EJHS SCHEME IN TELANGANA

Rising inflation is the reason for the increased cost of medical treatment and medicines. This situation is prevalent in all states. In this context, the EHJS Telangana program was launched in 2013. Aiming to provide medical facilities at low cost, the scheme has been introduced. It helps government employees, especially when they need severe disease treatment.

Our comprehensive guide will educate you about the EHJS scheme in Telangana.  Let’s appreciate the details.

What is the EJH Scheme in Telangana?

Employee and Journalist Health Scheme is a health insurance program run by the Telangana Government. The plan is popularly known as the Employee and Journalist Health Scheme (EJHS). Providing healthcare coverage for state government workers is the objective of the scheme.

Workers who cannot afford medical facilities practically acquire an advantage of the scheme. One more essential point to be noted is that EH is a group health insurance scheme. 

Further, launching an EJHS has replaced the earlier medical reimbursement system in Telangana. Plus, the post treatment coverages for chronic diseases are included in it. Following people can get the coverage of the scheme if they get caught in nasty situations-

• Employees (Retired/Working)
• Pensioners
• Journalists(Retired/Working)

In addition to this, families of government employees will also receive the benefit under the scheme. It is a cashless process with a listed hospital that is subject to EJHS scheme in Telangana.

 

EHJS Eligibility Criteria

Employee Health Insurance is an essential financial facility. Owing to this, protection against financial burden is provided in private as well as government organizations. Various plans exist to deliver insurance coverage across different regions.

The EH Scheme in Telangana is one of the appreciable initiatives.  Let’s know who can be considered eligible to get the scheme’s benefit.

 

Serving Employees/Journalists:

• Employees working full time basis under the Telangana state government.
• Employees working regularly in the local body of government.
• Accredited journalists working in the state.

Retired Employees/Journalists:

• Service pensioners who are retired government employees.
• Family pensioners who don’t have anyone in their family.
• Retired employees who have been employed in government service, receiving a pension.

Dependent Family Members:

• Employee’s Biological or adoptive parents, but not both.
• Male employee or pensioner’s legally wedded spouse.
• Unemployed son below age 25
• Dependent daughter(Unmarried/Divorced/Widow)
• Special Children(Who cannot work)

 

EHJS Coverage and Benefits

The benefits under the EHJS scheme are almost similar to the corporate medi claim. Let’s understand this from the below table-

Coverage	Benefits
In-Patient Treatment	Covers the expenses of hospitalization relevant to any chronic disease. Free of cost examination for pre-detected therapies. Cashless facility for the after discharge medication from 10 to 30 days. Post discharge complications coverage benefit.
Follow Up services	Coverage includes consultation, investigations, and medications up to 1 year after the treatment.
Outpatient Treatment	Under the EJHS scheme, treatments for severe diseases are provided at particular hospitals. It helps to deliver the necessary care to the patient.
Hospital Stay	Coverage for accommodation in hospital on the basis of pay grades like for Slab A (Pay grades I to IV), Slab B(Pay grades V to XVII semi private wards), for Slab C (Pay grades XVIII to XXXII private wards.
Financial Coverage	Telangana State Government will provide the fund. No upper limit. No contribution from employees or pensioners.
Cashless Hospitalization	Beneficiaries can get the advantage of medical facilities without having cash when admitted in any of the listed network hospitals.

 

EHJS Documents Required

For EHJS enrollment in Telangana, applicants ought to submit the following documents. If they fulfill the documents, they will receive the EHS card easily.

Documents Required for Employees

• Copy of Aadhar Card
• Scanned copies of 1 and 2 of the old service register.
• Recent color passport size photograph.
• Scanned copy of disability certificate if applicable.

Documents Required for Pensioners

• Copy of Aadhaar Card
• Scanned copy of Pension Payment Order (PPO)
• Scanned copy of Pensioner’s identity card.
• Recent color passport size photograph.

Documents Required for Family Members Dependent on Employees.

• Passport sized 45mm x 35mm photograph up to 200KB.
• Copy of each dependent’s Aadhaar card.
• Birth certificate of dependent below 5 years of age.
• Disability certificate if any of the dependents is disabled.

Make sure that all scanned documents must have a clear appearance for a smooth application process.

 

EHJS Application Process

• Applying for EHJS is easy online through the official website of EHJS Telangana. There is no specific process to apply for the scheme.
• The Drawing and Disturbing Officer (DDO) inspects the application and sends employees data to the finance department.
• Comprehensive Financial Management System (CFMS) shares the employee's details with Aarogyasri Health Care Trust. Then, all the data gets used to generate health cards.

 

How to Download an EHS Health Card?

The finance department uploads the health cards on the EHS official website. Employees and pensioners can download the card online. The card can be printed and accessed by the employees and their dependents.

 

FAQs

1. What is the use of an EHS card?

EHS card is used to access the medical facilities from the listed hospitals subject to the EHS scheme. Primarily, pensioners or employees use this card to avail cashless treatment.

2. Who is eligible for EHS in Telangana?

The state government employees, pensioners, re-employed pensioners and their dependents are eligible for the EHS in Telangana.

3. What is the ceiling limit of medical reimbursement under EHJS?

The ceiling limit of medical reimbursement under EHJS is Rs. 5 lakh per episode of sickness. The benefits apply to pensioners, employees, and their dependents.