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EJHS - Employee and Journalist Health Scheme By Government of Telangana: Eligibility, Coverage & Benefits

Team AckoDec 18, 2024

Governments establish programs to support individuals experiencing financial difficulties related to health issues. When health-focused initiatives are implemented, it is crucial to recognise that not all programs are suitable for every individual in a region. Typically, these programs target a specific socio-economic demographic or geographical area. The Telangana State Government Employees and Journalist Health Scheme (EJHS Telangana) is a vital health initiative that provides assistance to a particular section of residents of Telangana.

This new health scheme has been formulated for the state’s employees, journalists, pensioners, and their dependent family members. They can use the cashless hospitalisation at the Network Hospitals (NWH). The new scheme replaces the current medical reimbursement facility and comes with added benefits such as post-hospitalization coverage and treatment of chronic diseases.

Read to learn about the eligibility criteria for the Government of Telangana Employee and Journalist Health Scheme (EJHS), as well as coverage and benefits.

Contents

What is the Employee and Journalist Health Scheme?
Features And Benefits of EJHS:
What is Not Covered (Exclusions) Under the EJHS of the Government of Telangana?
Eligibility Criteria of Employee and Journalist Health Insurance Scheme:
How to Enrol for the Employee and Journalist Health Scheme?
How to Enrol for a Journalist’s Health Scheme?
How to Enrol for the Pensioner’s Health Scheme?
Claim Process of EJHS:
How To Renew EJHS?
EJHS Telangana List of Hospitals:
- List of Empanelled Hospitals for EJHS:
- Online Application Form for Empanelment:
Significance Of EJHS
Aarogyasri Health Care Trust: The Backbone of EJHS
- Core Responsibilities
Importance of Aarogyasri Health Care Trust in EJHS
The Role Of Technology in EJHS
EJHS Telangana Toll-Free Number and Address:
Summing Up
Frequently Asked Questions:

What is the Employee and Journalist Health Scheme?

Numerous individuals may struggle to afford healthcare. The expenses associated with medical care and procedures at healthcare facilities have significantly increased in recent years, particularly following the outbreak of the coronavirus pandemic. This has presented specific challenges for individuals within the lower socioeconomic brackets in the state.

Through the Employee and Journalist Health Scheme, State Government employees and State Government pensioners along with their dependant family members can avail 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 replaces the existing medical reimbursement scheme and offers several new benefits such as post-treatment care and treatment of chronic diseases. Serving and retired state government employees, as well as journalists from Telangana, are the beneficiaries of the scheme.

Features And Benefits of 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:

EJHS Coverage	Features and Benefits
In-Patient Treatment	Treatment for pre-defined therapies of identified diseases.Free out-patient evaluation for pre-defined therapies.Cashless service for the post-discharge medication of up to 10 days and up to 30 days coverage of complications post-discharge.
Follow-Up Services	Services up to 1-year.Package includes consultations, investigations, drugs, etc. for 1-year for the listed therapies.
Out-Patient Treatment	Treatment of listed chronic (long-term) diseases at select hospitals.
Hospital Stay (Ward)	Slab A & B (Employee Pay Grade – I to XVII): Semi-PrivateSlab C (Employee Pay Grade – XVIII to XXXII): Private
Coverage (Financial)	Eligible Sum: No upper limit.No Contribution by Employee/Pensioner.

What is Not Covered (Exclusions) Under the EJHS of the Government of Telangana?

Under the EJHS all serving, retired employees and journalists along with their family members can avail cashless treatment. And, the beneficiaries can avail cashless hospitalisation for the listed therapies for identified diseases. 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 Police Department, Railways, ESIS, RTC and Aarogya Sahayatha of 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 Pleaders.
Biological parents if adopted parents exist or vice versa.
AIS pensioners and officers.

Also, read: ABHA ID

Eligibility Criteria of Employee and Journalist Health Insurance Scheme:

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:

Eligible Beneficiaries	Details
Serving Employees/Journalists	Regular State Government Employees.Provisionalised 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.

The EJHS further classifies ‘Dependent Family Members’ as:

Parents: Dependent on the employee/journalist for their livelihood.

Unemployed Sons: Below 25 years.

Unemployed Daughters: Unmarried/Divorced/Widowed/Deserted.

Children with Disabilities: Those are deemed unfit for employment.

How to Enrol for the Employee and Journalist Health Scheme?

Under the EJHS, employees need not enrol in the scheme, however, pensioners have to enrol themselves and their dependent family members. Below are the details:

Employee Enrollment:

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. This health card can be downloaded, printed and used by employees and their dependent family members.

Employees can upload the photograph of theirs or their dependent family members or even update dependent family members through the EJHS web portal. Below is the login instructions:

Step 1: Visit the official web portal of the Employees Health Scheme.

Step 2: On the top right, click on ‘Sign-in’ and select ‘Employees’.

Step 3: 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:

Step 1: Employee visits any of the networks of empanelled hospitals.

Step 2: The patient will be registered at the NWH (Network Hospital) by Aarogyamithra.

Step 3: If the patient has a permanent health card, then a biometric verification will be enabled and sent for preliminary diagnosis at the hospital.

Step 4: If the patient does not have a permanent health card, they will be also sent for preliminary diagnosis.

Step 5: Based on the diagnosis, the patient will either be treated as out-patient or in-patient.

Step 6: If advised to be hospitalised, then in-patient registration will be initiated.

Step 7: E-pre authorisation will be sent to the concerned team.

Step 8: Required surgery or treatment will be initiated at the NWH.

Step 9: Patient will be discharged as required and if needed, follow-up will be advised.

Step 10: The hospital will initiate the claim process for the hospitalisation of the patient.

How to Add Beneficiaries?

Below is a step-by-step guide to adding beneficiaries to the EJHS:

Step 1: Visit the official web portal of the Employee Health Scheme of the Government of Telangana.

Step 2: Click on ‘Sign-in’ found on the top-right corner of the page.

Step 3: Enter your Username and Password.

Step 4: In the new page, click on ‘Registration’ found on the top-left of the page and click on ‘Initiate New/Rejected Beneficiaries’.

Step 5: You will be directed to a new page ‘Beneficiaries Worklist’. Click on ‘Add New Beneficiary’.

Step 6: Enter details of the beneficiary and attach Date of Birth (DOB) certificate and photo if the DOB is below 5-years. If the DOB is above 5-years old, then you will have to attach their Aadhaar card and photograph.

Step 7: Click on ‘Save’. You also have the option to reset.

Step 8: A pop-up window will confirm the beneficiary is saved successfully. Click on ‘Ok’.

Step 9: Once you click on Ok, you will be directed to the ‘Beneficiary List’ page, you can either remove or edit the details of the newly added beneficiary.

Step 10: Click on ‘Submit’ after checking all information provided is correct.

Step 11: A pop-up window will confirm that the addition of a beneficiary is completed successfully.

Employee Declaration Form

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 reactivation of beneficiaries.

How to Enrol for a Journalist’s Health Scheme?

The State Government of Telangana has implemented the Journalist Health Scheme through the Aarogyasri Medical Care Trust. Journalists working for the state government are eligible to avail the services.

Journalist Enrollment:

The District Public Relations Officer (DPRO) will enrol 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 final approval is processed by the IPRO, the Journalists Health Card will be generated.

Below is the login instructions under the Journalists Health Scheme (JHS):

Step 1: Visit the web portal of the Journalist Health Scheme and click on ‘User Login’ on the top-right corner of the page.
Step 2: Enter the Username and Password to gain access to your account.
Step 3: In 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 Journalists Health Card:

Step 1: Visit the JHS web portal and log in with the Username and Password.
Step 2: In the new page, click on ‘Registration’ and click on ‘Download Health Card’.
Step 3: After you click on ‘Download’ you will be directed to a new page with the details of the beneficiaries. You have the option to view the card.

Step 4: Click on ‘Print’ to download your Journalist Health Card.

How to Enrol for the Pensioner’s Health Scheme?

The Telangana Government has replaced the existing medical reimbursement facility with the Employee Health Scheme, which covers pensioners and their dependent family members. Below is the enrollment process for retired employees or pensioners of the State Government of Telangana:

Instructions:

Aadhaar Card: A scanned copy of yours and your dependent family members’ Aadhaar Card.
Photographs: A scan of a 45mm x 35mm ICAO compliant passport size photograph of ‘Self’ and ‘Dependent Family Members’. The size of the photograph should not exceed 200Kb.
Disability Certificates: Scan copies of both yours and dependent family members.
Spouse’s Employee/Pensioner ID: A scanned copy of spouse’s employee or pensioner ID in case working in the State Government or is a service pensioner.
DOB Certificates: Scan copies of Date of Birth Certificates of family members who are less than 5-years of age.

Step-by-Step Pensioner Enrollment Process:

Step 1: Visit the EJHS web portal and click on ‘Sign-in’ appearing on the top-right corner of the page.
Step 2: Log in with your Username and Password. If you do not have the details, you can contact Sub. Treasury Officer (STO)/Assistant Program Officer (APO) or you can call EJHS toll-free number 104 to know your Username and Password.
Step 3: Once you have logged in to the web portal, open the enrolment form and fill all the mandatory fields including your head of department, STO/APO and the respective district.
Step 4: Attach all supporting documents and add beneficiaries such as your dependent family members.
Step 5: Click on ‘Save’ and then click on ‘Submit Application’. You will receive an SMS with details of the Health Card Enrollment ID.
Step 6: Print the application form, sign it and scan the signed application form.
Step 7: Upload the signed application form and click on ‘Submit Application for Approval’.
Step 8: You will receive an SMS with the confirmation of the submission and its pending approval by the STO/APO. Once approved, you will receive a confirmation that the Health Card is ready.

Steps to Download Pensioners Health Card:

Once you have completed the enrollment process, follow the below steps to get your pensioner’s health card:

Step 1: Log in to the EJHS Web Portal and click on ‘Sign-in’ located on the top-right corner of the page.
Step 2: Enter your Username and Password (You can contact the Seva Kendra by dialling 104 to know your User ID and Password).
Step 3: Click on ‘Download Health Card’, print and laminate the document. You can use this document for verification purposes.

You can also get a laminated temporary health card from any of the Mee Seva Centers. The government has capped the cost at Rs.25 per card.

Also, read: Benefits of Buying Health Insurance Policy Online

Claim Process of EJHS:

With the main aim to provide cashless treatment for serving and retired employees/journalists, the concerned Network Hospital will raise the claim with the Health Trust. The claim will be settled and the payment will be made to the hospital. All payments will be processed through the Trust portal after scrutinising the documents submitted by the Network Hospital (NWH).

How To Renew EJHS?

The Employee and Journalist Health Scheme is implemented by the Aarogyasri Health Care Trust under the supervision of the Telangana government. The objective of the scheme is to provide cashless treatment to employees, journalists, pensioners and their dependent family members. With this objective, there is no contribution made by the employees/journalists/pensioners. The entire cost of implementing the scheme is borne by the Government.

Also, Check: Buy Health Insurance Plan Online

EJHS Telangana List of Hospitals:

Registered hospitals or nursing homes in Telangana established for the treatment of diseases and injuries and health care are known as Health Care Providers. The State Government has authorised several hospitals and nursing homes to offer cashless hospitalisation under the EJHS.

List of Empanelled Hospitals for EJHS:

There are more than 200 empanelled hospitals located across the state. For the complete list of empanelled hospitals for EJHS, click here.

Online Application Form for Empanelment:

A registered hospital or nursing home situated in the state of Telangana can apply to be a part of the empanelled hospitals.

For the online application form for empanelment, visit the ‘Empanelment Online Application’ section of the EJHS Web Portal.

Significance Of EJHS

1. Inclusive Coverage: EJHS offers cashless treatment for a variety oftreatments, including post-operative care and chronic disorders. Coverage for in-patient treatments, outpatient visits, and follow-up visits for up to a year helps beneficiaries improve long-term healthcare results.

2. Financial Security: Unlike many health programs, EJHS absorbs all treatment costs and does not ask pensioners or staff members for any contribution. This guarantees that people from many income levels may obtain high-quality medical treatment free from financial burden.

3. Focus on Accessibility: EJHS facilitates healthcare access by working with a strong network of hospitals and using technology for flawless enrolment and claims processing. This especially helps reporters who might have significant occupational health hazards from their fieldwork.

4. Tailored Benefits: The system is a complete answer for the several needs of employees and their families because of its tiered ward accommodations and wide coverage of dependents, including parents, spouses, and children.

5. Empowerment of Journalists: EJHS promotes their well-being and recognises their critical importance in society by tackling healthcare issues, particularly those of authorised journalists. Simplified access to the advantages of the system depends on easy enrolment procedures and dedicated health care for journalists.

Reducing inequalities in healthcare access for public sector workers and journalists depends mostly on EJHS. Eliminating financial constraints and offering thorough medical support guarantees that healthcare facilities are not limited to wealthy populations. This fits more general initiatives to guarantee fair health results and raise Telangana's standard of living.

Aarogyasri Health Care Trust: The Backbone of EJHS

The Aarogyasri Health Care Trust plays a pivotal role in administering the Employee and Journalist Health Scheme (EJHS), a vital initiative by the Telangana government to provide cashless healthcare services. This trust, established under the state's guidance, is instrumental in ensuring the smooth implementation of the EJHS, thereby bridging the gap between healthcare services and beneficiaries such as state employees, pensioners, journalists, and their dependents.

Core Responsibilities

1. Policy Implementation

Implementing the policies and procedures established for EJHS falls to Aarogyasri Health Care Trust. It guarantees that the program runs faultlessly over its network of empanelled hospitals, providing free post-hospitalisation care, surgeries, and treatments for chronic diseases.

2. Hospital Empanelment and Monitoring

Under the EJHS concept, the trust oversees a chain of hospitals. It guarantees the impanelled facilities satisfy quality criteria and are ready to offer a broad spectrum of services. Constant audits and feedback systems help preserve the service providers' confidence and effectiveness.

3. Cashless Medical Treatment

Enabling cashless treatment is among the trust's most important functions. Healthcare services are accessible to beneficiaries free from the burden of upfront payment. Regardless of their financial situation, this covers diagnosis tests, procedures, and pharmaceutical expenditures, therefore enabling employees and reporters to obtain healthcare.

4. Claim Processing and Grievance Redressal

Underlying the claims process, Aarogyasri Health Care Trust guarantees prompt hospital reimbursement. Through a strong support system comprising a dedicated helpline and online venues for help, it also addresses issues from beneficiaries.

5. Awareness and Outreach

The trust aggressively raises knowledge of EJHS among qualified recipients. It guarantees that staff, pensioners, and reporters are well-informed about the program's advantages and how to access them through seminars, instructional materials distribution, and digital platforms.

Importance of Aarogyasri Health Care Trust in EJHS

The trust's effective management and commitment to transparency have significantly contributed to EJHS's success. Its focus on ensuring quality care and eliminating financial barriers has improved healthcare accessibility for government employees and their families. Additionally, the trust's efforts to streamline operations, such as digital health cards and claims tracking, enhance user convenience.

Aarogyasri Health Care Trust acts as the backbone of EJHS, bridging the gap between state initiatives and healthcare delivery. Its efforts in managing a comprehensive healthcare scheme not only uplift the well-being of the beneficiaries but also set a benchmark for public health programs. By prioritising accessibility, efficiency, and quality, the trust continues to strengthen the healthcare infrastructure in Telangana.

The Role Of Technology in EJHS

The integration of technology in the Employee Journalists Health Scheme (EJHS) represents a significant leap in healthcare accessibility. One key advancement is the introduction of digital health cards, a transformative tool designed to streamline healthcare delivery for beneficiaries.

Digital Health Cards: Simplifying Access

Digital health cards are a central component of modernising EJHS. These cards provide beneficiaries with a digital repository of their medical records, including past treatments, prescriptions, and diagnostic reports. This technology ensures that healthcare providers can quickly access critical patient information, leading to more informed and efficient medical care. By digitising records, the system also eliminates paperwork, reducing administrative delays and enhancing patient experience.

In Telangana, the development of digital health cards has been inspired by successful global models, such as France's healthcare system. The initiative aims to make healthcare services equitable by delinking these cards from traditional welfare identifiers like ration cards. This ensures broader inclusion, especially for those who may not qualify under conventional criteria.

Technological Ecosystem: Beyond Health Cards

The digital transformation of EJHS extends beyond health cards. It encompasses telemedicine services, mobile health applications, and real-time data analytics. Telemedicine bridges the gap between patients in remote areas and urban healthcare facilities, enabling virtual consultations and reducing the need for travel. Mobile apps provide users with seamless access to health services, from scheduling appointments to receiving reminders for medication.

Additionally, real-time analytics powered by these digital platforms support the government in monitoring disease patterns and planning preventive measures. This data-driven approach improves public health management and ensures timely interventions during outbreaks or emergencies.

Impact on Beneficiaries

The technological upgrades have made accessing healthcare more user-friendly and transparent. For journalists and state employees, who often work under tight schedules, the convenience of digital tools allows for quick and efficient healthcare navigation. The integration of technology not only simplifies healthcare processes but also builds trust among users by enhancing the scheme's efficiency and reliability.

Challenges and Future Directions

While the technological integration in EJHS marks a promising beginning, challenges such as ensuring data security, expanding internet accessibility in rural areas, and training stakeholders on digital tools remain. Addressing these issues will be crucial for achieving the full potential of technology in the scheme.

EJHS Diseases List (Telangana)

Thalassemia
Surgical Oncology
Surgical Gastroenterology
Rheumatology
Radiation Oncology
Pulmonology
Prostheses
Polytrauma
Plastic Surgery
Paediatrics
Paediatric Surgeries
Orthopaedic Surgery And Procedures
Organ Transplantation Surgery
Ophthalmology Surgery
Neurology
Neurosurgery
Nephrology
Medical Oncology
Gynaecology And Obstetrics Surgery
Genito Urinary Surgeries
General Surgery
General Medicine
Gastroenterology
ENT Surgery
Endocrinology
Dermatology
Dental Surgery
Critical Care
Cochlear Implant Surgery
Cardiology
Cardiac and Cardiothoracic Surgery

EJHS Telangana Toll-Free Number and Address:

Below are the toll-free number and contact details of the EJHS Telangana:

Toll-Free Number: 104 (24/7)
Address:

Aarogyasri Health Care Trust

D.No. 8-2-293/82a/acht,
Road No. 46, Jubilee Hills,
Hyderabad – 500033
Phone No. – 040-23547107Fax Number – 04023555657

Grievances:

Grievance (EHS-TS):
Mobile Number – +91-8333817408/8333817470
Phone No. – 040-23547107
Email ID: [email protected]
Facebook: https://www.facebook.com/Aarogyasri-Telangana-348857398843849/
Twitter: https://twitter.com/Aarogyasri_TS

Summing Up

The EJHS initiative from the state of Telangana has been created to put the health and wellness of its workers, reporters, and their loved ones first through a cashless healthcare facility. It provides coverage for post-hospitalisation charges, care for long-lasting illnesses, and reimbursement choices for hospitals not in the network. This plan demonstrates a dedication to guaranteeing easy access to top-notch healthcare for individuals linked with the government of the state and the journalism field.

Frequently Asked Questions:

Are stepchildren allowed at EJHS facilities?

Are stepchildren allowed EJHS facilities?

Yes. Stepchildren of serving or retired employees are eligible to avail benefits of the scheme.

Can adopted children or parents be added as beneficiaries of the scheme?

Yes. Either biological or adopted parents or children can be beneficiaries of the scheme, but not both.

Are in-laws of the employee or pensioner eligible?

No. In-laws are not eligible to avail benefits of the scheme.

Can an unemployed son above the age of 25 avail benefits of the EJHS?

No. An unemployed son attaining the age of 25 is not eligible to avail the benefits of the scheme. However, if the son is disabled and unable to work for his livelihood, he can avail the benefits by producing his disability certificate.

What is the contribution of the employee/pensioner towards the subscription of the EJHS?

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.

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