Is MJPJAY’s insurance for all, Maharashtra's way to manage COVID 19-related expenses?
Amornthep Srina

The decision to include everyone with a ration card under Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY), an insurance scheme run by Maharashtra, comes at the time of Coronavirus. With numbers of COVID19 patients rising in the state, the MJPJAY chief claims that it can cover any number of Coronavirus patients under the scheme.

At present, there are around 17,000 cases in Maharashtra and with most of them admitted in government hospitals which are usually the empanelled hospitals under MJPJAY. “More than 830 hospitals are empanelled under the state government’s insurance scheme. From that, around 120 hospitals are empanelled in Mumbai Metropolitan Region (MMR). We expect this number to rise further.”

As Coronavirus comes under the infectious disease category, some empanelled hospitals that have opted for this category will not have to ask patients to pay. Lauding the government, an expert said this is one of the smart decisions by the state government. A source said, “By offering the insurance to all, the state government will be able to use the funds under this scheme to treat COVID 19 patients. Even if the government is able to empanel some private hospitals under the scheme just for this infectious disease then it need not worry much about fund management.”

Here the insurance company, United India Insurance will take care of the payment of hospitals while the government pays a premium of around 800 per person. “This will allow the state government to transfer the risk to the insurance company and if it continues to empanel more and more private hospitals just for COVID 19, the government has one less thing to worry,” claimed another source familiar with the matter.

At present, more private hospitals are empanelled and this number is expected to rise further. This rise can even be for a limited period. As per the data of MJPJAY, around 1,275 patients have registered in the last 24 hours under the scheme. As per May 7 data, Maharashtra has a record 1,233 new cases in Maharashtra.

Since 2012, more than 36.8 lakh beneficiaries have availed the benefit of the scheme and around Rs 6944.03 crore has been authorised under this scheme.

List of hospitals empanelled for infectious diseases in Mumbai and suburbans (MJPJAY website has the complete list of hospitals):

B Y L NAIR HOSPITAL

BAI JERBAI WADIA HOSPITAL FOR CHILDREN & NOWROSJEE WADIA MATERNITY HOSPITAL

BHAGAWATI HOSPITAL BORIVALI

BHARATRATNA DR. BABASAHEB AMBEDKAR MUN. GEN. HOSPITAL,

BRAHMA KUMARIS GHRC MANAGING BSES MG HOSPITAL

DALVI NURSING HOME

DR BHATIA'S HOSPITAL

DR. R N COOPER HOSPITAL,

DR. MEENA'S MULTISPECIALITY HOSPITAL

GENERAL HOSPITAL MALVANI

GENERAL HOSPITAL RAJAWADI

GOKULDAS TEJPAL HOSPITAL

GRANT MEDICAL COLLEGE AND JJ GROUP OF HOSPITALS

H J DOSHI GHATKOPAR HINDU SABHA HOSPITAL

HINDU HRUDAY SAMRAT BALASAHEB THAKRE TRAUMA CARE MUNICIPAL HOSPITAL

K.B BHABHA HOSPITAL (KURLA and BANDRA)

K J SOMAIYA HOSPITAL & RESEARCH CENTRE

KEM HOSPITAL

LTMG COLLEGE AND HOSPITAL

LIFELINE MEDICARE HOSPITAL

LION KARTAR SINGH HOSPITAL

M T AGARWAL HOSPITAL M.H. SABOO SIDDIQUE MATERNITY & GENERAL HOSPITAL

M W DESAI HOSPITAL

MALLIKA HOSPITAL

PLATINUM HOSPITAL

RANE HOSPITAL

SVD SAWARKAR HOSPITAL

SHREE BALAJI SUPER SPECIALITY HOSPITAL

SRCC CHILDREN'S HOSPITAL

SUSHRUT HOSPITAL AND RESEARCH CENTRE

SAINT GEORGES HOSPITAL

SHATABDI HOSPITAL

V N DESAI MUNICIPAL GENERAL HOSPITAL

KASTURBA HOSPITAL FOR INFECTIOUS DISEASES

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