How to check your RGHS balance?
The launch of the Rajasthan Government Health Scheme (RGHS) in 2021 has been a significant boon for individuals across various economic slabs, enabling them to avail themselves of top-notch medical treatment. Specifically designed for active employees and pensioners, the scheme facilitates funding outpatient and inpatient treatment procedures. Under this scheme, every registered family is entitled to a maximum fund allocation of INR 15 lakhs for complex health treatments and an annual amount of INR 20,000. With its numerous benefits, the scheme has registered nearly 13 lakh families. Given the different fund types offered to each family, it's crucial to know the correct process for checking the balance to ensure proper fund utilization without any obstacles. Below, we have outlined the most convenient ways to check your RGHS balance online.
How to Check the RGHS Balance Online?
Before proceeding with any claim or opting for cashless OPD treatment, you must check the remaining RGHS balance under your or your family's name. Follow these steps to accomplish this task efficiently:
Visit the official Rajasthan SSO platform.
Enter your login details on the official site, such as name, password, captcha, etc., to access your account.
Look for the RGHS portal link on the homepage. If it's not immediately visible, use the search bar to expedite the process.
Click on the RGHS portal link to open a new portal dedicated to RGHS.
In this portal, you'll find a list of options for various operations related to your RGHS account.
Select the option labeled "RGHS card limit tracker."
A popup window will appear, displaying the remaining balance, including the total and utilized amounts.
The balance will be shown in two sections: one for OPD (outpatient) and another for IPD (inpatient).
Considerations While Checking the RGHS Balance
Before checking the RGHS balance, ensure you have the following:
A valid account on the Rajasthan government's SSO platform.
Your RGHS card, as the card number, will be required to check the balance.
All documents or transaction history related to the RGHS card to verify the accuracy of the displayed balance.
Pre-approved and Post-approved Medical Expenses with RGHS
The RGHS scheme covers IPD and OPD treatment funds, setting it apart from other insurance schemes. Here's a brief overview:
Inpatient Treatments (IPD): You must pay the bills upfront and submit all relevant documents to the claim portal for reimbursement. Valid ID proof is also required for verification.
Outpatient Treatments (OPD): This is primarily a cashless process. Expenses for consultations, therapies, lab treatments, and pharmacies are directly settled between the insurance and service providers, eliminating the need for out-of-pocket payments.
Conclusion
Now that you are familiar with checking the RGHS balance review the balance limit before scheduling any consultations or medical procedures. In case of any issues or for further information, you can contact the TPA cell on 9251665601 at JIET Hospital.
