Employees and Journalists Health Scheme (EJHS) by the Telangana Government

The Telangana State Government is renowned for running many health insurance schemes for its people. The Aarogyasri Health Insurance Scheme is one such plan, while the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is another.

Both schemes aim to provide health care for society's economically challenged. Similarly, there is the EJHS (Employees and Journalists Health Scheme) for pensioners, State Government employees, journalists, etc.

This article will discuss the Employees and Journalists Health Scheme's eligibility, features, coverage, and registration methods in detail.

EJHS provides cashless treatment to beneficiaries. It was created to replace the previous medical expenses reimbursement policy. Additionally, this scheme also provides benefits for post-operative care and treatment of chronic diseases that do not require hospitalisation.

Aarogyasri Health Care Trust runs this project under the supervision of the State Government. Now that you know what the Employees and Journalists Health Scheme is, know more about its benefits.

The coverage of the Employees and Journalists Health Scheme includes:

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

Above were the full Employees and Journalists Health Scheme coverage details. The Employees and Journalists Health Scheme provides comprehensive coverage, ensuring that all medical needs are met with no out-of-pocket expenses.

In brief, below are the following persons who are not covered under EJHS:

• Anyone who is covered under other insurance schemes such as CGHS (Central Government Health Scheme) 
• Employees working in Arogya Sahayatha of Prohibition & Excise Department, ESIS, Railways, RTC., and Arogya Bhadratha of Police Department.
• Law officers such as the advocate general, state counsels, state prosecutors,  government pleaders, and public prosecutors.
• AIS officers
• AIS pensioners
• All independent children
• Casual and daily-paid workers
• Biological parents

If you are wondering how to register for the Employees and Journalists Health Scheme, refer to the information below.

Employee Registration

There is no registration process for current employees. Furthermore, the DDO (Drawing and Disbursing Officer) will provide employees’ data to the finance department via a CFMS (Comprehensive Financial Management System).

Lastly, they pass this information on to the Aarogyasri Health Care Trust. From there, the health cards are made available. Employees and their dependents can download and use health cards.

You can visit this link to log in to your account and download the card.

Journalist Registration

DPRO (District Public Relations Officer) performs the enrollment of the journalists into the EJHS.

Journalists working for the state can enrol in the following ways:

• Step 1: First, submit an application to the DPRO (District Public Relations Officer). 
• Step 2: Next, the IPRO (information and Public Relations Officer) will verify the information provided.
• Step 3: Lastly, a journalist’s health card will be generated.
• Step 4: Additionally, visit this link to log in and download the health card.

Pensioners’ Registration Documents

Here is a list of the prerequisite documents pensioners and retired employees need to have before enrollment.

• Scanned copy of personal and dependent family members’ Aadhaar card.
• Scanned copies of both personal and dependent family members’ disability certificates, if any.
• ICAO mandated passport size snap of 45mm x 35mm of yourself and dependent family members. Snap size should not exceed 200KB.
• Scanned copies of spouse’s employee/pensioner’s ID if employed under the State Government or a service pensioner.
• Scanned copies of birth certificates of children younger than 5 years.

Pensioner’s Registration Process

The steps to register for the Employees and Journalists Health Scheme for pensioners/retired employees are as follows:

• Step 1: First, visit the EJHS portal 
• Step 2: Following that, sign in from the top right-hand corner of this page, choosing the ‘Pensioners’ tab.
• Step 3: Next, log in with a personal username and password. Contact the STO (sub. treasury officer) or the APO (assistant program officer) if you do not have these details. Additionally, call the EJHS number 104, which is toll-free, to know your username and password.
• Step 4: Once inside your account, open the enrollment form.
• Step 5: Fill in mandatory fields such as head of the department, STO/APO, and district details.
• Step 6: Afterwards, upload every supporting document as mentioned above.
• Step 7:  Add corresponding beneficiaries, including dependent family members.
• Step 8: Subsequently, click on the ‘Save’ button.
• Step 9: Click on the ‘Submit Application’ button. You will receive an SMS on your phone with health card enrollment ID details.
• Step 10: Next, download and print this application form.
• Step 11: Finally, sign the application form.
• Step 12: Lastly, scan and upload the signed form.
• Step 13: Click on the ‘Submit Application for Approval’ button.
• Step 14: You will receive an SMS confirming submission.

Now, you have to wait for approval by the STO/APO. When it has been cleared, pensioners will receive intimation that the health card is ready. Following this, you can download and use it.

Here is a step-by-step process for adding beneficiaries to the Employee Job Health Scheme (EJHS). Follow these instructions to ensure that your dependents are properly included in the scheme:

• Visit the official web portal of the Employee Health Scheme of the Government of Telangana.
• Click on 'Sign-in' in the top-right corner of the page, and enter your username and password.
• Navigate to 'Registration' at the top-left of the page and click on 'Initiate New/Rejected Beneficiaries.'
• On the 'Beneficiaries Worklist' page, click 'Add New Beneficiary.'
• Enter the beneficiary's details:
  • Attach the Date of Birth certificate and photo if the DOB is below 5 years.
  • Attach the Aadhaar card and photograph if the DOB is over 5 years old.
• Click 'Save' (or 'Reset' if needed).
• A pop-up window will confirm the beneficiary is saved successfully. Click 'Ok.'
• You can edit or remove the new beneficiary's details on the Beneficiary List page.
• Click 'Submit' after verifying all information is correct.
• A pop-up window will confirm that the addition of the beneficiary has been completed successfully.

To obtain your Journalist Health Card, follow these simple steps on the JHS web portal. The process is straightforward and ensures you can quickly access your health card.

• Go to the JHS web portal and log in using your Username and Password.
• On the next page, select ‘Registration’ and then choose ‘Download Health Card’.
• After clicking ‘Download,’ you will be redirected to a page displaying the beneficiary details, where you can view the card.
• Click ‘Print’ to download and save your Journalist Health Card.

EJHS-enrolled persons do not have to initiate any process to arrange the money. Thus, the network hospitals raise claims with the Health Trust. Moreover, after 10 days from discharge, network hospitals can extend claims. Beneficiaries of EJHS need to take no step to claim Employees and Journalists Health Scheme dues.

Know about:

• Cashless Claim in Health Insurance
• Reimbursement Claim in Health Insurance

To find hospitals categorized by EHS specialties, follow these steps:

• Click on the official link. 
• Choose the district.
• Select the type of hospital (Government or Private).
• Pick the specialty you are interested in.

Based on your selections, the required information will be displayed in the table below. The table includes details such as the hospital name, type, state, district, Mandal, specialties offered, contact numbers for Mitra and Medco, and their respective names.

The hospitalisation process under the Employee and Journalist Health Scheme (EJHS) is straightforward. When you need to be hospitalised, simply visit an empanelled hospital and present your EJHS Health Card. The hospital will request approval from EJHS for your treatment, and once granted, you can receive care without worrying about upfront payments. 

The scheme covers all costs, and the hospital will handle billing directly with EJHS. This ensures you can focus on your recovery without financial stress. If follow-up care is needed, it’s also covered under the scheme.