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Health Insurance 1230 views April 14, 2021
Understanding the healthcare needs of individuals, Telangana State Government offers Employees and Journalists Health scheme that provides cashless treatment to all the State government employees including the pensioners (state government) along with their dependent family members at network hospitals of Aarogyasri Health Care trust. Telangana State Government Employees and Journalists Health Scheme replaces the medical reimbursement system that was in place before this scheme.
With this health scheme from the Telangana State Government, policyholders can also enjoy the benefits of post-operative care and treatment of chronic diseases that do not require hospitalization and treatment in empanelled hospitals. On this page, we will discuss important aspects related to Telangana State Government Employees and Journalists Health Scheme so that you can understand better. Keep reading!
Table of Contents
One of the crucial aspects to know about the Telangana State Government Employees and Journalists Health Scheme is its coverage benefits to the policyholders. We are discussing the same below. Please check!
With this scheme, policyholders will receive coverage for in-patient treatment for the listed therapies for the identified diseases as specified in empanelled hospitals. The following services will include under this benefit.
Policyholders who need long-term follow-up therapy to get maximum benefits from the medical procedure and avoid complications will also receive follow-up services for a period of 1 year through fixed packages. These services include consultation, investigations, drugs, etc for one-year listed therapies.
In the notified hospitals, policyholders will also get coverage for outpatient treatment for pre-defined long-term or chronic diseases. Orders regarding modalities and provision of the required budget will be issued separately.
Telangana State Government Employees and Journalists Health Scheme will also provide coverage against the hospital stay during the treatment according to the pay grade slab of employees.
Slab A employees (Pay Grades from I to IV) and Slab B employees (Pay Grades from V to XVII) will get coverage for the Semi-private ward, while Slab C employees ( Pay Grades from XVIII to XXXII) will get coverage for Private Ward.
Policyholders will not need to contribute as the total cost will be borne by the state government. Also, there is no upper limit on the financial coverage, and the overall treatment cost incurred on the enlisted therapies will be covered under the scheme.
The following people are covered under the Telangana State Government Employees and Journalists Health Scheme. Do check the below table.
Serving Employees |
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Retired Employees |
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Family |
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Dependent Family Members |
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Following individuals will not receive any coverage under the Telangana State Government Employees and Journalists Health Scheme.
It is important to understand the steps to get health insurance under this Telangana government scheme. We are mentioning them below. Please check!
Step 1: The beneficiary (patient) will need to visit any of the nearest or convenient network hospitals under the scheme.
Step 2: The patient will be registered at the network hospital by AarogyaMithra application.
Step 3: In case the patient has a permanent health card, the biometric verification process will be initiated. Now, the patient will be sent for the preliminary diagnosis at the hospital, irrespective of whether he/she has a health card or not.
Step 4: Based on the diagnosis of the patient, the nature of treatment (in-patient or out-patient) will be decided.
Step 5: In case hospitalization is needed, in-patient registration will be initiated. After which, the E-pre-authorization request will be sent to the concerned medical team.
Step 6: At the network hospital, required surgery or treatment will be initiated.
Step 7: After the required treatment, the patient will be discharged and follow-up will be advised (if required).
Step 8: The network hospital will initiate the cashless claim process for the hospitalization of the patient.