open in front of you.
  • On this dashboard you have to click on TMS.
  • After this you have to click on the link of Beneficiary Identification Form.
  • Now a form will open in front of you.
  • You have to enter all the important information asked in this form.
  • Now you have to attach all the important documents.
  • After that you have to click on submit button.
  • In this way you will be able to fill the Beneficiary Identification Form.

Process to fill Pre authorization request form

  • First of all you have to visit the official website of SSO Rajasthan . Now the home page will open in front of you.
  • After that you have to login by entering your username, password and captcha code.
Pre authorization request form
  • Now a new page will open in front of you in which you will have to search AB MGRSBY in the search box.
  • After this you have to click on the option of AB MGRSBY. Now the dashboard will open in front of you.
  • On this dashboard you have to click on TMS.
  • Now you have to click on the link of Pre Authorization Request Form.
  • After this the form will open in front of you.
  • You have to enter all the important information asked in this form.
  • Now you have to upload all the important documents.
  • After that you have to click on submit button.
  • In this way you will be able to fill you pre authorization request form.

query check process

  • First of all you have to go to the official website of SSO Rajasthan .
  • Now the home page will open in front of you.
query check
  • On the home page, you have to login by entering your username, password and captcha code.
  • Now you have to search AB MGRSBY in the search box.
  • After this you have to click on the option of AB MGRSBY.
  • Now the dashboard will open in front of you.
  • On this dashboard you have to click on TMS.
  • After that you have to click on the link of query panel.
  • Now a new page will open in front of you in which you will have to enter the TID of the patient.
  • After this the query will open in front of you.
  • After that you have to upload the missing document.
  • Now you have to click on submit button.
  • In this way you will be able to check the query.

Patient Admission Form Filling Process

  • First of all you have to visit the official website of SSO Rajasthan . Now the home page will open in front of you.
  • After that you have to login by entering your username, password and captcha code.
patient admission form
  • Now a new page will open in front of you in which you will have to search AB MGRSBY in the search box.
  • After this you have to click on the option of AB MGRSBY. Now the dashboard will open in front of you.
  • On this dashboard you have to click on TMS.
  • After that you have to click on the link of Patient Admission Form.
  • Now a new page will open in front of you in which you will have to enter all the asked information like patient’s TID, patient name, blood group, blood pressure etc.
  • Now you have to click on submit button.
  • In this way you will be able to fill the Patient Admission Form.

Patient Discharge and Claim Submission Form Filling Process

  • First of all you have to visit the official website of SSO Rajasthan . Now the home page will open in front of you.
  • After that you have to login by entering your username, password and captcha code.
Patient Discharge and Claim Submission Form
  • Now a new page will open in front of you in which you will have to search AB MGRSBY in the search box.
  • After this you have to click on the option of AB MGRSBY. Now the dashboard will open in front of you.
  • On this dashboard you have to click on TMS.
  • After this you have to click on the link of Patient Discharge and Claim Submission Form.
  • Now a new page will open in front of you in which you will have to enter the TID of the patient and click on the search button.
  • After this, the details of the patient will open in front of you.
  • Now you have to enter all the asked information like date of discharge, time of discharge, discharge status etc.
  • After this, you will have to upload the patient’s photo, patient discharge summary, feedback form, etc.
  • Now you have to click on submit button.

Process to track case status

  • First of all you have to go to the official website of SSO Rajasthan .
  • Now the home page will open in front of you.
  • On the home page, you have to login by entering your username, password and captcha code.
  • Now you have to search AB MGRSBY in the search box.
  • After this you have to click on the option of AB MGRSBY.
  • Now the dashboard will open in front of you.
  • On this dashboard you have to click on TMS.
  • After this, you have to track the case status and click on the link.
  • Now a new page will open in front of you in which you will have to select the patient’s TID number, district, package and status.
  • After that you have to click on the button of Search Criteria.
  • Now you have to click on the TID of the patient.
  • After this a page will open in front of you in which all the details of the patient will be there.

Pre authorization decision making process

  • First of all you have to visit the official website of SSO Rajasthan . Now the home page will open in front of you.
  • After that you have to login by entering your username, password and captcha code.
pre authorization decision
  • Now a new page will open in front of you in which you will have to search AB MGRSBY in the search box.
  • After this you have to click on the option of AB MGRSBY. Now the dashboard will open in front of you.
  • On this dashboard you have to click on TMS.
  • After this you have to click on the link of Pre-Authorization Decision.
  • After this you have to enter the TID number of the patient.
  • Now all the information related to the patient will be open in front of you.
  • Now after checking all the documents, if all the documents are correct then you have to click on approve, if wrong then you have to click on reject and if you want to make any query then you have to click on query.
  • After that click on submit button.

Claims analysis process

  • First of all you have to go to the official website of SSO Rajasthan .
  • Now the home page will open in front of you.
claim analysis
  • On the home page, you have to login by entering your username, password and captcha code.
  • Now you have to search AB MGRSBY in the search box.
  • After this you have to click on the option of AB MGRSBY.
  • Now the dashboard will open in front of you.
  • On this dashboard you have to click on TMS.
  • Now you have to click on Claim Analyzer Form.
  • After this you have to enter the TID.
  • Now you have to click on the search button.
  • After this, all the details related to the patient will be open in front of you.
  • You have to check all the details.
  • If you want to approve claim then you have to click on approve button, if you want to reject then you have to click on reject button and if you want to query then you have to click on query button.
  • Now you have to enter the asked information.
  • After that you have to click on submit button.
  • After this, now this form will go to the supervisor.

Claim Settlement Procedure

  • First of all you have to go to the official website of SSO Rajasthan .
  • Now the home page will open in front of you.
Claim settled
  • On the home page, you have to login by entering your username, password and captcha code.
  • Now you have to search AB MGRSBY in the search box.
  • After this you have to click on the option of AB MGRSBY.
  • Now the dashboard will open in front of you.
  • On this dashboard you have to click on TMS.
  • Now you have to click on the link for claim settlement.
  • After this, a new page will open in front of you in which you will have to enter the TID number and click on the search button.
  • Now all the details of the patient will be open in front of you.
  • After that you have to check all the details.
  • Now if you want to approve then you have to click on the approve button, if you want to reject then you have to click on the reject button.
  • After that you have to enter the relevant information.
  • Now you have to click on submit button.

Feedback Form Filling Process

  • First of all you have to go to the official website of SSO Rajasthan .
  • Now the home page will open in front of you.
Feedback Form
  • On the home page, you have to login by entering your username, password and captcha code.
  • Now you have to search AB MGRSBY in the search box.
  • After this you have to click on the option of AB MGRSBY.
  • Now the dashboard will open in front of you.
  • On this dashboard you have to click on TMS.
  • After that you have to click on the link of Feedback Form.
  • Now a new page will open in front of you in which you will have to enter the TID number.
  • After that you have to click on submit button.
  • Now you have to click on the name of the patient.
  • After this the feedback form will open in front of you.
  • This feedback form will be filled by the patient.
  • The patient has to sign by entering all the important information asked in the feedback form.
  • This feedback form will be uploaded by the hospital while filling the Patient Discharge & Claim Submission Form.

Contact Information

Through this article, we have provided you all the important information related to Ayushman Bharat Mahatma Gandhi Health Insurance Scheme . If you are still facing any kind of problem then you can solve your problem by contacting on helpline number. The helpline number is 1800 180 6127.

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