MJPJAY / PMJAY Yojana

Our hospital is empanelled with the Maharashtra Govt under the Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) or previously known as Rajiv Gandhi Yojana for free treatment of various Cancers. Since 2014, we have treated thousands of cancer patients under this scheme. Recently, our hospital is recognized for cancer treatment under "Ayushmana Bharat Yojana" which is also known as "Pradhanmantri JanArogya Yojana (PMJAY)".

For the specialty of Radiation Oncology , Surgical Oncology, Medical Oncology

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) has been implemented throughout the state of Maharashtra in a phased manner over a period of 4 years. Government resolution issued on 13th April 2017 regarding the change into the name of Rajiv Gandhi Jeevandayee Arogya Yojana (RGJAY) to Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) and continuation of the same from 1st April 2017.

The insurance policy/coverage under the MJPJAY can be availed by eligible beneficiary families residing in all the 36 districts of Maharashtra viz. Gadchiroli, Amravati, Nanded, Sholapur, Dhule, Raigad, Mumbai and Mumbai Suburban, Akola, Buldhana, Yavatmal, Washim, Aurangabad, Beed, Hingoli, Jalna, Latur, Osmanabad, Parbhani, Thane, Palghar, Ratnagiri, Sindhudurga, Bhandara, Chandrapur, Gondia, Nagpur, Wardha, Ahmednagar, Jalgaon, Nadurbar, Nashik, Kolhapur, Pune, Sangli, Satara.

BENEFICIARY FAMILIES: Families belonging to any of the 36 districts of Maharashtra and holding Yellow Ration Card, Antyodaya Anna Yojana Card (AAY), Annapurna Card and Orange Ration Card along with Farmers from 14 agriculturally distressed districts of Maharashtra (Amravati, Akola, Aurangabad, Buldhana, Beed, Hingoli, Jalna, Nanded, Latur, Osmanabad, Parbhani, Wardha, Washim and Yavatmal). The identification for farmers from 14 agriculturally distressed districts of Maharashtra will be based on White Ration Card along with 7/12 extract bearing the name of the beneficiary / head of the family or certificate from the concerned Talathi / Patwari stating that the beneficiary is a farmer or a family member of farmer with valid photo ID proof of the beneficiary.

FAMILY: Family means members as listed on the valid Orange/Yellow Ration Card from 36 districts and White ration card holder with 7/12 from 14 agriculturally distressed districts.

IDENTIFICATION: Valid ration card Orange/Yellow with

  1. Pan Card
  2. Aadhar Card
  3. Driving License
  4. Voter Id
  5. Nationalized Bank Passbook with Photo
  6. Handicap Certificate
  7. School/College Id
  8. In rural areas Tahsildar/ along with stamp and signature is there on Photo then it is accepted
  9. In Urban areas Tahsildar/Government Local bodies along with stamp and signature is there on Photo then it is accepted.
  10. Passport
  11. Senior citizen card issued by central and state government Of India
  12. Freedom Fighter Id Card
  13. Defence ex-service card issued by sainik board
  14. Marine Fishers Identity card (Issue by Ministry of Agriculture Government of Maharashtra).
  15. Any photo ID proof issued by Govt. of Maharashtra/ Govt. of India

Situation
Children born after issue of card i.e. name and photo not available on health card or on valid yellow/Orange ration card

Validations / Check
Photograph of child with either parent along with valid Yellow/Orange card of parent and Birth certificate issued by authorized office.

SUM INSURED ON FLOATER BASIS & PERIOD OF INSURANCE: The Scheme shall provide coverage for meeting all expenses relating to hospitalization of beneficiary up to Rs. 1, 50,000/- per family per year in any of the Empanelled Hospital subject to Package Rates on cashless basis through valid Ration Card. The benefit shall be available to each and every member of the family on floater basis i.e. the total annual coverage of Rs. 1.5 lakh can be availed by one individual or collectively by all members of the family. In case of renal transplant surgery, the immunosuppressive therapy is required for a period of 1 year. So the upper ceiling for Renal Transplant would be Rs. 2, 50,000 per operation as an exceptional package exclusively for this procedure. The cases are likely to be very few and well controlled by Human Organ Transplant Act 1994. The claims related to this have to be settled by Insurer. The insurance coverage under the scheme for the beneficiary families shall be in force for an initial period of one year from the date of commencement of the policy.