Rajasthan Government Health Scheme

As one of India’s most effective healthcare programs, Rajasthan’s state government offers a healthcare scheme named Rajasthan Government Healthcare Scheme that has helped countless people. This plan has improved millions of people’s lives by providing multiple benefits to patients.

The Rajasthan Government Health Scheme went into effect in that state in September of 2021. It is a health insurance program for state employees, retirees, and those working directly for the state government of Rajasthan. More than 10 million people have benefited from RGHS, and they may attest to its success by registering on the RGHS website.

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The entire application and claim-filing process for RGHS take place in one convenient online location. Due to the online aspect of this scheme, it is essential that you acquire specific information about the scheme to navigate and utilize the program successfully. Please keep reading this post as it will help you learn more about the RGHS Scheme and the best RGHS Hospitals in Jaipur to get treatment

RGHS-Rajasthan-Scheme

Medical camps, dentistry camps, vision camps, and other linked services are part of the plan. It provides affordable healthcare for those who otherwise wouldn’t be able to pay it, including the cost of hospitalization and the medication needed to treat chronic conditions like diabetes and hypertension. Residents of Rajasthan, solo and with their families, are eligible to participate in the program.

The Objective Of The Rajasthan Government Healthcare Scheme

The RGHS Scheme’s primary goal is to improve access to healthcare for state employees of Rajasthan. Government workers in that state should no longer be concerned about meeting their medical costs out of pocket, as the state government will now complete those costs.

Facts Of Rajasthan Government Healthcare Scheme (RGHS)

  • These medical services will be made available in accordance with various statutes, programs, and health care coverage strategies.
  • Aside from the government, private organizations and companies provide these healthcare services following their regulations.
  • All publicly funded, privately accredited, and publicly confidentially partnered hospitals can provide care under this plan.
  • An emergency referral from the appropriate responsible entity is required before treatment at the referring hospital can begin.
  • Starting this program was one of the highlights of the Honourable Chief Minister of Rajasthan’s budget speech for the 2020–2021 fiscal year.
  • Claims paid out through the RGHS Scheme will be processed using the RGHS portal, the organization’s central information technology hub.
  • Disputes between the parties will be settled by the appropriate district-level, state-level, and appellate-level grievance redressal committees, and authorities.
  • The hospital will be contacted ahead of time to secure consent for the operation.
1Self Managed RGHS E-card System for Beneficiary
Since RGHS is an automated IT enabled module, beneficiaries can print their own RGHS e-card on RGHS web-portal: www.rghs.rajasthan.gov.in to avail the medical facility.
2Provision of Electronic Medical Record(EMR)
RGHS beneficiary will have its own electronic medical record for easy access to the medical history and to avail the best medical facilities in selected State Government and empanelled private Hospitals.
3Cashless Hospitalization & OPD Medicines
The beneficiaries of RGHS can avail cashless hospitalization in all Government and duly empanelled private hospitals of the State. The complete list is available on RGHS web-portal: www.rghs.rajasthan.gov inand as the name suggests, a cashless treatment means that the beneficiary does not have to bear the cost of a medical treatment. The costs will be borne by the government. Cashless facility shall be offered only at empanelled Health care Network providers (HCNP) including all Government and Private hospitals, Diagnostic / Imaging centers under RGHS at the prescribed CGHS rates
4Wide Coverage of Medical Facility
RGHS offers a comprehensive package of treatment offering coverage that pays for the entire cycle of medical emergency as well as for OPD/IPD/Day Care, maternity and Child care facility. All the packages and rates will be as per the CGHS guidelines and therefore Beneficiary does not have to pay the hospital private designed rates.
5Automated IT enabled Process
RGHS offers a comprehensive package of treatment offering coverage that pays for the entire cycle of medical emergency as well as for OPD/IPD/Day Care, maternity and Child care facility. All the packages and rates will be as per the CGHS guidelines and therefore Beneficiary does not have to pay the hospital private designed rates.
6Automated IT enabled Process
Enhancing e-governance in the State, RGHS includes a completely automated IT enabling facility for Seamless Registration, Healthcare Network Provider (HCNP) empanelment, Beneficiary Identification Selection (BIS), RGHS Package selection for treatment, Transaction Management and Claim settlement and Grievance redressal mechanism making it a complete paperless system. This will have minimum documentation at each level and will provide a hassle free admission, treatment and discharge to the RGHS beneficiary for any medical treatment at a hospital.
7Services outside Rajasthan
Besides private hospital empanelment in the State of Rajasthan, few selected multi-specialty / Specialty private hospitals are also registered under the scheme outside the State enabling the beneficiaries to opt for the medical facilities in case of dire need whenever required outside Rajasthan.
8Enhanced Medical Facility
o provide maximum benefits to all the beneficiaries a large number of private hospitals and Pharma stores are empanelled under the scheme across the State. This will help to cater the patients at the time of medical emergency.
9Exclusion features
There are certain hospital / medical treatments and non payable items which are not included within the scheme and are not covered in the claims. These conditions and features are as per enlisted in CGHS guidelines.