Researched online on govt websites to find out more about the cover. No information on the state government website about the coverage, hospitals, or link to the scheme's website.
After some research effort, here are the details I could find.
2/n
This is *not* a new scheme. This insurance is on since 2012!
The scheme covers infectious diseases, critical care all these years - hence Covid19 was part of the cover.
The only change is the scheme now includes people in the higher economic class (white ration card)
3/n
The scheme is called Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY)
The cover is as follows:
- Rs. 1.50 Lakh floater cover
- Covers all the members on the ration card.
- Pre-existing Disease cover
- Cashless treatment
- Treatment only through 1000 network hospitals.
4/n
The hospital network comprises of mostly Govt or Semi-govt hospitals - I couldn't find any big brands.
So you probably won't be able to use the scheme to get treatment at your preferred hospital.
Details of the TPA in the policy are not known.
The insurer is United India Assurance, but no information on their website. Couldn't connect to their toll-free.
If you want to avail this scheme, you need to visit the hospitals listed on the website and request for cashless.
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Most of the changes are applicable from immediate effect - unless there is a specific target date mentioned for the change.
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INCLUSIVENESS:
IRDAI has asked insurers to make available products for 1. All age groups 2. People with medical conditions, including chronic. 3. All types of treatment - including OPD!! 4. All occupations, regions, categories.
All kinds of hospitals including affordable ones.
No denial of coverage in case of emergency situations.