Employee Health Scheme

In-Patient Treatment: The Employee Health Scheme (EHS) aims to provide cashless hospitalization to eligible beneficiaries such as employees, pensioners, and their dependents. The scheme covers listed therapies for identified diseases, providing end-to-end cashless services until 10 days post-discharge, including coverage of complications up to 30 days post-discharge. Additionally, free out-patient evaluation is available for listed therapies.

Follow-Up Service: The EHS provides follow-up services up to 1-year, including consultation, investigation, drugs, etc., on listed therapies. The scheme offers packages that cover a range of services for eligible beneficiaries.

Out-Patient Treatment for Chronic Diseases: The scheme covers treatment of pre-defined chronic diseases at notified hospitals. This is aimed at ensuring the well-being of beneficiaries suffering from chronic illnesses.

Hospital Stay: Depending on their pay grade, eligible beneficiaries are provided with hospital stays in either semi-private or private wards. Slab A (Pay Grades – I to IV) is entitled to a semi-private ward, Slab B (Pay Grades – V to XVII) is entitled to a semi-private ward, and Slab C (Pay Grades – XVIII to XXXII) is entitled to a private ward.

Financial Coverage: The EHS provides financial coverage of up to Rs. 2 lakhs per episode of illness, If packages exceed the ₹2 Lakhs limit, the above sum does not apply; Claims above ₹2 Lakhs are directed for settlement to the CEO of the Aarogyasri Trust

1. Serving employees:

All regular State Government employees. A State Government employee will have the meaning as defined under Fundamental Rules.

Provincialised employees of local bodies.

1. Retired employees:

All Service Pensioners

Family pensioners

Re-employed service pensioners

Online

Employees:

EHS Employee Registration Process:



Step 1: Visit the web portal of EHS.

Step 2: Enter your Employee ID in the ‘Username’ section and the password. Log in as ‘Employee’ and click on ‘Login’.

Step 3: You will be directed to a new page, where you need to enter the required details of all the mandatory fields, then click on ‘Save’.

Step 4: Once you have filled all the fields, click on ‘Print Application’ to keep a soft copy of the application as a reference or you could take a printout.

Step 5: Now, click on ‘Submit Application’.



The application will be sent to the employee’s respective Drawing and Disbursing Officer (DDO). Once the DDO verifies the application, the EHS Health Card will be generated. You need to login to the EHS web portal with your username and password to download the card.



Pensioners:

Retired employees or pensioners can register for the EHS service online by following the instructions before they can log in to the EHS web portal.



Step 1: Visit the EHS Web Portal and log in with your Username and Password. If you do not have the details, contact STO/APPO or dialling EHS Toll-Free Number 104 to know your User ID.

Step 2: Sign in with your Username and Password and read the instructions provided on the website.

Step 3: Open the Enrollment Form and fill in all the details including your head of department, STO/APPO and District.

Step 4: Attach all supporting documents.

Step 5: Ensure you verify all data before submitting the application.

Step 6: Click on ‘Submit’ and take a printout of the application form.

Step 7: Sign the printout of the application form and upload the signed document back online.

Step 8: Now, take a printout of the signed application form and submit it with your respective STO/APPO.



An acknowledgement through SMS or email will be sent to your registered mobile number and email address, respectively. If it is rejected due to errors, then resubmit your application with the correct details.

Aadhaar Card: Scan your Aadhaar Card and ensure the photo and the Aadhaar Number are clearly visible.

Photograph: A scan of a 45mm x 35mm ICAO compliant passport size colour photograph of 200Kb size.

Disability Certificates (if any)

Spouse’s Pensioner ID/Employee ID: A scanned copy of the spouse In case working in the State Government or is a Service Pensioner.

Date of Birth Certificate: A scan of the DOB Certificate of dependent family members less than 5 years of age.