What is the Telangana State Government Employees and Journalist Health Scheme?

Telangana state government employees and journalists health scheme

Governments set up schemes to assist people with problems that they may face. These problems may also be health-related. When health-related schemes are made, it is important to address that only some schemes can help some people in a country or state. Still, it may usually focus on a particulate socio-economic group or territory. The Telangana State Government Employees and Journalist Health Scheme (EJHS Telangana) is an essential health scheme that assists people living in Telangana. 

The TS employees health scheme that the State Government of Telangana has initiated assists the employees, journalists, pensioners, and their dependent family members so that they can get good quality and timely assistance for the health issues they may be facing. People eligible for the Telangana State Government Employees and Journalist Health Scheme (EJHS Telangana) can use cashless hospitalization at the Network Hospitals (NWH) or empanelled hospitals that come under the scheme. 

Telangana State Government Employees and Journalist Health Scheme benefits (EJHS Telangana)

Different schemes have different beneficiaries depending on their beneficiaries and areas of focus. It may be a good idea to try and understand the different Telangana State Government Employees and Journalist Health Scheme benefits (EJHS Telangana) if one is looking to take up the scheme or is a beneficiary of it and would like to understand the scheme that they have availed better. This will lead to more aware and informed patients and beneficiaries, allowing for the treatments they receive and availing Telangana State Government Employees and Journalist Health Scheme benefits (EJHS Telangana) to be smoother. 

Some Telangana State Government Employees and Journalist Health Scheme benefits (EJHS Telangana) are as follows:

In-patient treatment

  1.  In-patient treatment for particular pre-defined therapies that one may take up, free of cost
  2. Outpatient treatment for an identical list of predefined therapies that one will have to not make any payments for to the hospital 
  3. Services that are offered to beneficiaries in a cashless form for up to 10 days, including the medications that may be taken after their discharge 
  4. Coverage for persons who are beneficiaries of the employee health scheme in Telangana may be up to around 30 days after discharge for treatment of any of the listed diseases

Follow-up services

In case a person requires any follow-up services from the hospital, which may be in the form of drugs, consultation, or investigation for a complete curative experience, they may be able to get a provision for the same through the Telangana State Government Employees and Journalist Health Scheme (EJHS scheme) for 1 year. One can avail of fixed packages which are available for the same.

Outpatient treatment for chronic diseases

The employee health scheme in Telangana will provide treatment for beneficiaries suffering from chronic long-term diseases in specific hospitals. They may be able to get the necessary treatment at these medical facilities. 

Hospital stay provisions

Through the employee health scheme in Telangana, there may be different types of wards that are permissible for employees that have different pay scales:

  1. Slab-A which includes employees who have pay grades that range from I to IV and also applies to semi-private wards
  2. Slab-B, which consists of employees that have pay grades from V to XVII and applies to semi-private wards
  3. Slab-C, comprising employees that have pay grades from XVIII to XXXII, and applies to private wards

Financial coverage

The Telangana State Government bears the total cost of implementing the employee health scheme in Telangana:

  1. No amount of financial contribution will be required from the employees or pensioners
  2. There is no upper limit when it comes to the financial coverage that can be afforded to beneficiaries of the scheme
  3. The scheme covers the comprehensive treatment for the enlisted therapies

Telangana State Government Employees and Journalist Health Scheme eligibility (EJHS Telangana)  

The Telangana State Government Employees and Journalist Health Scheme (EJHS Telangana) covers State Government employees, journalists (retired or serving), and their dependent family members. A Journalist health card TS which signifies that the person is a beneficiary of the scheme in Telangana State, is given to the beneficiaries once they take this up. 

The Telangana State Government Employees and Journalist Health Scheme eligibility (EJHS Telangana) are expanded on below:

  1. Serving Employees/Journalists

Regular State Government employees, provisionalised employees of local bodies 

      2.    Retired State Government Employees/Journalists

Service pensioners, pensioners that do not have any dependents, and service pensioners that have been re-employed 

Dependent Family Members

One may also want to extend the scheme to their family members. For this, we will have to define family members appropriately.Dependents of the Telangana State Government Employees and Journalist Health Scheme (EJHS Telangana) may include dependent parents who may be either adopted or biological, one spouse that is legally wedded to the beneficiary, legitimate dependent children which include adopted and step-children, and family members of service pensioners. 

The employee health scheme in Telangana classifies and defines persons who are ‘Dependent Family Members’ as:

  1. Parents: The parent may be dependent on the employee or journalist for their livelihood
  2. Unemployed Sons: Unemployed sons who are below the age of 25 
  3. Unemployed Daughters: This includes unemployed daughters who are unmarried, divorced, widowed, or deserted
  4. Children with Disabilities: This includes children who are differently abled from other children and are deemed unfit for employment because of their differences in abilities 

How do the Telangana State Government Employees and Journalist Health Scheme (EJHS scheme) assist people?

Many people may not be able to afford medical care. The costs of medical care and treatments at hospitals and medical facilities have also risen steeply in the last few years, especially since the coronavirus pandemic, causing unique problems for patients in the lower-income strata in the country. Through the Telangana State Government Employees and Journalist Health Scheme (EJHS scheme), people that meet the Telangana State Government Employees and Journalist Health Scheme eligibility criteria, such as employees, journalists, pensioners, and their dependent family members, are afforded cashless medical assistance, particularly hospitalization at the hospitals that come under it.

The new Telangana State Government Employees and Journalist Health Scheme (EJHS scheme) replaces the current medical reimbursement facility and provides its beneficiaries with many added benefits, such as post-hospitalization coverage and treatment of chronic diseases at the network hospitals, which may help them greatly. Before a person takes up the Government of Telangana Employee and Journalist Health Scheme (EJHS), they may want to be informed about the eligibility criteria, coverage, benefits, etc., relating to the scheme.

What is Not Covered (Exclusions) under Telangana State Government Employees and Journalist Health Scheme (EJHS scheme)?

Some exclusions exist under the Telangana State Government Employees and Journalist Health Scheme (EJHS scheme) or TS employees health scheme. While many people may come under the scheme, such as employees, journalists, pensioners, and their dependent family members, there are also some exclusions as to who may be included under the scheme. 

The exclusions regarding who can benefit from the employee health scheme in Telangana are:

  1. Those covered under any of the Central Government Health Schemes (CGHS).
  2. Employees working in Aarogya Bhadratha of the Police Department, Railways, ESIS, RTC, and Aarogya Sahayatha of the Prohibition and Excise Department.
  3. Casual and daily wage workers.
  4. Independent children
  5. Law officers include Public Prosecutors, State Prosecutors, Advocate General, State counsel, and Government Pleaders.
  6. Biological parents, if adopted parents, exist or vice versa.
  7. AIS pensioners and officers.

Telangana State Government Employees and Journalist Health Scheme (EJHS scheme) Toll-Free Number and Address

Below are the toll-free number and contact details of the Telangana State Government Employees and Journalist Health Scheme (EJHS scheme):

  • 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 numbernumber – 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

What is the coverage of the Telangana State Government Employees and Journalist Health Scheme (EJHS scheme)?

The coverage of the employee health scheme in Telangana includes:

  1. Entire monetary coverage for a specified list of therapies
  2. Employees/pensioners bear no cost
  3. No upper limit for claims
  4. Also, certain family members and dependents are covered under this scheme
  5. Claim follow-up services for one year, such as investigations, drugs, and consultation

How to claim the employee health scheme in Telangana?

A person who is a patient and beneficiary and can benefit under the employee health scheme in Telangana may like to understand how they can claim the financial benefits offered. The process for claiming the Telangana State Government Employees and Journalist Health Scheme (EJHS scheme) is straightforward.

To claim the Telangana State Government Employees and Journalist Health Scheme (EJHS scheme), the following process shall be followed:

  1. People who have enrolled for the Telangana State Government Employees and Journalist Health Scheme (EJHS scheme) do not have to initiate any process to arrange the money themselves 
  1. The network hospital where they have received the treatment has to raise the necessary claims with the Health Trust
  1. 10 days after the discharge of the person who is a beneficiary of the scheme, the network hospitals may be able to extend the necessary claims 

Making a claim through the Telangana State Government Employees and Journalist Health Scheme (EJHS scheme) is convenient, quick, and easy. For more information about making a claim for a scheme beneficiary through this employee health scheme in Telangana, one may search the same online or approach a network or empaneled hospital to inquire about the same.

Conclusion 

Telangana State Government Employees and Journalist Health Scheme (EJHS scheme) has proved vital for the people of state. The Telangana State Government Employees and Journalist Health Scheme (EJHS scheme) have been a positive step by the government of Telangana, making a difference in people’s lives and assisting the beneficiaries in being able to receive the necessary medical services by improving their health and quality of life. If you need financial support for your needs and treatment, Impact Guru can help you with raising money through online crowdfunding.