The Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana ( ) is a state government-funded health scheme that aims to financially help lower-income and vulnerable families in Rajasthan. It can help people who don’t have family health insurance.
What is Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana (AB-MGRSBY)?
Initiated by the Rajasthan government, the AB-MGRSBY is a health insurance program to support families below the poverty line. It focuses on providing cashless treatment for various medical conditions.
Key specifications of AB-MGRSBY
The key specifications of this scheme are:
- Up to Rs 5 lakh in health coverage per household every year.
- Costs are settled directly between the hospital and the insurance provider.
- Primarily targets lower-income and vulnerable families.
Features and benefits of AB-MGRSBY
The AB-MGRSBY is a beneficial family health insurance plan. The scheme:
- Protects you from high medical bills by covering hospitalisation and treatment costs.
- Covers both planned treatments and emergency care.
- Provides cashless hospitalisation.
- Covers treatment for pre-existing conditions and offers comprehensive care.
What is not covered under AB-MGRSBY?
Some of the exclusions are:
- Beauty treatments
- Procedures or treatments that are not medically required
- Vaccinations
- Congenital anomalies
- Outpatient consultations and minor procedures done on an outpatient basis
Eligibility for Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana
To be eligible for this scheme, one must be a Rajasthan resident and belong to lower-income or vulnerable families. Applicants are required to submit proof of both these criteria.
How to enrol in AB-MGRSBY?
There is no separate enrolment process for this scheme. Beneficiaries can access related information on the Jan Soochna portal and identify themselves under this scheme.
Documents required to apply for AB-MGRSBY
The following documents are required to avail of the scheme:
- An Aadhar card, voter ID, or any government-issued ID.
- Utility bills, ration cards, or any official document showing your address.
- Eligibility letter for Ayushman Bharat scheme.
- BPL card, if available.
AB-MGRSBY Swasthya Marg darshak
An AB-MGRSBY Swasthya Marg Darshak is a health guide who helps you avail the benefits of this scheme. They will be present in the network hospitals and help the patients with all the formalities, ensuring they receive hassle-free treatment.
What is the registration process for AB-MGRSBY?
Eligible families don’t need separate AB-MGRSBY registration to avail of benefits. If they qualify for the Pradhan Mantri Jan Arogya Yojana or the Bhamashah Swasthya Bima Yojna, they are also eligible for this scheme. However, they need to check the Jan Soochna portal for details.
How to claim Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana?
To claim benefits:
- Visit a hospital recognised under the AB-MGRSBY network.
- Show required documents.
- Contact Swasthya Marg Darshak if necessary.
- The hospital will provide treatment and directly bill the insurance provider.
- The claim is verified, and the costs are settled.
AB-MGRSBY package list
The package list details the types of treatments and procedures covered under the Ayushman Bharat Mahatma Gandhi Rajasthan health insurance scheme:
- Common surgeries and emergency operations
- Essential tests like blood work, X-rays, and MRIs
- Comprehensive care for both planned and emergencies
List of hospitals empanelled under AB-MGRSBY
There is no AB-MGRSBY official website to access the list of hospitals empanelled under this scheme. Some of the empanelled hospitals are:
- Govt Amrit Kaur Hospital, Beawer
- Yagya Narayan Hospital, Ajmer
- Government Sub Division Hospital, Kekri
- Anand Multispeciality Hospital and Research Center, Ajmer
A detailed list can be accessed here.
AB-MGRSBY toll-free numbers
In case of any queries, the following toll-free numbers can be contacted:
FAQs
-
Who is eligible under this scheme?
Residents of Rajasthan belonging to lower-income and vulnerable families can apply for this scheme.
-
Is there any limit to the services covered?
The scheme covers a variety of treatments, including emergency services, surgeries, and diagnostic tests.
Conclusion
The AB-MGRSBY scheme secures vulnerable families in Rajasthan by providing them with medical insurance. With medical costs rising dramatically in the country, any emergencies can wipe off your savings. To enjoy financial security and access to appropriate healthcare, family health insurance is a smart investment. It covers unexpected medical expenses, allowing you to focus on your family's well-being without the burden of high costs.
Disclaimer: The information provided in this blog is for educational and informational purposes only. It may contain outdated data and information regarding the Insurance industry and products. It is advised to verify the currency and relevance of the data and information before taking any major steps. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.