Arogya Karnataka : Jyothi Sanjeevini Scheme (JSS)
Organisation : Suvarna Arogya Suraksha Trust
Scheme Name : Jyothi Sanjeevini Scheme (JSS)
Applicable For : Government Employees and their dependents
Applicable State/UT : Karnataka
Website : http://arogya.karnataka.gov.in/sast/english/index.php/site-map/2017-12-20-22-15-29/jss
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What is Karnataka Jyothi Sanjeevini Scheme?
The Government of Karnataka has approved a Health Assurance Scheme vide Government order No. DPAR/14/SMR/2013 dated 18/08/2014, specially designed for the Government Employees, named “Jyothi Sanjeevini”. It is a comprehensive health care to the Government employees, wherein the Scheme provides cashless treatment to all the Government Employees and their dependants through an empanelled Network of Hospitals for Tertiary and Emergency Care Objectives.
Related / Similar Facility : Ayushman Bharat Arogya Karnataka Scheme
To provide quality “Tertiary and Emergency health care” for the treatment of catastrophic illnesses involving hospitalization, surgery, and other therapies through an identified Network of Super Speciality Hospitals.
Specialty Covered:
The scheme covers Tertiary and Emergency treatment of 7 broad specialities viz Cardiology, Oncology, Genito Urinary Surgery, Neurology , Burns, Poly-Trauma cases (excluding medico legal cases) and Neo-Natal & Paediatric Surgery.
Eligibility
“Beneficiary” means and relates to all State Government Employees and their dependant family members defined by the Government of Karnataka from time to time; and as such all of them are covered under this Scheme.
Beneficiaries Identification :
The beneficiary is identified by virtue of Karnataka Government Insurance Department’s Policy Number which get interacted with the HRMS data base of the Department of Personnel and Administrative Reforms of the Government of Karnataka.
The Government has allowed Suvarna Arogya Suraksha Trust to access the data base of the Government Servants for the purpose of identifying the Government Servants and their dependants. The dependant family members of a Government Servant includes as defined under Rule 2(1) of clause (i) (ii) & (iii) of Karnataka Government Servants (Medical Attendant) Rules, 1963 which defines as under:
(i) The wife or husband of the Government Servant.
(ii) The father and mother (including step-mother) if they ordinarily reside with the Government Servant and their total monthly income does not exceed Rs. 6,000 and
(iii) Children including adopted children and step children, of a Government Servant who are wholly dependent on such Government servant. The above details shall be declared and certified by the Government Servant.
Benefit Packages of Jyothi Sanjeevini Scheme (JSS)
The Jyothi Sanjeevini Scheme (JSS) covers tertiary Treatment and Emergency of 7 broad specialities viz cardio-vascular diseases, cancer, renal diseases, neurological diseases, burns, poly-trauma cases* and neo-natal cases. It includes “1068 procedures“ pertaining to seven specialities stated above.
The package includes consultation, diagnostics, procedure cost, food, hospital charges and post hospitalization services up-to 10 days include medicines. Upper limit is fixed for those procedures requiring implants, stents etc., exceeding which the difference of cost will be borne by the beneficiaries.
Entitlement of Wards :
| Sl. No. | Range of Pay | Category of Wards/Class of Accommodations to which entitled | Rates |
| 1 | Upto Rs. 16,000/- per month | General Ward | As per rate list* |
| 2 | Rs. 16,001/- to Rs. 43,200/- per month | Semi Private Ward | 10% higher than general ward |
| 3 | Rs. 43,201/- & above | Private Ward | 25% higher than general ward |
JSS Scheme Design
The Jyothi Sanjeevini Scheme (JSS) is implemented in an “Assurance Mode” through Suvarna Arogya Suraksha Trust to the “State Government Employees and their dependants” by a network of “Empanelled Hospitals” with no financial cap. The process of identification and empanelment is a continuous one from “time to time”.
Only such of those Network Hospitals who are already empanelled and gets empanelled for “Vajpayee Arogyashree Scheme”, alone are empanelled under “Jyothi Sanjeevini Scheme”. It is “cashless” to the beneficiaries except in following cases;
(i) where the beneficiary opts/desires an higher implants, stents, prosthesis etc., which are costlier than the ones included in the benefit package and
(ii) where the beneficiary opts for superior wards other than the one for which he/she is entitled. In the aforesaid circumstances, the beneficiaries shall bear the additional cost.
Contact
Tel Number : 080-22536200.
Fax Number : 080-22536221
Helpline Number (Toll Free) : 1800 425 8330
IT Help Line : 080-22536234
Arogya Mitra Help Line (Toll Free) : 1800 425 2646