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Maharashtra to provide Rs 5 lakh insurance coverage for all from July: Check eligibility, hospitals

Launching on July 1, MJPJAY 2.0 will offer universal health coverage to all state residents with valid ration cards and domicile certificates, increasing family coverage from Rs 1.5 lakh to Rs 5 lakh. The scheme expands covered procedures to 1,356 and empaneled hospitals to 1,900.

Edited By: Nitin Kumar @Niitz1 New Delhi Published on: June 18, 2024 13:34 IST
Maharashtra
Image Source : FREEPIK Maharashtra’s upgraded health scheme, set to launch in July with a 60% premium hike.

The Mahatma Jyotirao Phule Jan Arogya Abhiyan (MJPJAY), Maharashtra’s flagship health scheme, will see its biggest upgrade yet since its inception in 2012, with the annual premium surging by 60% to over Rs 3,000 crore. The revamped scheme is set to launch on July 1, extending universal health coverage to all citizens of the state. MJPJAY 2.0 will cover every state resident with a valid ration card and domicile certificate. The coverage amount per family has been increased from Rs 1.5 lakh to Rs 5 lakh. The number of medical procedures covered has expanded from 996 to 1,356, and the number of empaneled hospitals has grown from 1,000 to 1,900.

Rising demand and improved hospital inclusion

According to Ramesh Chavan, CEO of the State Health Assurance Society (SHAS), the scheme has seen a 70% increase in surgeries performed over the past five years. The state has finalised United India Assurance as the insurance provider and will pay a premium of Rs 1,300 per family for an estimated 12.3 crore families, as quoted by news agency TOI.

Efforts to improve access and quality 

SHAS is evaluating 1,600 applications for the additional 900 empanelment slots, with 50% of the new hospitals being public. In Mumbai, several hospitals, including SevenHills, have applied to join the scheme. However, there is still a need for higher distribution in less privileged districts and to eliminate extra cash demands from beneficiaries.

Monitoring and integration with Ayushman Bharat  

To ensure efficient service utilisation and prevent misuse, SHAS plans to engage a third-party agency using AI and data analytics. Alongside MJPJAY, the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) operates in Maharashtra, providing coverage to 83 lakh families identified through the Socio-Economic Caste Census 2011.

Also read | PM Kisan 17th installment: Steps to check beneficiary status online, complete KYC formalities

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