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Government Schemes

GOVERNMENT SCHEMES AVAILABLE AT APEX HOSPITALS

MAHATMA JYOTIBA PHULE JAN AROGYA YOJANA (MJPJAY)

Available at following branches:
  • Apex Multi Speciality Hospitals
  • Apex Hospitals Borivali

Eligibility: Orange and Yellow Ration Card Holder

The insurance policy/coverage under the MJPJAY can be availed by eligible beneficiary families residing in all the 36 districts of Maharashtra viz. Gadchiroli, Amravati, Nanded, Sholapur, Dhule, Raigad, Mumbai and Mumbai Suburban, Akola, Buldhana, Yavatmal,Washim, Aurangabad, Beed, Hingoli, Jalna, Latur, Osmanabad, Parbhani, Thane, Palghar, Ratnagiri, Sindhudurga, Bhandara, Chandrapur, Gondia, Nagpur, Wardha, Ahmednagar, Jalgaon, Nadurbar, Nashik, Kolhapur, Pune, Sangli, Satara.

BENEFITS: The scheme entails around 971 surgeries/therapies/procedures along with 121 follow up packages in following 30 identified specialized categories:

  • GENERAL SURGERY
  • ENT SURGERY
  • OPHTHALMOLOGY SURGERY
  • GYNAECOLOGY AND OBSTETRICS SURGERY
  • ORTHOPEDIC SURGERY AND PROCEDURES
  • SURGICAL GASTRO ENTEROLOGY
  • CARDIAC AND CARDIOTHORACIC SURGERY
  • PEDIATRIC SURGERY
  • GENITOURINARY SYSTEM
  • NEUROSURGERY
  • SURGICAL ONCOLOGY
  • MEDICAL ONCOLOGY
  • RADIATION ONCOLOGY
  • PLASTIC SURGERY
  • BURNS
  • POLY TRAUMA
  • PROSTHESES
  • CRITICAL CARE
  • GENERAL MEDICINE
  • INFECTIOUS DISEASES
  • CARDIOLOGY
  • NEPHROLOGY
  • NEUROLOGY
  • PULMONOLOGY
  • DERMATOLOGY
  • RHEUMATOLOGY
  • ENDOCRINOLOGY
  • GASTROENTEROLOGY
  • INTERVENTIONAL RADIOLOGY
  • PEDIATRICS MEDICAL MANAGEMENT

CENTRAL GOVERNMENT HEALTH SCHEME (CGHS)

Available at following branches:
  • Apex Multi Speciality Hospitals
  • Apex Hospitals Borivali
  • Apex Hospitals Mulund
CGHS caters to the healthcare needs of eligible beneficiaries covering all four pillars of democratic set up in India namely Legislature, Judiciary, Executive and Press. CGHS is the model Health care facility provider for Central Government employees & Pensioners and is unique of its kind due to the large volume of eneficiary base, and open ended generous approach of providing health care.

Facilities available under CGHS:

  • OPD Treatment including issue of medicines.
  • Specialist Consultation.
  • Indoor Treatment at Government.
  • Medical Investigations.
  • Cashless facility available for Pensioners and other identified beneficiaries.
  • Reimbursement of expenses for treatment.
  • Reimbursement of expenses incurred for purchase of hearing aids, artificial limbs, appliances etc. as specified.
  • Family Welfare, Maternity and Child Health Services.

EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME (ECHS)

Available at following branches:
  • Apex Multi Speciality Hospitals
  • Apex Hospitals Mulund
ECHS is a flagship Scheme of the Ministry of Defence, Department of Ex-Servicemen Welfare. The aim of Scheme is to provide quality healthcare of Ex-servicemen pensioners and their dependents.
Eligibility:
The Scheme caters for medical care to all ESM pensioners including those earning Disability and Family Pension and their dependents, which includes wife/husband, dependent legitimate children and wholly dependent parents. To be eligible for membership of ECHS, a person must meet the following twin conditions:
  • Should have ESM status.
  • Should be drawing normal Service /Disability/ Family Pension.

MAHARASHTRA POLICE KUTUMB AROGYA YOJANA (MPKAY)

Available at following branches:
  • Apex Multi Speciality Hospitals
  • Apex Hospitals Borivali
MPKAY is government funded scheme for executive police force. Which covers Police personals and their Family Member for cashless treatment in MPKAY paneled Private Hospitals all across Maharashtra.
It is a commination of Maharashtra State Government Employee Reimbursement Scheme and Rate Schedule of CGHS. TPSA plays a Major role in the scheme as coordinator between Hospital & Police Department .
MPKAY covers the ailments covered under State Government Reimbursement Scheme i.e. 27 Acute Ailments and Major 5 (Attached Diseases List)

Ailments covered under MPKAY

  • Cardiac Emergency, Cerebral Vascular
  • Pulmonary emergency
  • Hypertension
  • Titanus
  • Diphtheria
  • Accident
  • Shock Syndrome
  • Cardiological and Vascular
  • Abortions
  • Acute abdominal Pains/Intestinal Obstruction
  • Severe Hemorrhage
  • Gastro – Entireties
  • Typhoid
  • Onset of Psychiatric Disorder
  • Retinal Detachment In The Eye
  • Gynaecological And Obstetric Emergency½
  • Urinary Emergency
  • Gas Gangrine
  • Foreign Body in Ear, Nose or Throat Emergency
  • Congenital Anomalies Requiring urgent Surgical Intervention)
  • Brain Tumour
  • Burns
  • Epilepsy

5 Major Ailments

  • Acute Glaucoma
  • Heart Surgery
  • By Pass Surgery
  • Kidney Transplantation
  • Blood Cancer