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Suvarna Arogya Suraksha Trust

Jyothi Sanjeevini Scheme

Ineligibility :

The Government Servants will not be eligible, if the benefits are already availed “in any of the other” Government sponsored health schemes;

Scheme Design: 

The scheme is implemented in an “Assurance Mode” through Suvarna Arogya Suraksha Trust to the “State Government Employees and their dependants” by a network of “Empanelled Hospitals” with no financial cap. The process of identification and empanelment is a continuous one from “time to time”. Only such of those Network Hospitals who are already empanelled and gets empanelled for “Vajpayee Arogyashree Scheme”, alone are empanelled under “Jyothi Sanjeevini Scheme”. It is “cashless” to the beneficiaries except in following cases;

(i) where the beneficiary opts/desires an higher implants, stents, prosthesis etc., which are costlier than the ones included in the benefit package and

(ii) where the beneficiary opts for superior wards other than the one for which he/she is entitled. In the aforesaid circumstances, the beneficiaries shall bear the additional cost.

Benefit Packages:

The scheme covers tertiary Treatment  and Emergency of 7 broad specialities viz cardio-vascular diseases, cancer, renal diseases, neurological diseases, burns, poly-trauma cases* and neo-natal cases. It includes “1068 procedures“ pertaining to seven specialities stated above. The package includes consultation, diagnostics, procedure cost, food, hospital charges and post hospitalization services up-to 10 days include medicines. Upper limit is fixed for those procedures requiring implants, stents etc., exceeding which the difference of cost will be borne by the beneficiaries.

Entitlement of Wards :

Sl. No. Range of Pay Category of Wards/Class of Accommodations to which entitled Rates
1 Upto Rs.  16,000/- per  month General Ward As per rate list*
2 Rs. 16,001/- to Rs. 43,200/- per month Semi Private Ward 10% higher than general ward
3 Rs. 43,201/- & above Private Ward 25% higher than general ward

 

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