Initiation: Launched on July 2, 2012, as the Rajiv Gandhi Jeevandayee Arogya Yojana in eight districts, later expanded statewide.
Coverage: Initially targeted low-income families; since July 1, 2024, it covers all families in Maharashtra.
Benefits: Provides cashless hospitalization for secondary and tertiary care, including surgeries, diagnostics, and post-hospitalization expenses.
Coverage Limit: Up to ₹1.5 lakh per family per year.
Launch: Introduced by the Government of India on September 23, 2018.
Coverage: Initially based on the Socio-Economic Caste Census 2011 data; later expanded to include more families.
Benefits: Offers cashless treatment for secondary and tertiary care hospitalization across India.
Coverage Limit: Up to ₹5 lakh per family per year.
Both schemes are designed to cater to economically vulnerable populations. Eligibility is determined based on various socio-economic factors:
Ration Cardholders: Families holding Yellow, Orange, or Antyodaya Anna Yojana (AAY) cards are eligible.
Farmers: Those from agriculturally distressed districts with white ration cards.
Special Categories: Includes children in orphanages, female inmates, registered construction workers, and senior citizens, among others.
For a comprehensive list of eligible categories, please refer to the official MJPJAY portal.
Cashless Treatment: Available at empaneled public and private hospitals across Maharashtra.
Medical Services Covered: Includes over 1,356 medical procedures across 34 specialties, such as surgeries, diagnostics, and follow-up treatments.
Post-Hospitalization: Covers expenses for up to 10 days after discharge.
Transport Support: Provides assistance for transportation to and from the hospital.
National Coverage: Offers treatment at any empaneled hospital across India.
Medical Services Covered: Includes secondary and tertiary care services, such as surgeries, cancer treatments, and organ transplants.
Cashless and Paperless: Ensures a seamless experience for beneficiaries with minimal documentation.
Registration: Beneficiaries can register through the MJPJAY portal.
Documents Required: Ration card, Aadhaar card, bank account details, and other relevant documents.
Assistance: Health friends are appointed in each affiliated hospital to assist beneficiaries.
Registration: Eligible families can check their eligibility and register through the PM-JAY portal.
Documents Required: Aadhaar card, ration card, and other necessary documents.
Support: Assistance is available through the National Health Authority's helpline and the PM-JAY app.
| Feature | MJPJAY | PM-JAY |
|---|---|---|
| Coverage Limit | ₹1.5 lakh per family per year | ₹5 lakh per family per year |
| Scope | Maharashtra only | Nationwide |
| Implementation Date | July 2, 2012 | September 23, 2018 |
| Beneficiary Base | All families in Maharashtra (since 2024) | Vulnerable families as per SECC 2011 |
MJPJAY Helpline: For assistance and queries, contact the MJPJAY helpline at 1800-120-8000.
PM-JAY Helpline: Reach out to the PM-JAY helpline at 14555 for support.
These schemes collectively aim to alleviate the financial burden of healthcare expenses, ensuring that quality medical services are accessible to all residents of Maharashtra. By integrating these programs, the state government strives to create a robust healthcare system that caters to the needs of its diverse population.