Telangana State Government - Employees and Journalists Health Scheme

Telangana Employees and Journalists Health Scheme: Comprehensive Guide

Governments often create health programs to help people get easy access to quality healthcare in their time of need and counter the effects of rising medical costs. In this vein, the Telangana State Government launched the Employee and Journalist Health Scheme (EJHS). This was done to support specific groups such as employees, pensioners, journalists, and their families.

Read on to learn more about the EHS scheme benefits, eligibility, application process and more.

What is EHS Scheme?

The Employee and Journalist Health Scheme helps people who cannot afford rising healthcare costs, especially after the COVID-19 pandemic. This Telangana government initiative provides cashless treatment at approved hospitals for state employees, pensioners, and their families.

Managed by the Aarogyasri Health Care Trust, the EHS employee health scheme replaces the old medical reimbursement system and even includes the latest benefits like post-treatment care and coverage for chronic illnesses. Both working and retired state employees, along with journalists, can benefit from this program.

Features And Benefits of EHS

The employees health scheme aims to provide cashless treatment and hospitalization for state employees, journalists, and their families. Here are its main features and benefits:

EJHS Coverage	Features and Benefits
In-Patient Treatment	● Covers complications for up to 30 days after discharge. ● Covers pre-defined therapies for specific diseases. ● Cashless post-discharge medication for up to 10 days. ● Free out-patient evaluation for listed therapies.
Out-Patient Treatment	● Covers chronic diseases at selected hospitals.
Hospital Stay (Ward)	● Private for Slab C (Pay Grade XVIII to XXXII). ● Semi-private for Slab A & B (Pay Grade I to XVII).
Coverage (Financial)	● No employee or pensioner contribution is required. ● No upper limit on the eligible sum.
Follow-Up Services	● Coverage for up to 1 year. ● Includes consultations, investigations, and medications for listed therapies.

Exclusions Under the EJHS of Telangana

Under the EJHS, serving and retired employees, journalists, and their families can receive cashless treatment for listed diseases. However, treatments for non-listed diseases are not covered. Some beneficiaries are also not included in the scheme.
Find them listed below:

● Central Government Health Scheme (CGHS) beneficiaries.
● Employees of Aarogya Bhadratha, Railways, ESIS, RTC, and Aarogya Sahayatha.
● Casual or daily wage workers.
● Independent children.
● Law officers (e.g., Public Prosecutors, Advocate General).
● Biological parents are not eligible if adopted parents exist, or vice versa.
● AIS pensioners and officers.

Eligibility for Employee and Journalist Health Insurance Scheme (EJHS)

The EJHS generally covers Telangana State Government employees, journalists, and their dependent family members. Eligibility criteria for EHS scheme details are listed below:

Category	Details
Serving Employees/Journalists	Regular State Government and Provisionalized Local Body employees.
Retired Employees/Journalists	Service pensioners, family pensioners without dependents, and re-employed service pensioners.
Dependent Family Members	Dependent parents (biological or adopted). One legally wedded spouse. Family of service pensioners. Dependent children (legitimate, adopted, or step).

Dependent Family Member Details:

● Parents: Financially dependent.
● Unemployed Sons: Below 25 years.
● Unemployed Daughters: Unmarried, divorced, widowed, or deserted.
● Children with Disabilities: Unable to work.

How to Apply for EJHS?

State employees, journalists, and pensioners can easily register for the EJHS through the official online portal or by searching for "EHS Telangana New Registration." Here’s how:

No separate application is needed for the EHS employee health scheme. The Drawing and Disbursing Officer (DDO) submits employee data, including Aadhaar details, to the finance department via the Comprehensive Financial Management System (CFMS).
The finance department sends the data to the Aarogyasri Health Care Trust, which generates health cards.
Beneficiaries can download and print their health cards from the EJHS website.

EHS Telangana Login and Processes

Employee Login

The individual should visit the official Employee Health Scheme (EHS) portal.
There, they have to click ‘Sign-in’ on the top-right and select ‘Employees.’
Then, they must use their Employee ID as the username and initial password and reset it if needed.

Patient Process Flow

1.The beneficiaries need to visit any empaneled hospital.
2.There, Aarogyamithra assists with patient registration.
3.After that, the biometric verification is done for patients with health cards; others proceed for a preliminary diagnosis.
4.Based on the diagnosis, patients are treated as out-patients or in-patients.
5.For in-patients, e-pre authorization is sent, and treatment or surgery starts.
6.Discharge is followed by advice for further care.
7.The hospital processes the claim for hospitalization.

Adding Beneficiaries

Beneficiaries should first login to the EHS portal and go to 'Registration.'
Next, they have to select ‘Add New Beneficiary’ and provide details.
After that, they should attach the required documents (DOB for children under 5 and Aadhaar for those above 5).
Lastly, they must save, review, and submit the details.

Employee Declaration Form

● Beneficiaries can download the form from the EJHS portal under ‘Declaration Form by Employee.’

Journalist Enrollment

1.Beneficiaries should first apply with the District Public Relations Officer (DPRO).
2.The DPRO verifies the application and forwards it to the Information and Public Relations Officer (IPRO).
3.After final approval, a Journalist Health Card is issued.

Journalist Login

● Visit the Journalist Health Scheme portal and click ‘User Login.’
● Enter username and password.
● Add beneficiaries, download health cards, and perform other tasks as instructed.

Steps to Download the EHS Telangana Journalist Health Card

1.Visit the EHS portal and log in with your username and password.
2.Click on ‘Registration’ and select ‘Download Health Card.’
3.Review the beneficiary details displayed on the next page.
4.Click ‘Print’ to download and save the TS employee health card.

How to Enrol in the Pensioner’s Health Scheme?

The Telangana Government's Employee Health Scheme now includes pensioners and their families by replacing the old medical reimbursement system. Here's how pensioners can enrol:

Required Documents:

● Scanned copies of a pensioner and his family members’ Aadhaar cards.
● Passport-sized photos (45mm x 35mm) of a pensioner and family members, under 200KB.
● Disability Certificates (if any)
● Spouse’s Employee/Pensioner ID (if applicable)
● DOB Certificates for family members under 5 years old.

Enrollment Process:

1.Visit the EJHS portal and click ‘Sign-in’ at the top-right.
2.Log in with your username and password (call the helpline at 104 for details).
3.Complete the enrollment form with the required information, including department and district.
4.Upload documents and add beneficiaries.
5.Click 'Save' and 'Submit Application', and you will receive an SMS with your Health Card Enrollment ID.
6.Print, sign, and scan the form, upload the signed form, and click 'Submit for Approval.'

After approval by STO/APO, the beneficiaries will be notified when their TS employee health card download is ready.

EHS Claim Process

Here's how the claim for the EHS scheme process works:

● The hospital where the treatment took place submits the necessary documents to the Health Trust.
● The Trust reviews the claim and, once approved, settles the payment with the hospital.
● All financial transactions are managed through the Trust portal while ensuring proper examination of the hospital’s documents.

HS Telangana Hospitals List

There are over 200 empaneled hospitals across Telangana. A person can visit the official EHS portal to find the full list. A few of the notable ones are:

● Nims Hospitals
● Basavatarakam Indo-American Cancer Hospital & Research Institute, Hyderabad
● Pushpagiri Eye Hospital
● Sunshine Heart Institute
● Kamineni Hospitals Pvt Ltd

The EHS scheme initiative by the Telangana government mainly focuses on the health and well-being of its employees, journalists, and their families by offering cashless healthcare.

It generally covers post-hospitalization costs, treatment for chronic diseases, and reimbursement for non-network hospitals. This scheme shows the government's commitment to providing easy access to quality healthcare for those connected with the state government and journalism.

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FAQ

What is the EHS customer care number?

The EHS helpline number is 104.

Are stepchildren eligible for EJHS benefits?

Yes, stepchildren of serving or retired employees can receive benefits under the Telangana health scheme.

Can an unemployed son over 25 get EJHS benefits?

No, an unemployed son over 25 is not eligible for the scheme. However, if the son is disabled and unable to work, he can receive benefits with a disability certificate.