Mukhyamantri Ayushman Aarogya Yojana

Rajasthan’s Mukhyamantri Ayushman Arogya Yojana (launched 1 May 2021) provides cashless health insurance to reduce out-of-pocket expenses and ensure quality treatment through government and empanelled private hospitals. Eligible families include NFSA, SECC 2011, contract workers, small/marginal farmers, and COVID-19 relief beneficiaries, while others may join by paying a premium.

Under the Chief Minister Ayushman Arogya Yojana, along with the eligible families of NFSA and SECC currently benefiting from it, contractual workers, small and marginal farmer families and destitute and helpless families who received Covid-19 ex-gratia amount last year will get free insurance cover and apart from these categories, other remaining families of the state can join the scheme on payment of premium amount of Rs 850/- and the remaining 50 percent premium amount will be borne by the state government.

Free range family:

• Farmers (Small and Marginal) of the State, eligible beneficiary families under the State Food Security Act (NFSA), eligible families as per Socio Economic Census (SECC) 2011
• Contract workers - Contract workers working in all departments/boards/corporations/government companies of the state.
• Destitute and helpless families receiving COVID-19 ex-gratia payment from the state government
• Fee: Nil.

Fixed premium family

• Those other families of the state who are not government employees/pensioners, i.e. are not taking benefits under the Medical Attendance Rules, can join the scheme by paying the prescribed premium.
• Fee: ₹850/-

1. Free Category :

• Families eligible under the National Food Security Act (NFSA).
• Families identified under the Socio-Economic Caste Census (SECC) 2011.
• Contractual employees working in state departments, boards, corporations, and government companies.
• Small and marginal farmers.
• Destitute and helpless families who received COVID-19 ex-gratia relief in the previous year.

1. Premium Category :

• Families not included in the free category.
• Families who are not government employees or pensioners.
• Families who are not availing benefits under the Medical Attendance Rules.
• These families can enroll by paying ₹850 per year per family (50% of the premium), while the remaining 50% is borne by the State Government.

Offline

• Registration Process for Categories Receiving Free Benefits:

  1. Families eligible under the Food Security Act and eligible families as per the Socio-Economic Census 2011 are already eligible under the scheme. Therefore, they do not need to register.
  2. Beneficiaries will be required to register on the scheme's registration portal, a link to which is available on the scheme's official website: https://maayojana.rajasthan.gov.in/. Beneficiaries can register online using their SSO ID or by visiting an e-Mitra center.
  3. For registration, beneficiaries must have their Aadhaar card/JAN Aadhaar card number/JAN Aadhaar card registration receipt number and Aadhaar card number.
  4. Before registration, e-authentication will be performed via OTP on the mobile number registered in the applicant's Aadhaar card, for which the applicant must have the Aadhaar card/Aadhaar card number.
  5. Applications for registration of contract workers under the scheme will be verified online by the nodal officer of the concerned department and updated regularly.
  6. Small and marginal farmers who are not linked to the Aadhaar card can have their land holdings seeded into the Aadhaar card through e-Mitra, as per the procedure prescribed on the Aadhaar portal.
  7. After seeding, the family can be registered online or through e-Mitra on the above-mentioned registration portal of the scheme.
  8. After successful registration, the beneficiary will be able to print the policy document.

• Category eligible for benefits by paying ₹850/- per family per year:

  1. Beneficiaries must register themselves online on the scheme's registration portal or through e-Mitra. These beneficiaries must pay a premium of ₹850 per family per year to the respective e-Mitra center or through digital payment mode. After successful registration, beneficiaries will be able to print the policy document.
  2. A detailed step-by-step process for registering under the scheme through e-Mitra or in-person is available on the scheme's website https://maayojana.rajasthan.gov.in/.
  3. Registration Fee: Beneficiaries in both categories are not required to pay any fee at the e-Mitra center. The fee for successful registration, premium payment, and printing of the policy document on pre-printed paper will be borne by the State Government.

• Process for availing benefits under the scheme: The following steps will be followed to avail free treatment under the scheme:

  • Identification of Eligible Family: Eligible families will be identified through their Jan-Aadhaar card number/Jan-Aadhaar EID/policy document/Aadhaar card. Therefore, provide this information to the health guide present at the scheme counter at the time of admission to the hospital to ensure the family's eligibility.
  • Identification of Beneficiary: Once the family's eligibility is confirmed, the patient's eligibility will be verified. For this purpose, by entering the Jan-Aadhaar card number or registration number into the software, the family category and family member details will be displayed. The patient will be identified and biometrically verified. A live photo will be taken in front of the web camera at the time of admission and discharge.

• The patient will only be eligible for benefits under the scheme if the selected category and family member details are displayed in the scheme software.

  • Treatment of the patient will begin according to the package available under the scheme.
  • Provisions for treatment of children up to one year of age: Even if the name of the eligible family is not included in the Jan-Aadhaar card details, a provision has been made to provide treatment under the scheme to children up to one year of age. For this purpose, treatment can be provided by generating the child's TID in the name of any available family member registered in the Jan-Aadhaar card.
  • If the name of a child above one year of age is not included in the Jan-Aadhaar card, treatment for that child is not possible under the scheme. (In such a situation, the family should be advised that the child's name can be added to the Jan-Aadhaar card by presenting the birth documents at any e-Mitra center.) However, free treatment under the scheme will be available only after the name is added to the Jan-Aadhaar card.
  • Provisions regarding treatment for children under five years of age: Biometric verification and the presentation of a photo ID are not mandatory for treatment of children under five years of age. A child's TID can be generated by biometric verification of another family member listed on the family identity card.