The State Government of Telangana has formulated a new health scheme for its employees, journalists, pensioners, and their dependent family members. Through the Employee and Journalist Health Scheme, State Government employees and State Government pensioners, along with their dependant family members, can avail of cashless treatment at various empanelled hospitals. Under the supervision of the government, the Aarogyasri Health Care Trust will implement the scheme. The new health scheme offers several new benefits, such as post-treatment care and treatment of chronic diseases. Serving and retired state government employees and journalists from Telangana are the beneficiaries of the scheme.
Eligibility Criteria of Employees and Journalists Health Scheme EJHS
Under the EJHS of Telangana, State Government employees, journalists (retired or serving), and their dependent family members are covered. The eligibility criteria are further classified as below:
- Serving Employees/Journalists – Regular State Government Employees. Provisionalized Employees of Local Bodies.
- Retired State Government Employees/Journalists – Service Pensioners. Family Pensioners without Dependents. Re-Employed Service Pensioners.
- Dependent Family Members – Dependent Parents (Either Adopted/Biological). One Legally Wedded Spouse. Dependent Legitimate Children (Adopted/Step Children). Family Members of Service Pensioners. Unemployed Daughters (Unmarried/Divorced/Widowed/Deserted). Children with Disabilities (Those are deemed unfit for employment).
Benefits and Features of Employees and Journalists Health Scheme EJHS
With the main objective of providing cashless treatment or hospitalization to employees, journalists, and their dependent family members, the EJHS offers various features and benefits. Below are the details:
Listed below are some services available under in-patient treatment.
- Free in-patient treatment for a list of predefined therapies.
- Free outpatient treatment for an identical list of predefined therapies.
- Cashless service for up to 10 days for post-discharge medications.
- Coverage of up to 30 days post-discharge for those undergoing treatment for any listed diseases.
Additionally, if a person requires follow-up services in the form of drugs, consultation, or investigation for a complete curative experience, he or she will get provision for up to 1 year. There are fixed packages available for the same.
Outpatient treatment for chronic diseases:
Moreover, the scheme provides treatment for chronic long-term diseases in specific hospitals.
Hospital Stays Provisions:
This feature elaborates on the type of ward that is permissible for employees of different pay scales.
- Slab-A, consisting of employees with pay grades from I to IV, is applicable for semi-private wards.
- Slab-B, consisting of employees with pay grades from V to XVII, is applicable for semi-private wards.
- Slab-C, consisting of employees with pay grades from XVIII to XXXII, is applicable for private wards.
Here are some benefits of the Employees and Journalists Health Scheme.
- The Telangana State Government bears the full cost of implementing EJHS.
- There is no contribution required from the employees/pensioners.
- There is no upper limit on the financial coverage offered.
- The scheme covers the comprehensive treatment for the enlisted therapies.
Those treatments for non-identified diseases, as per the EJHS, will not be covered. Also, certain beneficiaries are not covered under the scheme. Here is the list of beneficiaries not covered under the EJHS:
- Those covered under any of the Central Government Health Schemes (CGHS).
- Employees working in Aarogya Bhadratha of the Police Department, Railways, ESIS, RTC, and Aarogya Sahayatha of the Prohibition and Excise Department.
- Casual and daily wage workers.
- Independent children
- Law officers such as Public Prosecutors, State Prosecutors, Advocate General, State Counsels, and Government leaders.
- Biological parents, if adopted parents, exist or vice versa.
- AIS pensioners and officers.
How To Enroll For Employees and Journalists Health Scheme?
Follow the below steps for a seamless enrollment process.
Under the EJHS for state government employees and pensioners, there is no separate enrollment process for serving employees. The Drawing and Disbursing Officer (DDO) will furnish the employees’ data (including Aadhaar) to the finance department through the Comprehensive Financial Management System (CFMS). This data is then shared with the Aarogyasri Health Care Trust by the finance department to generate health cards and made available on the EHS website. Employees and their dependent family members can download, print, and use this health card.
Employees can upload photographs of themselves or their dependent family members or even update dependent family members through the EJHS web portal. Below are the login instructions:
- Visit the official web portal of the Employees Health Scheme.
- On the top right, click on ‘Sign-in’ and select ‘Employees.’
- Your Employee ID is the Username and the same Username as the first-time password. You may be asked to enter a new password for future logins.
Patient Process Flow:
Below is the patient process flow for serving employees under the EJHS:
- Employee visits any of the networks of empanelled hospitals.
- The patient will be registered at the NWH (Network Hospital) by Aarogyamithra.
- If the patient has a permanent health card, then a biometric verification will be enabled and sent for preliminary diagnosis at the hospital.
- If the patient does not have a permanent health card, they will also be sent for a preliminary diagnosis.
- Based on the diagnosis, the patient will either be treated as an out-patient or in-patient.
- If advised to be hospitalized, then in-patient registration will be initiated.
- E-pre authorization will be sent to the concerned team.
- Required surgery or treatment will be initiated at the NWH.
- The patient will be discharged as required and if needed, follow-up will be advised.
- The hospital will initiate the claim process for the hospitalization of the patient.
How To Add Beneficiaries:
Below is a step-by-step guide to adding beneficiaries to the EJHS:
- Visit the official web portal of the Employee Health Scheme of the Government of Telangana.
- Click on ‘Sign-in’ found on the top-right corner of the page.
- Enter your Username and Password.
- On the new page, click on ‘Registration’ found on the top-left of the page and click on ‘Initiate New/Rejected Beneficiaries.’
- One will be directed to a new page ‘Beneficiaries Worklist’. Click on ‘Add New Beneficiary.’
- Enter details of the beneficiary and attach the Date of Birth (DOB) certificate and photo if the DOB is below 5 years. If the DOB is over 5 years old, you must attach their Aadhaar card and photograph.
- Click on ‘Save.’ One also has the option to reset.
- A pop-up window will confirm the beneficiary is saved successfully. Click on ‘Ok.’
- After that, one will be directed to the ‘Beneficiary List page, and he/she can either remove or edit the details of the newly added beneficiary.
- Click on ‘Submit’ after checking all information provided is correct.
- A pop-up window will confirm that the addition of a beneficiary is completed successfully.
The District Public Relations Officer (DPRO) will enroll the journalist in the Journalists Health Scheme implemented by the Government of Telangana through the Aarogyasri Medical Care Trust. Once the journalist submits the application to the DPRO, and upon approval, the application will be verified by the Information and Public Relations Officer (IPRO). Once the IPRO processes the final approval, the Journalist’s Health Card will be generated. Below are the login instructions under the Journalists Health Scheme (JHS):
- Visit the web portal of the Journalist Health Scheme and click on ‘User Login’ on the top-right corner of the page.
- Enter the Username and Password to gain access to your account.
- On the new page, you can perform several activities such as adding beneficiaries, downloading health cards, etc.
Steps To Download Journalists Health Card:
Below are the steps to get Journalist’s Health Card:
- Visit the JHS web portal and log in with the Username and Password.
- On the new page, click on ‘Registration’ and click on ‘Download Health Card.’
- After one click on ‘Download’, he/she will be directed to a new page with the details of the beneficiaries. One has the option to view the card.
- Click on ‘Print’ to download the Journalist Health Card.
Pensioner Enrollment Process
- Visit the EJHS web portal and click on ‘Sign-in’ appearing on the top-right corner of the page.
- Log in with the Username and Password. If you do not have the details, you can contact Sub. Treasury Officer (STO)/Assistant Program Officer (APO) or applicant can call EJHS toll-free number 104 to know the Username and Password.
- Once one has logged in to the web portal, open the enrolment form and fill in all the mandatory fields, including the concerned head of department, STO/APO, and the respective district.
- Attach all supporting documents and add beneficiaries such as the dependent family members.
- Click on ‘Save’ and then click on ‘Submit Application.’ One will receive an SMS with details of the Health Card Enrollment ID.
- Print the application form, sign it, and scan the signed application form.
- Upload the signed application form and click on ‘Submit Application for Approval.’
- One will receive an SMS with the confirmation of the submission and its pending approval by the STO/APO. Once approved, he/she will receive a confirmation that the Health Card is ready.
Steps To Download Pensioners Health Card:
Once the enrollment process is completed, follow the below steps to get the pensioner’s health card:
- Log in to the EJHS Web Portal and click on ‘Sign-in’ located on the top-right corner of the page.
- Enter the Username and Password (One can contact Seva Kendra by dialling 104 to know the User ID and Password).
- Click on ‘Download Health Card.’ print and laminate the document. One can use this document for verification purposes.
Here is a list of the prerequisite documents for pensioners and retired employees to have before enrollment.
- Scanned copy of personal and dependent family members’ Aadhaar cards.
- Scanned copies of both personal and dependent family members’ disability certificates, if any.
- ICAO mandated passport size snap of 45mm x 35mm of yourself and dependent family members. Snap size should not exceed 200KB.
- Scanned copies of spouse’s employee/pensioner’s ID if employed under the State Government or a service pensioner.
- Scanned copies of birth certificates of children younger than 5 years.
Claim process of Employees and Journalists Health Scheme EJHS
EJHS-enrolled persons do not have to initiate any process to arrange the money. Thus, the network hospitals raise claims with the Health Trust. Moreover, after 10 days from discharge, network hospitals can extend claims. Beneficiaries of EJHS need to take no step to claim Employees and Journalists Health Scheme dues. All payments will be processed through the Trust portal after scrutinizing the documents submitted by the Network Hospital (NWH).
Frequently Asked Questions
If you would like to download the employee declaration form from EJHS, then visit the EJHS web portal and click on the ‘Declaration Form by Employee’ found on the page. You can also download the declaration form for the reactivation of beneficiaries.
No, the in-laws of an employee or pensioner are not eligible for EJHS.
Below are the toll-free number and contact details of EJHS Telangana:
Toll-Free Number: 104 (24/7)
Address: Aarogyasri Health Care Trust
Road No. 46, Jubilee Hills, Hyderabad – 500033
Phone No. – 040-23547107
Fax Number – 04023555657
If the parents are dependent: An employee’s dependent parents are considered NON-BPL. They should cancel their AROGYA SRI CARD. Otherwise, disciplinary action will be initiated against the employee for using a benefit meant for poor
If the parents are independent: The Independent parents can use AAROGYA SRI CARD only (not eligible for EHS).
There are more than 200 empanelled hospitals located across the state.
No, an unemployed son attaining the age of 25 is not eligible to avail of the benefits of the scheme. However, if the son is disabled and unable to work for his livelihood, he can avail of the benefits by producing his disability certificate.
The total cost of implementing the health scheme will be borne by the State Government of Telangana. There is no contribution either from the employee or the pensioner.
All network hospitals have to maintain a separate kiosk for EJHS. Moreover, there needs to be a MEDCO and separate NAMS-operated counter. Additionally, there should be a computer with a network connection of 2 MBPS. Also, they must have a printer, webcam, barcode reader, biometrics, scanner, digital camera, and signatures.