Rajasthan Government Health Scheme (RGHS)
ActiveLaunched by
Government of Rajasthan
Launched Date
Launched On July 1, 2021
Available in
Scheme Description
The Rajasthan Government Health Scheme (RGHS) is a comprehensive health insurance initiative designed to provide cashless medical facilities to specific categories of beneficiaries, including serving and retired state government employees, pensioners, family pensioners, ministers, members and ex-members of the Rajasthan Legislative Assembly, and All India Services officers.
Under RGHS, beneficiaries can avail themselves of a wide range of medical services, including outpatient department (OPD) consultations, hospitalization, day-care procedures, maternity and child health services, and diagnostic tests. The scheme operates on a cashless basis, meaning that eligible individuals do not need to pay upfront for covered medical services; instead, the costs are directly settled by the government with empaneled hospitals and pharmacies.
The scheme is fully automated and IT-enabled, allowing beneficiaries to manage their accounts, access electronic medical records, and track claims through the RGHS portal. Additionally, beneficiaries can print their own RGHS e-cards and make changes to their family details using their Single Sign-On (SSO) login.
Benefits
- •Cashless Medical Services: Access to cashless hospitalization, day-care procedures, and outpatient department (OPD) medicines.
- •Wide Medical Coverage: Coverage includes treatments as per Central Government Health Scheme (CGHS) rates, encompassing various medical services.
- •Enhanced Coverage for Catastrophic Illnesses: Additional coverage for catastrophic illnesses up to ₹5 lakh per family per year.
- •Travel and Ambulance Allowance: Reimbursement for travel expenses incurred for medical treatment and ambulance charges.
- •Electronic Medical Records (EMR): Provision of EMR for beneficiaries to maintain and access their medical history.
- •Self-Managed RGHS e-Card: Beneficiaries can print their own RGHS e-card and manage family details online.
- •Access to Empaneled Hospitals and Pharmacies: Availability of a wide network of empaneled hospitals and pharmacies for medical services.
Eligibility
- •Serving State Government Employees: Employees working with the Rajasthan State Government.
- •Retired State Government Employees: Retired employees drawing pension under Rajasthan Civil Services (Pension) Rules, 1996.
- •Pensioners and Family Pensioners: Individuals receiving pension or family pension under Rajasthan Civil Services (Pension) Rules, 1996.
- •Ministers and Members of Rajasthan Legislative Assembly (MLAs): Serving and ex-members as per applicable medical rules.
- •All India Services (AIS) Officers: Serving and retired officers under All India Services.
- •Serving Employees of State Autonomous Bodies (SAB): Employees appointed before and after 01.01.2004.
- •Eligible Family Members: Spouse, dependent children up to age 25 or married/earning, dependent parents earning less than ₹6,000/month, and adopted children and parents.
Documents Needed
- •Aadhaar Card: For identity verification.
- •Jan Aadhaar Number: Linked to your SSO ID.
- •Passport-sized Photograph: Recent photograph for the e-Card.
- •Proof of Identity: Such as PAN card or voter ID.
- •Proof of Address: Like utility bills or bank statements.
- •PPO Number: For pensioners, to verify pension details.
- •Appointment Letter: For serving employees, to confirm employment status.
Application Process
- •SSO ID Creation: Ensure you have an active SSO ID. If not, create one at official SSO Portal.
- •Jan Aadhaar Linking: Link your Jan Aadhaar number to your SSO ID. If you don't have a Jan Aadhaar card, obtain one through your nearest e-Mitra center.
- •Login to RGHS Portal: Visit official RGHS website and log in using your SSO ID.
- •Select Beneficiary Category: Choose your appropriate category (e.g., Serving Employee, Pensioner, Minister, MLA, etc.).
- •Fill Registration Form: Complete the registration form with accurate personal and family details.
- •Upload Documents: Attach the necessary documents as specified below.
- •Submit Application: Review all details and submit the application.
- •Download RGHS e-Card: After approval, download your RGHS e-Card from the portal.