What Is the Rajasthan Government Health Scheme (RGHS)?

The Rajasthan Government Health Scheme (RGHS) is a state-run health insurance initiative aimed at providing affordable medical services to eligible government employees, pensioners, and their dependents. It offers both OPD and IPD services, medicines, surgeries, and diagnostics at registered government and private hospitals across Rajasthan.

The goal of RGHS is to make quality healthcare more accessible and reduce the financial burden on state employees and their families. The scheme is modeled on the Central Government Health Scheme and operates through empanelled hospitals.

Rajasthan government health scheme provides affordable healthcare access for all.

Who Is Eligible for RGHS in 2025?

Primary Beneficiaries

The following groups are eligible for RGHS:

Serving state government employees
Retired government employees (pensioners)
Family pensioners and their dependents
Ministers, MLAs, ex-MLAs, and judges
Employees of state autonomous bodies (under certain conditions)

Eligibility is extended to dependents like spouses, dependent children, and in some cases, dependent parents, based on the criteria defined under the scheme.

Required Documents

To register under RGHS, beneficiaries need to:

Register via the official RGHS portal using SSO ID
Submit ID proof, employment or pension proof, and dependent certificates
Receive an RGHS health card for availing benefits

What Benefits Does RGHS Provide?

RGHS Slab and Fund Limits

Each registered family is allotted a floater limit under RGHS. For example, many hospitals implement a family floater coverage of up to ₹15 lakhs for complex treatments
An additional annual OPD treatment limit of ₹20,000 is also provided, which can be used for consultations and medicines
These benefits are flexible and can be used by any eligible family member within the total limit

Services Covered

RGHS provides cashless or subsidized access to:

OPD consultations and diagnostics like blood tests, X-rays, and ultrasounds
In-patient care, surgeries, ICU services, and daycare procedures
Medicines from the hospital pharmacy
Emergency care under approved packages

Exclusions and Limitations

While RGHS covers most essential treatments, some exclusions apply such as:

Non-prescribed consumables
Cosmetic or experimental treatments
Treatments not listed under the scheme’s approved packages

Recent updates have also increased OPD limits for pensioners, making the scheme more flexible for retired beneficiaries.

Step-by-Step Guide to Avail RGHS Services

Check eligibility and register via the RGHS portal
Download or collect the RGHS Health Card
Visit any RGHS-approved hospital
Present your health card at the hospital’s RGHS counter
For planned surgeries, obtain pre-authorization
In emergency cases, RGHS can be claimed later through reimbursement
Use the card tracker to monitor your balance and usage

Why RGHS Is Important in 2025

RGHS plays a crucial role in:

Reducing out-of-pocket healthcare costs
Offering access to quality healthcare for government employees and pensioners
Encouraging standardized treatment across Rajasthan

However, timely reimbursement to hospitals and transparency in claim processing are essential for the long-term success of this initiative. Some hospitals have temporarily suspended cashless facilities due to payment delays, but the government continues to revise and improve the policy.

RGHS Benefits in JMCH Jodhpur

At JIET Medical College & Hospital (JMCH), Jodhpur, RGHS benefits are fully functional, offering cashless healthcare services across multiple departments. RGHS beneficiaries can access OPD, IPD, diagnostics, surgeries, and pharmacy services under the defined RGHS slabs.

JMCH has dedicated support for RGHS patients to ensure smooth registration, documentation, and claim processing. With advanced facilities, experienced doctors, and round-the-clock care, JMCH is the best hospital in Jodhpur for RGHS and non-RGHS patients alike.