The RGHS Scheme main objective is to provide health services to Rajasthani government employees. Read this blog to know more about the programme.

The public and commercial sectors now provide health insurance and other medical services to their employees. So that the employees’ medical requirements can be met. The Rajasthan Government has also created a new scheme for government employees known as the Rajasthan Government Health Scheme (RGHS Scheme). Medical facilities are offered to the recipients through this  Scheme.

RGHS Scheme 2024

The Rajasthan Government has introduced the  Scheme to provide medical services to honorable MLAs, ex-MLAs, State Government workers, and retirees. These medical services will be supplied per various regulations, plans, and insurance policies. Aside from that, these medical facilities are provided by autonomous bodies/boards/corporations under their standards. The full name of the Rajasthan Government Health Scheme’s . Under this arrangement, all government-run hospitals, licensed hospitals, and public-private partnership hospitals can provide medical services. If there is an emergency, treatment will be permitted in referral hospitals with proper referral from the authorized authority. The Rajasthan government’s health plan is based on CGHS prices and provisions.

Objective of RGHS Scheme

The primary goal of the RGHS Scheme is to offer medical services to Rajasthan government employees. Government employees in the state are no longer required to worry about their medical bills because the government would cover them. Beneficiaries will be treated on time under this arrangement. The Rajasthan government’s health initiative would help raise people’s living standards. Beneficiaries will no longer be denied medical treatment due to financial constraints, as the Rajasthan government will cover the costs of treatment.

The Rajasthan government’s initiative will strengthen the state’s healthcare system. Beneficiaries who could not receive proper treatment owing to financial constraints would be allowed to do so under this RGHS scheme. Remember to bookmark our website for the most recent Rajasthan news.

Key Highlights of the RGHS Scheme

RGHS Claim Settlement and Coverage

As you may be aware, the Rajasthan government began providing medical services to government employees in the state on this day. The initiative was proposed by the state’s Chief Minister in his budget statement for fiscal year 2021. And the scheme claim started by the government will be settled using the IT platform. Settlement of claims is:

1. Every beneficiary of the Scheme System 2024 Portal or State’s electronic medical records will be saved in the e-wallet of RGHS cards under this scheme.
2. Catastrophic illness will be treated as a medical emergency. After a referral from the competent authority, the recipient will be able to be treated at the tertiary hospitals.
3. If a dispute arises between the parties under this plan, it will be resolved by the Appellate Authority through the District Level Grievance Redressal Committee or the State Level Grievance Redressal Committee.
4. Government hospitals, government-approved institutions, and public-private partnership hospitals will all benefit from the scheme.
5. Treatment will be pre-approved at the hospital level.

RGHS Scheme Main Rules

We present some information on all of the rules and regulations governing this plan:

1. Member Rules of the Rajasthan Legislative Assembly, 1964.
2. Rajasthan Ministers (Medical Attendance) Rules, 1961.
3. Former Legislative Assembly Member and Family Pensioner (Medical Benefit) Rules, 2010.
4. 1954 All India Service (Medical Attendance) Rules.
5. Rules for Rajasthan Judicial Officers (Medical Facilities), 2008.
6. 2014 Rajasthan State Pensioners Treatment Project Policy on Mediclaim in Rajasthan.
7. 2013 Rules for Rajasthan Civil Service (Medical Attendance).

Facilities by RGHS Scheme

Here is some information regarding the Rajasthan Government Health Scheme’s services:

1. For IPD/daycare services, a cashless facility is available.
2. Investigation of listed and official diagnostic centers.
3. Services for Family Welfare, Maternity, and Child Health.
4. Treatment for OPD.

These benefits will be made available to state residents through the Rajasthan Government Health Insurance program.

List of Catastrophic Illness That Fall Under the RGHS Scheme

This is the list of catastrophic illnesses covered by this plan.

1. Intense retention of the offer for more than 24 hours.
2. Dengue fever
3. Stroke
4. Cancer
5. An acute pneumonitis
6. Organ transplants such as lung, pancreas, kidney, liver, heart, etc.
7. Burst appendicitis
8. Severe shortness of breath
9. Renal failure of the kidneys
10. Accident
11. Tuber pregnancy and related complications
12. Hodgkin’s disease
13. Delivery
14. Acute myocardial infarction
15. Vascular surgery
16. Meningitis
17. Coronary artery surgery
18. Swine flu
19. Pancreatitis
20. Multiple sclerosis, etc.

The Benefits of the RGHS Scheme

Here is some information regarding the benefits that will be offered to state recipients through this individual:

1. The Rajasthan Government Health Scheme was introduced by the Chief Minister of Rajasthan in 2021. This idea was presented in his budget speech for the current fiscal year.
2. This is what Genetics has begun to do to drive state legislators, past legislators, retirees, and current state government employees to medical facilities and health insurance.
3. Beneficiaries from low-income families will be able to receive regular good care under this system.
4. Beneficiaries will be covered under this system, thus government personnel will not have to worry about medical bills.
5. This scheme’s benefits will be delivered under a variety of rules, schemes, and medical insurance plans.
6. In the event of an emergency, the beneficiary will be permitted to seek care at the referral hospital after being referred by the authorized authority.
7. These medical facilities are provided by autonomous bodies, boards, and corporations under their regulations.
8. The State Government’s scheme is based on GGHS rates and provisions.
9. Beneficiaries of this plan will receive health insurance and medical benefits through RGHS claim settlement. Claims will be settled using an IT platform under this arrangement.
10. The beneficiary’s catastrophic disease will be treated as an emergency.
11. Beneficiaries’ electronic medical records will be maintained in this scheme’s cardholder’s e-wallet.
12. If a dispute emerges between the parties under this program, the District Level Grievance Redressal Committee, State Level Grievance Redressal Committee, or Appellate Authority shall resolve it.
13. Pre-approval for therapy will be requested at the hospital level.
14. The state’s medical system will be upgraded as a result of this strategy.
15. Citizens of the state will be able to receive better care.
16. Beneficiaries must register to receive the benefits of this scheme.
17. Beneficiaries are not required to visit any government officials because the registration process is completed online. Beneficiaries will save both time and money as a result of this.

How To Check the RGHS Balance Online?

To check your  balance before making any claims or opting for cashless OPD treatment, follow these simple steps:

• Step 1: Visit the official Rajasthan SSO platform.
• Step 2: Log in using your credentials such as name, password, and captcha.
• Step 3: Locate the RGHS portal link on the homepage or use the search bar to find it quickly.
• Step 3: Click on the RGHS portal link to open the dedicated portal.
• Step 4: Look for the “RGHS card limit tracker” option among the various operations related to your account.
• Step 5: Click on this option to see a popup window displaying your remaining balance.
• Step 6: The balance will be divided into two sections: OPD (outpatient) and IPD (inpatient), showing both the total and utilized amounts.

Eligibility for RGHS Scheme

1. Only permanent residents of Rajasthan can apply.
2. The applicant must be a current or former MLA, a State Government employee, or a pensioner.

Required Documents 

• Aadhar Card
• Passport size photograph
• Proof of income
• Proof of age 
• Email ID
• Ration card

RGHS Scheme Registration Process

Beneficiaries wishing to apply for this plan must follow the processes;

1. You must first visit the RGHS official website.
2. After you enter the official website, you will find the opportunity to register.
3. Then you must click on the registration option, and a new page will be portrayed in front of you.
4. When you click on the registration link on that page, you will be presented with three options:
5. You must select the appropriate option.
6. Then you’ll notice some registration options:

• Citizen
• Government Employee
• Udhyog

7. You must select an option by clicking on it.

• Bhamashah (Citizen)
• Google (Citizen)
• Jan Aadhaar (Citizen)
• SIPF (Govt. Employee)
• BRN (Udhyog)

8. Then a new page will open in front of you. On that page, you must fill in all of the essential information.

9. After entering the relevant information, you must upload the papers listed on the application form.

10. After entering all of your information and uploading your document, you must click the submit button.

11. You can also easily register for RGHS using this way.

Empanel Pharma Store Procedure

To learn how to apply for Empanel Pharma, follow the steps outlined below. 

1. To begin, go to the SSO Rajasthan official website.
2. On the homepage of the official website, I will notice a login form.
3. To log in, you must need a username and password.
4. Fill in the captcha code after entering the proper password and username.
5. Then you must select the login option. You will then be logged into the official website.
6. The RGHS icon will then appear. You must select that icon.
7. Then you must select a pharmacy from the list.
8. Then a new page will appear on your device’s screen.
9. You must complete all the information provided on that page. Then you must upload the necessary documents.
10. After you have uploaded all your information and papers, you must pay the Performance Bank Guarantee application cost.
11. Then you must press the submit option.
12. You can easily panel pharma stores with this strategy.

Conclusion

As a result, we want to thank you for your support and hope that you were able to adequately address your concern. If not, please don’t hesitate to contact Vakilsearch if you need any additional help. 

FAQs

Other Related Articles 

• Rajasthan Aapki Beti Yojana 2024
• Rajasthan Berojgari Bhatta Yojana 2024
• Rajasthan Old Age Pension Scheme