Gopabandhu Jan Arogya Yojana (GJAY)

Name of the Scheme

Gopabandhu Jan Arogya Yojana (GJAY)

Aim & Objective

The scheme aims to provide affordable and accessible healthcare to the people of Odisha, especially to those who are economically disadvantaged or belong to vulnerable sections of society.

Features

It is a health assurance scheme launched by the Government of Odisha in the year 2025, which was subsequently merged with the Ayushman Bharat–Pradhan Mantri Jan Arogya Yojana (PM-JAY) and is popularly known in the state as PMJAY–GJAY scheme. It has been implemented at AIIMS Bhubaneswar since April 2025.

Eligibility & Target Groups

All families having PMJAY-GJAY Cards issued by the Government of Odisha and all families covered under NFSA/SFSS within the State of Odisha are eligible beneficiaries under this scheme.

Treatment Coverage & Benefits

Under this scheme, a health insurance coverage of up to ₹5 lakhs per family per year is given. In case of male family member, it is up to ₹5 lakhs and for female family member, it is up to ₹10 lakhs.

Procedure to Apply & Documents Required

Procedure

  • Patient admitted to the Ward/ Daycare
  • File preparation for the Patients with all documents
  • Treating Doctor fills the Pre-authorization form, Medicine & consumable form and implants form with mentioning the package code
  • Patient visits Ayushman Bharat Counter along with bed side file for identification as PM-JAY beneficiary and registered with biometric verification
  • Preauthorization applied as per selected package code
  • Preauthorization approval received from NHA and the patient/NOK is informed
  • The Medicine/ Consumables/ Implants forms are to be signed PMAM and the Nodal Officer
  • Forms are to be submitted to the AMRIT pharmacy for supply of the necessary medicines/ consumables or implants
  • Upon completion of treatment, Patients are advised for discharge and discharge summary prepared by the Doctor
  • At the time of Discharge, the patient shall visit Ayushman Bharat Counter for biometric authentication and discharge from the ABPM-JAY portal
  • Subsequently, the patient shall get discharged from the hospital discharge counter at ground floor.

N:B:- If a patient is seriously ill or unable to physically visit the Ayushman desk (e.g., bedridden, ICU patient, immobile), Biometric authentication (fingerprint/iris) may not be possible. In such cases, a Biometric Waiver Form is required.

Documents

  • Ayushman Bharat (PMJAY-GJAY) Card.
  • A copy of Ration Card.
  • A copy of Aadhaar Card.
  • Filled in Pre-authorization form with procedure code.
  • Bedside file containing all the investigation reports.

Click here to download the document :

UPDATED-INFORMATION-RELATED-TO- GOPABANDHU JAN AROGYA YOJANA (GJAY)