AB-MGRSBY: Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana

Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana (AB-MGRSBY) is a health insurance scheme introduced by the Government of Rajasthan. It was launched on 30th January 2021 by Chief Minister Ashok Gehlot. The scheme offers cashless medical treatment to lower-income citizens of Rajasthan.

Read More

Policybazaar exclusive benefits
30 minutes claim support##
(In 120+ cities)
Relationship manager
For every customer
24*7 claims assistance
In 30 mins. guaranteed*
Instant policy issuance
No medical tests~
People trust Policybazaar^
6.7 crore
Registered consumers
51
Insurance partners
3.4 crore
Policies sold
Policybazaar is one of India's leading digital insurance platform

0%

Find affordable plans with up to 25% Discount**

Select members you want to insure

  • More Members
  • Back
    Continue
    By clicking on “Continue”, you agree to our Privacy Policy and Terms of use
    Maximum child sum can be 4
    This will help us calculate the premium & discounts for your family
    Previous step
    Continue
    This will help us to find the network of Cashless Hospitals in your city

      Popular Cities

      Previous step
      Continue
      Get to plans directly next time you visit us
      Please provide your active international number
      Previous step
      Continue
      We will find you the plans that cover your condition.

      Do any member(s) have any existing illnesses for which they take regular medication?

      Get updates on WhatsApp

      Previous step

      When did you recover from Covid-19?

      Some plans are available only after a certain time

      Previous step
      Advantages of
      entering a valid number
      You save time, money and effort,
      Our experts will help you choose the right plan in less than 20 minutes & save you upto 80% on your premium
      Advantages of entering an International Number
      Prompt connectivity
      Find the right plan in under 20 minutes
      Get best discounts
      Ensure smooth issuance

      The AB-MGRSBY is an integration of Ayushman Bharat: Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) and Bhamashah Swasthya Bima Yojana (BSBY). As a result, it will benefit about 1.10 crore families in Rajasthan.

      Key Highlights of Ayushman Bharat Mahatma Gandhi Rajasthan Health Insurance Scheme 

      The Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana was previously known as Bhamashah Swasthya Bima Yojana. However, this scheme was launched again in January 2021 after combining with the AB-PMJAY.

      Take a look at the key highlights of the Ayushman Bharat Mahatma Gandhi Rajasthan health insuranc scheme 2021: 

      Scheme

      Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana

      Launched By

      Government of Rajasthan

      Beneficiaries

      Citizens of Rajasthan

      Launched On

      30 January 2021

      Health Insurance Cover

      Rs 5 lakh

      Coverage Type

      Family Floater

      Policy Tenure

      1 Year

      Number of Medical Packages

      1576

      Who is Eligible?

      Families under Socio Economic Caste Census 2011

      Families under National Food Security

      Official Website

      health.rajasthan.gov.in

      Hospitals

      Both government and private empanelled hospitals

      Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana 2021 Eligibility Criteria 

      The eligibility criteria for the Ayushman Bharat Mahatma Gandhi Rajasthan health insurance scheme 2021 is as follows:

      • People who are permanent citizens of Rajasthan and belong to lower-income groups
      • Families under Socio Economic Caste Census (SECC) 2011
      • Eligible families under the National Food Security Act (NFSA)
      • Members of the Ayushman Bharat (PMJAY) scheme

      Salient Features of Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana 2021

      Check out the salient features of Ayushman Bharat Rajasthan Swasthya Bima Yojana 2021:

      • Coverage for Lower Income Groups - It offers health insurance coverageto RSBY Rajasthan families belonging to lower-income groups and those under National Food Security Act and Socio-Economic Caste Census 2011.
      • High Sum Insured - The scheme offers a high sum insured of Rs 5 lakh to all beneficiaries, out of which Rs 50,000 is for coverage of common ailments and Rs 4.5 lakh is for critical illnesses coverage.
      • Cashless Hospitalization Treatment - It provides cashless hospitalization treatment to the beneficiary across all empanelled government and private hospitals in Rajasthan.
      • Coverage for the Entire Family - The Ayushman Bharat Mahatma Gandhi Yojana Rajasthan is a family floater scheme where a single policy provides coverage to the entire family, including a newborn baby.
      • Wide Range of Medical Packages - The scheme offers a total of 1576 medical packages to the beneficiaries.
      • No Limit on Age or Family Members - It does not come with any age limit for the family members or any limit for the number of family members that can be covered.

      Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana 2021 Benefits 

      The following are the coverage benefits of Ayushman Bharat Mahatma Gandhi Swasthya Bima Yojana Rajasthan:

      • In-patient hospitalization expenses
      • Pre-hospitalization expenses for up to 5 days before getting admitted
      • Post-hospitalization expenses for up 15 days after getting discharged from the hospital
      • Day care treatment expenses
      • Newborn baby coverage

      Exclusions of Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana?

      Medical expenses resulting from the following are not covered by the Ayushman Bharat Mahatma Gandhi Yojana Rajasthan:

      • Unnecessary hospitalization
      • Vitamins and tonics, which are not part of the treatment
      • Vaccinations
      • Cosmetic dental treatment
      • Plastic surgery unless part of the treatment
      • Overuse of intoxicants
      • Suicide or an attempt of suicide
      • Congenital external defects, anomalies or diseases
      • Sex change operation, including hormone replacement therapy
      • Circumcision unless required medically
      • Persistent vegetative state due to brain damage

      How to Register for Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana 2021? 

      The eligible families under the Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana do not have to register themselves separately to avail the benefits of the scheme. If they are eligible under the PMJAY and BSBY schemes, they are eligible under the Ayushman Bharat Rajasthan Swasthya Bima Yojana. Besides, a specific registration process for this scheme has not been rolled out yet as a full-fledged launch has not taken place.

      However, eligible families can check relevant information related to the scheme on the Jan Soochna portal.

      How to Raise a Claim Under Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana?

      To raise a claim under Ayushman Bharat Rajasthan Swasthya Bima Yojana, you need to follow the steps given below:

      • Visit the network hospital where you want to get medical treatment
      • Carry the required documents to the hospital
      • Contact the Swasthya Marg Darshak at the hospital
      • The Swasthya Marg Darshak will help you with all the formalities and verify your documents
      • Take treatment for your illness
      • Get discharged without paying the bill as it will be covered under the AB-MGRSBY scheme

      Documents Required for Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana 

      The following documents are required to avail the benefits of the Ayushman Bharat Mahatma Gandhi Rajasthan health insurance scheme:

      • Jan Aadhaar Card or Bhamashah Card/ Bhamashah acknowledgement slip
      • Eligibility letter of Ayushman Bharat scheme
      • Aadhaar Card
      • Ration card number
      • 23-Digit HHID number

      Make sure to get your Aadhaar Card and ration card number interlinked to Jan Aadhaar Card/ Bhamashah Card as it is mandatory under AB-MGRSBY 2021. You can get it interlinked by visiting the nearest e-Mitra centre.

      Ayushman Bharat Mahatma Gandhi Yojana Rajasthan Swasthya Marg Darshak  

      Under the Ayushman Bharat Mahatma Gandhi Rajasthan health insurance scheme, a Swasthya Marg Darshak is a person who guides the beneficiary of the AB-MGRSBY 2021 to avail the benefits of the scheme. He/she is basically a health guide who is present at the network hospital to help the patients with all the formalities and ensure that they receive the treatment without any hassles.

      Role & Responsibilities of a Swathya Marg Darshak:

      The following is the role and responsibilities of a Swasthya Marg Darshak:

      • To help a patient coming to the network hospital under the AB-MGRSBY scheme to avail medical treatment
      • To identify the beneficiary family and the patient as per the guidelines of the scheme
      • To carry out all documentation work related to the patient’s admission and discharge from the hospital
      • To raise and submit claims, request for a pre-authorization letter, etc. on behalf of the patient
      • To upload documents by the patient/ doctor/ hospital to the software

      Who Can Apply for Swasthya Marg Darshak? 

      People interested in applying for Swathya Marg Darshak should have the following qualifications and skills:

      • A graduate from an accredited university
      • Basic knowledge of operating computers
      • Good communication skills
      • Should stay near the network hospital where he/ she would be posted

      List of Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana Medical Packages

      Ayushman Bharat Mahatma Gandhi Rajasthan health insurance scheme offers 1576 medical packages to the beneficiaries. Each package comes with a unique code. The rate for the package depends on the disease and the complexity of the treatment/ surgery. Take a look at some of the packages available under the Ayushman Bharat Swasthya Bima Yojana Rajasthan: 

      Medical Package

      Medical Department/ Speciality

      Appendicectomy

      General Surgery

      Chelation Therapy for Thalassemia Major

      General Medicine

      Colonoscopy with Biopsy

      Gastrology

      Fistulectomy

      Dentistry

      Lensectomy + Vitrectomy

      Ophthalmology

      Pacemaker Implantation - Temporary

      Cardiology & CTVS

      Pemetrexed

      Medical Oncology

      Pneumonectomy

      Chest Surgery

      Prolapse Uterus LeFort’s

      Obstetrics & Gynaecology

      Septoplasty +FESS

      ENT

      The complete list of medical packages available under the scheme can be found on the official website of the Government of Rajasthan.

      book-home-visit
      Search
      Disclaimer: Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by an insurer.

      Health insurance Articles

      • Recent Article
      • Popular Articles
      01 Jul 2024

      Surgeries Covered Under ICICI Lombard Health...

      Life can throw unexpected medical emergencies your way, making

      Read more
      27 Jun 2024

      Is LASIK Surgery Covered by ICICI Lombard Health...

      Waking up with a clear vision is a dream for many. LASIK surgery

      Read more
      21 Jun 2024

      Does ICICI Lombard Health Insurance Cover...

      Cataract surgery is an essential procedure for people seeking to

      Read more
      14 Jun 2024

      Father’s Day 2024: Gift Your Father Health...

      Father’s Day is celebrated every year on the third Sunday of

      Read more
      05 Jun 2024

      Does SBI Health Insurance Cover Dental Treatments?

      SBI General Insurance Company provides comprehensive coverage

      Read more

      How to Apply for Ayushman Bharat Pradhan Mantri...

      Ayushman Bharat Yojana is a flagship health insurance scheme launched by the Government of India to offer universal

      Read more

      10 New IRDAI Health Insurance Guidelines in 2024

      Health insurance penetration in India is far lower than it should be. A significant chunk of the Indian population

      Read more

      10 Major Benefits of Ayushman Bharat Yojana

      Pradhan Mantri Jan Arogya Yojana (PM-JAY) is the second component under Ayushman Bharat Scheme. PM Narendra Modi

      Read more

      Best Health Insurance Plans for Senior Citizens

      Senior citizens are the most prone to diseases. Considering the medical inflation in India, buying health insurance

      Read more

      Does Health Insurance Provide Coverage for LASIK...

      A vast majority of the Indian population is suffering from vision problems. For some of them, LASIK eye surgery is

      Read more

      *We will respond in the first instance within 30 minutes of the customers contacting us. 30-minute claim support service is for the purpose of giving reasonable assistance to the policyholder in pursuance of the claim. Settlement of claim (including cashless claim) is the responsibility of the insurer as per policy terms and conditions. The 30-minute claim support is subject to our operations not being impacted by a system failure or force majeure event or for reasons beyond our control. For further details, 24x7 Claims Support Helpline can be reached out at 1800-258-5881. Product information is authentic and solely based on the information received from the Insurer. Policybazaar is acting only as a facilitator and claims settlement shall be at the sole discretion of the Insurer. As per the Insurance guidelines, you are allowed to cancel the policy with-in 15 days from the date of Issuance of policy. For more details, please read the Plan Brochure carefully or talk to our advisor at the time of purchase.

      *All the health insurance plans cover hospitalization expenses including COVID-19 treatment cover up to the specified limits. You can also buy specific COVID-19 health insurance policies such as Corona Kavach Policy and Corona Rakshak policy.

      **All savings and online discounts are provided by insurers as per IRDAI approved insurance plans. #Tax Benefits are subject to changes in tax laws. GST Exemptions depend on fulfilment of qualification criteria and submission of relevant documents.

      *₹1748/month is the starting price for a 1 crore health insurance for an 18-year-old male, with no pre-existing diseases. Discount on renewal premium is subject to the number of wellness points earned in the health insurance policy. For more details about the plans, please read the sale brochure carefully to get upto 100% discount on renewal premium.

      *₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹541/month is the starting price for ₹ 10 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹762/month is the starting price for ₹ 1 Crore Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases

      *₹243/month(₹ 8/day) is the starting price for a 5 lakh health insurance for a 20-year-old male, non-smoker, living in Bengaluru with no pre-existing diseases

      *₹2020/month is the starting price for ₹ 1 Cr Health insurance for a 50 year old male & 50 years old female, living in Bangalore with no pre-existing diseases rounded off to nearest 10.

      *₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.

      *No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.

      *The values taken for effective cost calculation are indicative values and may change as per the selected plan.

      *Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.

      *Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.

      *The scope of coverage may vary from plan to plan.

      ~Source: Google Review Rating available on:- http://bit.ly/3J20bXZ

      ##On ground claim assistance is available in 114 cities

      Tax Benefits are subject to changes in tax laws. GST Exemption depends on fulfilment of qualification criteria and submission of relevant documents as required by the insurers. For more details on risk factors, terms and conditions, please read the sales brochure and applicable rules and regulation carefully before concluding a sale.

      STANDARD TERMS AND CONDITIONS APPLY. For more details on risk factors, terms and conditions, please read the sales brochure carefully before concluding a sale.

      Policybazaar is a registered Composite Broker |Registration No. 742, Valid till 09/06/2024, License category- Composite Broker (Life & General)| Visitors are hereby informed that their information submitted on the website may be shared with insurers.

      Policybazaar Insurance Brokers Private Limited | CIN: U74999HR2014PTC053454 | Registered Office - Plot No.119, Sector - 44, Gurgaon, Haryana - 122001 Contact Us | Legal and Admin Policies

      © Copyright 2008-2024 policybazaar.com. All Rights Reserved.

      top
      Close
      Download the Policybazaar app
      to manage all your insurance needs.
      INSTALL