13/12/2013
Scheme Details :
OBJECTIVE: To improve access of Below Poverty Line (BPL) and Above Poverty Line (APL) families (excluding White Card Holders as defined by Civil Supplies Department) to quality medical care for identified speciality services requiring hospitalization for surgeries and therapies or consultations through an identified Network of health care providers
SCHEME: Rajiv Gandhi Jeevandayee Arogya Yojana (RGJAY) would be implemented throughout the state of Maharashtra in phased manner for a period of 3 years.The insurance policy/coverage under the RGJAY for the eligible beneficiary families in 8 districts: Gadchiroli, Amravati, Nanded, Sholapur, Dhule, Raigad, Mumbai and Suburbs
BENEFITS: scheme would provide 972 surgeries/therapies/procedures along with121 follow up packages in following 30 identified specialized categories:
1 GENERAL SURGERY
2 ENT SURGERY
3 OPHTHALMOLOGY SURGERY
4 GYNAECOLOGY AND OBSTETRICS SURGERY
5 ORTHOPEDIC SURGERY AND PROCEDURES
6 SURGICAL GASTRO ENTEROLOGY
7 CARDIAC AND CARDIOTHORACIC SURGERY
8 PEDIATRIC SURGERY
9 GENITOURINARY SYSTEM
10 NEUROSURGERY
11 SURGICAL ONCOLOGY
12 MEDICAL ONCOLOGY
13 RADIATION ONCOLOGY
14 PLASTIC SURGERY
15 BURNS
16 POLY TRAUMA
17 PROSTHESES
18 CRITICAL CARE
19 GENERAL MEDICINE
20 INFECTIOUS DISEASES
21 PEDIATRICS MEDICAL MANAGEMENT
22 CARDIOLOGY
23 NEPHROLOGY
24 NEUROLOGY
25 PULMONOLOGY
26 DERMATOLOGY
27 RHEUMATOLOGY
28 ENDOCRINOLOGY
29 GASTROENTEROLOGY
30 INTERVENTIONAL RADIOLOGY
BENEFICIARY FAMILIES: holding yellow ration card, Antyodaya Anna Yojana card (AAY), Annapurna card and orange ration card from eight districts viz. Gadchiroli, Amravati, Nanded, Sholapur, Dhule, Raigad, Mumbai city and Suburban Mumbai. The families with white ration card holding would not be covered under the scheme. The beneficiary families would be identified through the “ Rajiv Gandhi Jeevandayee Health Card ” issued by the Government of Maharashtra or based on the Yellow and Orange ration card issued by Civil Supplies Department.
HEALTH CARDS: eligible families in these districts shall be provided with Rajiv Gandhi Jeevandayee Arogya Yojana Health Cards in due course of time. This Health Cards will be used for identification of Beneficiary families in the family under the Scheme. Family Health Cards will be prepared by using data from valid Yellow or orange ration cards coupled with Aadhaar numbers issued by UID authorities. As an interim measure till the issuance of health cards, the valid Orange/Yellow Ration Card with Aadhaar number or in case Aadhaar number not available, any Photo ID card of beneficiary issued by Govt. agencies (Driving License, Election ID,) to correlate the patient name and photograph would be accepted in lieu of health card.
