Employee and Journalist Health Scheme(EHS) Telangana: Health Care Made Simple

The Government of Telangana has introduced the Employee and Journalist Health Scheme (EJHS), a.k.a. EHS, to provide comprehensive health coverage to their employees, pensioners, journalists, as well their family members who are dependent on them. This health scheme aims to enhance the healthcare benefits offered to these groups by replacing the existing medical reimbursement system with a more structured and inclusive approach.

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 Eligibility Criteria:

1. Government Employees: All regular employees working under the State Government of Telangana are eligible for the scheme.

2. Journalists: Accredited working journalists, both in print and in electronic media, are eligible to avail of the benefits of the EJHS.

3. Pensioners: Retired government employees and journalists receiving a pension from the state government are also covered under the scheme.

4. Dependent Family Members: The scheme extends coverage to the dependent family members of employees and journalists, including spouses and children.

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 Coverage and Benefits:

 1. Cashless Hospitalisation: The EJHS facilitates cashless hospitalisation at Network Hospitals (NWH) for the covered individuals. This means that eligible beneficiaries can avail of medical treatment and services without having to make direct payments at the time of hospitalisation.

2. Post-Hospitalisation Coverage: Besides covering hospitalisation expenses, the scheme includes post-hospitalisation expenses such as follow-up consultations, diagnostic tests, and medications prescribed after discharge.

3. Treatment of Chronic Diseases: The EJHS recognises the importance of managing chronic diseases and provides coverage for treating such conditions. This ensures that individuals with pre-existing health issues receive the necessary medical attention.

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Application Process:

Employees, journalists, and pensioners interested in enrolling for the EJHS can apply through the designated online portal or search EHS Telangana New Registration. The EHS Telangana eligibility is verified by asking people to submit various documents.

Under the Employee and Journalist Health Scheme (EJHS) for state government workforce and pensioners, there is no different enrollment process for serving employees. The Drawing and Disbursing Officer (DDO) will provide employees’ data, including Aadhaar details, to the finance department from the Comprehensive Financial Management System (CFMS).

The finance department then shares this information with the Aarogyasri Health Care Trust to generate health cards, which are made available on the EJHS website. Employees and their dependent members can download, print, and use these health cards.

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EHS Telangana Login Instructions: (For EHS Telangana Employee Login)

1. Go to the official web portal of the Employees Health Scheme.

2. On the top right, click ‘Sign-in’ and select ‘Employees’.

3. Your Employee ID serves as the Username and the initial password. You may be prompted to set a new password for future logins.

Patient Process Flow:

1. Employee visits any of the networked empanelled hospitals.

2. Aarogyamithra facilitates patient registration at the Network Hospital (NWH).

3. For those with a permanent health card, biometric verification is enabled for preliminary diagnosis.

4. Patients without a permanent health card are sent for preliminary diagnosis.

5. Based on the diagnosis, the patient may be treated as an outpatient or inpatient.

6. If hospitalisation is advised, inpatient registration is initiated.

7. E-pre authorisation is sent to the concerned team.

8. Required surgery or treatment is initiated at the NWH.

9. Patient discharge occurs as needed, with follow-up advised if necessary.

10. The hospital initiates the claim process for patient hospitalisation.

 How to Add Beneficiaries:

1. Go to the official website of the EHS of the Government of Telangana.

2. Click on ‘Sign-in’ in the top-right corner.

3. Enter your Username and Password.

4. click ‘Registration’ on the top-left and select ‘Initiate New/Rejected Beneficiaries’ on the new page.

5. On the ‘Beneficiaries Worklist’ page, click ‘Add New Beneficiary’.

6. Enter beneficiary details and attach the Date of Birth (DOB) certificate and photo for those below five years. For those older than five years, attach their Aadhaar card and photograph.

7. Click ‘Save’ with an option to reset.

8. A pop-up confirms successful beneficiary addition. Click ‘Ok’.

9. Navigate to the ‘Beneficiary List page to review or edit the newly added beneficiary details.

10. Click ‘Submit’ after confirming all information is correct.

11. A pop-up confirms the successful addition of the beneficiary.

Employee Declaration Form:

To download the declaration form from EJHS, visit the portal and click ‘Declaration Form by Employee’ on the page. The declaration form for reactivation of beneficiaries can also be downloaded from the same page.

Journalist Enrollment Process:

The District Public Relations Officer (DPRO) is responsible for enrolling journalists in the Journalists Health Scheme (JHS), which the Government of Telangana implements through the Aarogyasri Medical Care Trust. The journalist starts the enrollment process by submitting an application to the DPRO.  After their approval, the application undergoes verification by the Information and Public Relations Officer (IPRO). Once the IPRO completes the final approval process, the Journalists Health Card is generated for the approved journalist.

Login Instructions for Employee Journalists Health Scheme [Journalist’s login] (EJHS):

1. Go to the web portal of Journalist Health Scheme and click on ‘User Login’ at the top-right corner of the page.

2. Fill in your Username and Passcode to access your account.

3. On the new page, you can perform various activities such as adding beneficiaries, downloading health cards, etc.

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 Steps to EHS Telangana Card Download (Journalists Health Card):

1. Go to the EHS web portal and log in using your Username and Password.

2. On the new page, click ‘Registration’ and select ‘Download Health Card’.

3. After clicking ‘Download,’ you will be directed to a new page displaying beneficiary details. You have the option to view the card.

4. Tap on ‘Print’ to download your Journalist Health Card.

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Enrolling in the Pensioner’s Health Scheme:

 The Telangana Government has introduced the Employee Health Scheme, which now encompasses pensioners and their dependent family members, replacing the existing medical reimbursement system. Here is a step-by-step guide for all retired workers or pensioners of the State Government of Telangana to enrol in the Pensioner’s Health Scheme:

Required Documents:

 1. Aadhaar Card: Scanned copies of your and your dependent family members’ Aadhaar Cards.

2. Photographs: Scans of ICAO-compliant passport-sized photographs (45mm x 35mm) of ‘Self’ and ‘Dependent Family Members,’ not exceeding 200Kb.

3. Disability Certificates: Scanned copies for you and your dependent family.

4. Spouse’s Employee/Pensioner ID: If applicable, a scanned copy of your spouse’s employee or pensioner ID.

5. DOB Certificates: Scanned copies of Date of Birth Certificates for family members under five years of age.

Step-by-Step Pensioner Enrollment Process:

 1. Go to the EJHS web portal and tap on ‘Sign-in’ in the top-right corner of the page.

2. Login with your Username and Password. If you need these details, call EHS Telangana Helpline number: 104.

3. Once logged in, open the enrollment form and complete all mandatory fields, including your department head, STO/APO, and district details.

4. Upload all necessary documents and add beneficiaries like your dependent family members.

5. Click ‘Save’ and then ‘Submit Application.’ You will receive an SMS with the Health Card Enrollment ID

6. Print, sign, and scan the application form.

7. Upload the signed form and click ‘Submit Application for Approval.’

8. You’ll receive an SMS confirming submission and pending approval by STO/APO. Once approved, you’ll be notified that the Health Card is ready.

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Steps for EHS Telangana Card Download (Pensioners Health Card):

Following are the steps to complete EHS Telangana Health Card Download

1. Log in to the Telangana EHS web portal and click ‘Sign-in’ at the top-right corner.

2. Enter your Username and Password (Contact Seva Kendra at 104 to retrieve your User ID and Password).

3. Click ‘Download Health Card,’ then print and laminate the document for verification.

Additionally, you can obtain a laminated temporary health card from any Mee Seva Center at a government-capped cost of Rs. 25 per card.

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EHS Claim Process

In this section, we will talk about the EHS reimbursement process. Telangana’s Employees Health System provides cashless treatments. The primary objective of facilitating cashless treatment for active and retired employees/journalists under the Employee and Journalist Health Scheme (EJHS) involves a streamlined claim process. 

The relevant Network Hospital responsible for the individual’s treatment will initiate the claim by submitting the necessary documentation to the Health Trust. Subsequently, the claim undergoes scrutiny, and upon approval, the Trust settles the claim, ensuring that the hospital receives the payment. All financial transactions are conducted through the Trust portal, carefully examining the documents provided by the Network Hospital (NWH).

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Exclusions Under the EJHS of the Government of Telangana

1. Non-Identified Diseases: Any medical treatments for diseases that are not explicitly specified or identified under the EJHS are not covered, ensuring a focused scope on pre-determined health conditions.

2. Central Government Health Schemes (CGHS) Coverage: Individuals already covered under any of the Central Government Health Schemes (CGHS) are excluded, as they already have access to government healthcare benefits.

3. Departmental Exclusions:

 – Aarogya Bhadratha (Police Department): Employees of Aarogya Bhadratha within the Police Department are not covered, as their health coverage falls under a separate scheme within their department.

 – Railways, ESIS, RTC: Employees in the Railways, ESIS, and RTC are excluded from the EJHS, likely due to the existence of dedicated health schemes within these organisations.

 – Aarogya Sahayatha (Prohibition and Excise Department): Employees of Aarogya Sahayatha in the Prohibition and Excise Department are not covered, as their health coverage is managed independently.

4. Casual and Daily Wage Workers: Those engaged in casual or daily wage employment are not covered, indicating a limitation in the scheme’s coverage for individuals in temporary or irregular work arrangements.

5. Independent Children: Children who are not dependent on their parents for financial support are excluded from the EJHS, focusing on family members who rely on the primary beneficiaries for sustenance.

6. Law Officers: The program prioritises coverage for families and individuals not covered by dedicated healthcare schemes, excluding legal professionals such as Public Prosecutors, Advocate General, State Prosecutors, State Counsels, and Government Pleaders.

7. Biological Parents in Adoption Scenarios: Biological parents are not covered if adopted parents exist, and vice versa, acknowledging legal distinctions in parental roles within adopted families.

8. All India Services (AIS) Pensioners and Officers: Retired officers under the All India Services (AIS) are excluded, likely due to the existence of specific pensioner health schemes for this group.

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EHS Telangana Hospitals List:

In Telangana, healthcare facilities such as hospitals and nursing homes authorised by the state government to treat diseases, injuries, and healthcare services are recognised as healthcare providers. The Telangana State Government has authorised various hospitals and nursing homes to provide cashless hospitalisation services under the Employee and Journalist Health Scheme (EJHS).

List Of EHS Hospitals in Telangana:

With over 200 empanelled hospitals spread across the state, a comprehensive list of authorised healthcare providers is available. To access the complete directory of empanelled hospitals for EJHS, please refer to the official EHS web portal.

Empanelment Application Process:

Hospitals or nursing homes registered in Telangana can apply to become one of the empanelled hospitals offering services under EJHS. To access the online application form for empanelment, kindly visit the ‘Empanelment Online Application’ section on the EJHS Web Portal.

EHS Diseases List (Telangana)

• Cardiac and Cardiothoracic Surgery
• Cardiology
• Cochlear Implant Surgery
• Critical Care
• Dental Surgery
• Dermatology
• Endocrinology
• ENT Surgery
• Gastroenterology
• General Medicine
• General Surgery
• Genito Urinary Surgeries
• Gynaecology And Obstetrics Surgery
• Medical Oncology
• Nephrology
• Neurosurgery
• Neurology
• Ophthalmology Surgery
• Organ Transplantation Surgery
• Orthopaedic Surgery And Procedures
• Pediatric Surgeries
• Paediatrics
• Plastic Surgery
• Poly Trauma
• Prostheses
• Pulmonology
• Radiation Oncology
• Rheumatology
• Surgical Gastro Enterology
• Surgical Oncology
• Thalassemia

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FAQs

1. What is the contact number for EHS customer care/helpline?

A: The contact number for the EHS helpline is 104.

2. Are stepchildren allowed EJHS facilities?

A: Yes. Stepchildren of serving or retired employees can avail of the scheme’s benefits.

3. Are the in-laws of the employee or pensioner eligible?

A: No. In-laws are not eligible to avail of the benefits of the scheme.

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Conclusion:

The Government of Telangana’s Employee and Journalist Health Scheme is designed to prioritise the well-being of its employees, journalists, and their families by offering a comprehensive and cashless healthcare solution. Including post-hospitalisation coverage, treatment for chronic diseases, and reimbursement options for non-network hospitals enhances the overall health benefits the government provides. The scheme reflects a commitment to ensuring accessible and quality healthcare for those associated with the state government and journalism profession.  

Sometimes, even after planning and availing all the benefits of the government schemes, a person might still need additional funds to take care of their expenses after their initial treatment or OPD care. In such cases and more, crowdfunding has emerged as a great alternative. 

Ketto, a crowdfunding platform based in India, helps people raise funds for their medical treatments. The platform serves to connect those who need financial help to those who can help and has played a key role in order to make healthcare accessible and affordable to all and helping people undergo life-saving treatments and surgeries.