3 min
29-08-2024
The Jyothi Sanjeevini Scheme, initiated by the Karnataka government, aims to provide cashless healthcare services to state government employees and their families. This scheme covers up to Rs. 1.5 lakh per year for critical illnesses requiring tertiary care. It encompasses 449 medical procedures across seven specialties, including paediatrics, neonatal care, cardiology, burn treatment, genitourinary services, poly-trauma, and oncology.
Read more: List of government health insurance schemes in India
Also, check: Health insurance in Bangalore
What is Jyothi Sanjeevini Scheme?
The Jyothi Sanjeevini Scheme is a health assurance plan implemented by Suvarna Arogya Suraksha Trust for Karnataka State Government employees and their dependents. Beneficiaries can access cashless healthcare services through a network of empanelled hospitals. However, the scheme excludes coverage in cases where beneficiaries choose more expensive implants, prostheses, or stents than those covered by the scheme, or opt for superior hospital wards beyond their entitlement. In such instances, the additional costs must be borne by the beneficiaries themselves.Read more: List of government health insurance schemes in India
Benefits of the Jyothi Sanjeevini Health Scheme
Discussed below are the benefits of Jyothi Sanjeevini Health Scheme:- Coverage scope: Addresses illnesses in seven categories: oncology, cardiology, neurological, renal, neonatal and pediatric surgery, genito-urinary surgery, polytrauma, and burns.
- Comprehensive coverage: Includes 449 procedures across the mentioned specialties.
- Eligibility: Available to Karnataka government employees and their dependents, excluding those covered by other government healthcare schemes.
- Insurance policy: An insurance policy number is assigned and linked to the office database.
- Healthcare services: Covers pre- and post-operative care, hospitalisation, consultations, food, transportation, and medication.
- Annual limit: Up to Rs. 1.5 lakh per year.
- Cost sharing: General ward patients pay 30%, with 70% covered by the government. For super speciality wards, the government covers 50%.
- Hospital access: Services are available only in hospitals listed in the JSS guidelines.
Eligibility criteria for Jyothi Sanjeevini Scheme
Any government employee and their family members are eligible to register for the Jyothi Sanjeevini Scheme, provided they are not enrolled in any other government health insurance scheme in India. To enroll, a declaration with details of family members and valid certification must be submitted. According to Rule 2(1) of the Government Servants (Medical Attendant) Rules, 1963 in Karnataka, eligible dependents include the spouse, dependent children (including step-children), and parents residing with the government servant who have a monthly income of less than Rs. 6,000.Also, check: Health insurance in Bangalore