14-05-2025
Gujarat government approves health security scheme for employees, pensioners
Gandhinagar: The Gujarat cabinet on Wednesday approved the '
Gujarat Karmayogi Health Security Scheme
' for all state govt officers, employees, and pensioners. State health minister Rushikesh Patel said that under the
PMJAY-MA scheme
, cashless treatment up to Rs 10 lakh per family will be available with a "G" category card to govt employees and 6.40 lakh officers, employees, and pensioners in the state will benefit from this scheme, the minister said.
For expenses exceeding Rs 10 lakh and procedures not covered under AB-PMJAY-MAA, medical reimbursement will be provided as per rules, he minister detailed that similar to the benefits currently available under the PMJAY-MA scheme, all employees will be covered under this new scheme.
All state employees and pensioners will receive a "G" series AB-PMJAY-MAA card, with processing handled by the PMJAY nodal agency, Patel will provide cashless treatment up to Rs 10 lakh per family annually at govt, equivalent govt, and PMJAY-empanelled hospitals for specified procedures. Outpatient (OPD) treatment will not be included in the scheme. The current monthly medical allowance of Rs 1,000 will continue as is, he 2,658 hospitals (904 private and 1,754 govt) are associated with the PMJAY-MA scheme in the state, covering 2,471 specified procedures. All-India Services (AIS) officers, pensioners, state govt officers, employees, pensioners, their dependent family members, and those eligible for medical reimbursement under the Gujarat State Service (Medical Treatment) Rules, 2015, will benefit from this scheme, the govt employees currently receive benefits under the Karmayogi card. Pensioners aged 70 and above already benefiting from the recently launched Vayvandana scheme will not be eligible under this scheme, the govt state govt will bear a premium burden of Rs 303.3 crore under this scheme, paying an annual premium of Rs 3,708 per family for treatment under the 'G' category card.
