What you need to know about RGHS packages & their codes
RGHS, which stands for Rajasthan Government Health Scheme, was introduced in September 2021. It’s a government health insurance scheme aimed at state government employees, pensioners, and other people employed directly under the state government. RGHS has been a huge success, with over 10 lakh beneficiaries registered online RGHS portal. RGHS is a web-based application where the application and claim settlement process is completely online. The online nature of this scheme makes it crucial that you as an individual learn various details of the scheme, as you would need the knowledge to navigate and adequately use the software. So, continue reading this article to aid your knowledge about RGHS packages and their codes.
What are RGHS packages & package codes?
RGHS packages are the exact itemized treatment options covered under the scheme. This list of packages covers in excruciating detail every condition and the precise treatment option that is covered under the scheme. To make tracking easier, each package that is a treatment for any covered condition is labeled using a packaging code. The list also mentions the NABL, non-NABL, NABH, and non-NABH rates of all the treatment options mentioned in the list. This helps you know the exact cost of any treatment you have gone through and use that data to fill out your reimbursement form accordingly. If you opt for cashless medical treatment, the hospital will submit the invoice to the government with the package code and the approved rate of the treatment you got to get their payment.
Why did you need to know about RGHS packages & their codes?
You would want to learn about the RGHS packages and their codes for two reasons.
Understanding coverage of RGHS
RGHS offers comprehensive coverage of various critical and day-to-day health conditions. As this scheme was introduced post-COVID, COVID-19 infections of beneficiaries and family members are offered under this scheme. So, studying the list can help you understand all the various treatment options covered under this scheme. This knowledge can help you understand if the scheme is right for you or not. Moving on to the next point
Learning the NABL & NABH rates of all RGHS packages
If you are going through any medical condition covered under the scheme, learning about its cost can help you determine the timeframe of your treatment. If you have any medical emergency, the cost you bear for your treatment is also reimbursable per the scheme. However, to settle your claim, you must present the government with the exact details of your treatment cost very minutely. This data will then be verified, and only then will your claim be settled. So, to ensure that your claim is settled and not rejected, you must learn about the packages and their details.
Where can you learn about RGHS packages & codes?
As the entire RGHS platform is based on the internet, all data regarding this scheme is available on the official scheme website, rghs.rajasthan.gov.in. To make life a bit easier, here is a downloadable package list pdf with all the information about every treatment option available under the scheme.
Downloadable package list pdf; this list contains all the package information, including the price of each treatment as per NABL and NABH.
A list of all the items in medical treatment that are not covered under the scheme is also mentioned below to help you learn more about the items or services that are not covered under the scheme.
Downloadable exception list for learning about the exceptions to the scheme for which the claim will not be settled.
Conclusion
RGHS is a great health insurance scheme with considerable coverage and affordable pricing accessible to everyone. So, if you are a beneficiary of RGHS, be sure to visit and get your treatment from MediPulse for the best treatment experience and the fastest recovery from your ailments. For more information, be sure to go through MediPulse hospital’s website.