The new health insurance plan of the Rajasthan government that was launched by the Chief Minister Ashok Gehlot on Saturday will benefit 1.10 crore families and they would get free medical coverage. This scheme called Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Beema Yojana will ensure free medical coverage to about 17 per cent population of the state. These families will get medical benefits of families worth Rs five lakh annually.
The beneficiaries can avail the services in both government and private hospitals. The beneficiaries details will be recorded in a software to enable quick processing. The insurance companies will ensure that the private hospitals are reimbursed for the services provided.
Under this scheme, poor families will be covered in 1576 various categories of diseases and various tests and examinations. Earlier the categories were limited to Rs 3.50 lakh and restricted to 1401.
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People belonging to low-income groups, unfortunately, cannot avail facilities like salaried jobs or health care. However, the government is striving hard to eliminate challenges related to availing medical facilities. Schemes like Ayushman Bharat Pradhan Mantri Jan Arogya Yojana and Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana ( ABMGRSBY) are being introduced for providing quality health care services.
The ABMGRSBY is a health insurance scheme introduced under Chief Minister Ashok Gehlot’s government. It was announced on August 30, 2019. Chief Minister Gehlot said that the “ AB-MGRSBY is expected to be very helpful for the beneficiaries because it is an integration of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana( AB-PMJAY) and BSBY schemes. These two schemes were merged to include more number of eligible families into one scheme and provide quality healthcare services.
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The beneficiaries of AB-MGRSBY can avail cashless hospitalization in a network/empanelled hospital. A cashless treatment means that the beneficiary does not have to bear the cost of medical treatment. These costs will be borne by the government.” Gehlot said during the launch programme in which his Cabinet colleagues and officials were present. The beneficiaries under the National Food Security Act and also those under the social survey census will be entitled for the benefits under the scheme.
AB-MGRSBY offers holistic coverage that pays for the entire cycle of a medical emergency, including follow-up care. This includes hospitalization expense benefits, daycare treatment benefits if applicable, follow up care benefits, pre and post hospitalization expense benefits and newborn child benefits.
AB-MGRSBY offers a very good amount of sum insured to the beneficiary family. The main sum insured is Rs. 5 lakh per year for each family covered under the scheme. It is segmented as Rs. 50,000 for secondary illnesses and Rs. 4,50,000 for tertiary illness.
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