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Government Healthcare Schemes

Cashless MJPJAY & Health Insurance Hospital

Shiv Shahi Hospital is dedicated to making quality healthcare accessible. We proudly accept and facilitate major government healthcare schemes for eligible patients across Ambernath East and surrounding regions.

Flagship Scheme • Active & Empaneled

Mahatma Jyotirao Phule
Jan Arogya Yojana

Government of Maharashtra's flagship health insurance scheme providing cashless hospitalisation for eligible families across the state.

Key Benefits

Coverage Amount: Up to Rs. 5,00,000 per family per year on a family floater basis

Treatment Mode: 100% Cashless — no out-of-pocket expenses for covered procedures

Pre & Post Hospitalisation: Includes diagnostic and consultation costs before admission and follow-up care

Arogyamitra Assistance: Dedicated on-campus Arogyamitra to assist with documentation and approvals

Who Is Eligible

Yellow Ration Card
Orange Ration Card
Antyodaya Card
Annapurna Card
Farmers from 14 Districts
Construction Workers

Documents Required

Ration Card

Valid Yellow, Orange, or Antyodaya Ration Card

Aadhaar Card

Aadhaar card of patient and family members

Medical Reports

Previous diagnostic reports and prescription

Official Verification: Learn more or verify scheme benefits on the Maharashtra State Health Assurance Society (MJPJAY Portal) and the National Health Authority (nha.gov.in).
State Government Initiative

Chief Minister
Relief Fund (CMRF)

Financial assistance directly from the Chief Minister's Medical Relief Fund for major medical conditions and surgeries requiring significant financial support.

Key Benefits

Coverage: Financial aid sanctioned per case for critical treatments

Procedures Covered: Cardiac surgery, neurosurgery, cancer treatment, organ transplants, complex trauma

Application Support: Our team assists with documentation, medical estimation certificates, and submission

Who Is Eligible

Maharashtra Residents
Low-Income Families
BPL Card Holders
Critical Illness Patients
Emergency Surgery Cases
Trauma & Accident Cases
Central Government Scheme

Central Government
Health Scheme

Comprehensive healthcare for Central Government employees, pensioners, and their dependents.

About CGHS

Coverage: Outpatient, inpatient, surgical, and diagnostic care

Empanelment: Cashless treatment for pensioners; reimbursement/cashless for serving employees

Who Is Covered

Central Govt. Employees
Central Govt. Pensioners
Railway Employees
Defence Civilians
Eligible Dependents
Autonomous Body Staff
Armed Forces Healthcare

Ex-Servicemen Contributory
Health Scheme

Publicly funded healthcare for Ex-Servicemen pensioners and their dependents through a vast network of polyclinics and empaneled hospitals.

About ECHS

Administered by: Department of Ex-Servicemen Welfare, Ministry of Defence

Benefit: Cashless treatment at empaneled civilian hospitals

Who Is Covered

Ex-Army Personnel
Ex-Navy Personnel
Ex-Air Force Personnel
War Widows
Eligible Dependents
Family Members
Labour Welfare Scheme

Employees' State
Insurance Scheme

Comprehensive social security and health insurance for workers in the organised sector and their families — currently applied and in-process at Shiv Shahi Hospital.

About ESIS

Administered by: ESIC, Ministry of Labour & Employment, Govt. of India

Status: Application in process — empanelment pending approval

Who Is Covered

Organised Sector Workers
Factory Employees
Shop & Establishment Staff
Contract Workers
Eligible Dependents
Insured Person's Family

Not Sure Which Scheme Applies?

Our dedicated TPA & Arogyamitra desk will help you identify eligible schemes and complete all paperwork.

Call 83080 88811 Chat with TPA Desk