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Health and Family Welfare Department, Government of Gujarat / National Health Authority
PMJAY-MA provides fully cashless secondary and tertiary medical treatment up to ₹10 Lakh annually per eligible family across empanelled public and private hospitals in Gujarat. Covers hospitalization, surgeries, diagnostics, and post-discharge medicines under approved health packages.
Chandan Charitable Trust is not a government agency. It does not sanction benefits or process applications. Final eligibility, verification and sanction rest solely with the competent government authority.
Eligible under PM-JAY database, Mukhyamantri Amrutum (BPL), or MA Vatsalya (annual family income up to ₹4 lakh with valid income certificate). Beneficiary/family must be registered in the applicable PM-JAY or MA/MA Vatsalya database. Must complete Aadhaar-based e-KYC to obtain the Ayushman Card. Cashless benefits are provided exclusively at empanelled public and private hospitals for approved packages.
The official source lists the following documents.
Online via https://beneficiary.nha.gov.in/, official Ayushman App, or at Common Service Centres (CSC) / Arogya Mitra Helpdesk at empanelled hospitals. Step 1: Check eligibility on https://beneficiary.nha.gov.in/ or at an Arogya Mitra desk using Aadhaar or Ration Card number. Step 2: Complete Aadhaar biometric or OTP e-KYC and upload beneficiary photograph. Step 3: Verification approved by State Health Agency, and Ayushman Card is generated. Step 4: Present Ayushman Card at Arogya Mitra desk at any empanelled hospital for cashless admission and pre-authorised treatment.
Real-time Aadhaar e-KYC verified against SECC / National Health Authority database and Gujarat State Health database.
Decision authority, as stated by the official source: National Health Authority & State Health Agency, Government of Gujarat.
Cashless secondary and tertiary hospitalisation coverage up to ₹10 Lakh per eligible family per year in Gujarat. Treatment covers surgical procedures, medical therapies, ICU, bed charges, diagnostics, medications, and food during hospitalisation. Coverage of pre-hospitalisation (up to 3 days) and post-hospitalisation expenses (up to 15 days including medicines). Cashless treatment at all empanelled government and private network hospitals across Gujarat and India. 100% cashless claims settlement directly between SHA and empanelled hospital.
Rejection reasons for e-KYC or claim pre-authorisation are tracked via the NHA TMS portal with right to appeal via CGRMS.
National PM-JAY helpline 14555; Gujarat PMJAY-MA helpline 1800-233-1022; Grievance portal: https://cgrms.pmjay.gov.in/