Chirayu Haryana Empanelled Hospitals in Gurugram

The Chirayu Haryana scheme, formally known as Ayushman Bharat-Chirayu Haryana, is a comprehensive health insurance initiative by the Government of Haryana. Launched on November 21, 2022, it functions as an extension of the central government's Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY), aiming to provide accessible and affordable healthcare to the state's residents. The scheme offers a substantial health cover of ₹5 lakh per family per year, which can be used for secondary and tertiary care hospitalisation procedures at any empanelled hospital across India.

A defining feature of the Chirayu scheme is its innovative approach to determining eligibility. Unlike the national PM-JAY, which relies on the 2011 Socio-Economic Caste Census (SECC) data, Chirayu Haryana uses the state's Parivar Pehchan Patra (PPP), or Family ID. This system allows for eligibility to be determined based on verified annual family income, making the scheme more dynamic and inclusive. Initially covering families with an annual income up to ₹1.80 lakh, the program has since expanded its reach. Families with an annual income between ₹1.80 lakh and ₹3 lakh can now also join the scheme by paying a nominal annual contribution of ₹1,500, significantly widening the safety net for healthcare expenses.

Government Hospitals in Gurugram Empanelled under Chirayu Haryana

This list is based on data from the official Ayushman Bharat Haryana portal. The empanelment status of hospitals can change. Please verify the current status on the official website before your visit.

• Civil Hospital Sohna — Sohna
• Polyclinic Sector 31 — Sector 31
• Sdch Pataudi — Pataudi
• Chc Farrukhnagar — Farrukhnagar
• Chcs Ghangola — Ghangola

Private Hospitals in Gurugram Empanelled under Chirayu Haryana

This list is based on data from the official Ayushman Bharat Haryana portal. The empanelment status of hospitals can change. Please verify the current status on the official website before your visit.

• 7 Med India Private Limited — Gurugram
• Ahooja Eye and Dental Institute — Gurugram
• Alfaa Health Care — Gurugram
• Artnishtha Health Private Limited — Gurugram
• Bhanot Hospital — Gurugram
• Bharat Vikas Parishad Maharanapratap Nyas — Gurugram
• Centre For Sight Gurgaon — Gurugram
• Chirag Hospital — Gurugram
• Dayal Eye Centre — Gurugram
• Eye Q Vision Pvt Ltd — Gurugram
• Geetanjali Hospital Pataudi — Pataudi
• K K Health Care Centre — Gurugram
• Kamla Hospital — Gurugram
• Kriti Hospital — Gurugram
• Mahajan Imaging Pvt. Ltd. — Gurugram
• Mayom Hospital — Gurugram
• Metro Hospital And Heart Institute — Gurugram
• Muskaan Dentals — Gurugram
• Park Hospital (A Unit of Park Medicenters and Institutions Pvt Ltd) — Gurugram
• Pushpanjali Hospital — Gurugram
• SGT Medical College Hospital and Research Institute — Budhera
• Sudarshan Poly Dental Centre — Gurugram
• Sunrise Hospital — Gurugram
• The Signature Hospital (A Unit of Park Medicity North Pvt Ltd) — Gurugram
• Umkal Hospital Pvt Ltd — Gurugram
• Viaan Eye and Retina Centre — Gurugram
• W Pratiksha Hospital — Gurugram
• Yadav Hospital — Gurugram

Rates shown are as per the Ayushman Bharat, Haryana (2024) and are subject to periodic revision. Always verify the latest approved rates on the official source.

How to Use the Chirayu Scheme at an Empanelled Hospital

Availing cashless treatment under the Chirayu Haryana scheme is a straightforward process designed to be user-friendly. When a beneficiary needs to be hospitalised, they can visit any of the empanelled hospitals in Gurugram or elsewhere in the country. At the hospital, they should approach the dedicated helpdesk, where an 'Ayushman Mitra' is available to assist with the process. The Ayushman Mitra will verify the beneficiary's identity and eligibility using their Parivar Pehchan Patra (PPP) number or Ayushman card.

Once eligibility is confirmed, the hospital initiates the pre-authorisation process for the required medical procedure through the scheme's portal. The entire process is designed to be cashless, meaning the patient does not have to pay for covered treatments out of pocket. The hospital bills are settled directly by the government's implementing agency, the Ayushman Bharat Haryana Health Protection Authority. This ensures that families can access necessary medical care without facing an immediate financial burden.

Eligibility and Enrolment for Chirayu Haryana

Eligibility for the Chirayu Haryana scheme is directly linked to a family's annual income as verified through the Parivar Pehchan Patra (PPP) system. This modern approach ensures that the benefits reach the intended population based on current economic status rather than outdated census data. The scheme operates on a tiered eligibility structure.

The primary beneficiaries are families with a verified annual income of up to ₹1.80 lakh. These families are automatically covered under the scheme at no cost. Recognizing the need to support families just above this income bracket, the Haryana government expanded the scheme. Families with a verified annual income between ₹1.80 lakh and ₹3 lakh can voluntarily enrol in the scheme by paying an annual contribution of ₹1,500. This nominal fee provides them with the same ₹5 lakh health cover, making quality healthcare more accessible.

Documents Required for Availing Treatment

To ensure a smooth and quick admission process at an empanelled hospital, beneficiaries should have specific documents ready. The most crucial document is the one that proves your eligibility for the scheme.

The primary requirement is your Parivar Pehchan Patra (PPP) ID number. Alternatively, if you have already generated one, your Ayushman Card or Chirayu Card will suffice. Alongside the scheme-specific ID, you must carry a valid government-issued photo identification card for patient verification. This is a standard procedure at all hospitals to confirm the identity of the person receiving treatment.

• Parivar Pehchan Patra (PPP) ID Number
• Ayushman Bharat/Chirayu Haryana Card (if available)
• Aadhaar Card (or other government-issued photo ID like a Voter ID or Driving License)

Scope of Coverage: What's Included and Excluded

The Chirayu Haryana scheme provides comprehensive coverage for a wide range of medical treatments, focusing on secondary and tertiary care that requires hospitalisation. This includes the cost of treatment, medicines, diagnostics, and procedures related to the hospital stay. The package rates are pre-defined by the government and cover most common surgeries and medical interventions.

The coverage also extends beyond the hospital stay itself. The scheme includes expenses incurred up to 3 days before hospitalisation (pre-hospitalisation) and costs for up to 15 days after discharge (post-hospitalisation), covering follow-up consultations and medicines. However, it's important to note that the scheme does not cover treatments that are typically handled on an Out-Patient Department (OPD) basis and do not require admission. Additionally, procedures considered cosmetic in nature are generally excluded from coverage.

Verifying an Empanelled Hospital in Gurugram

The list of hospitals empanelled under the Chirayu Haryana scheme is subject to change. Hospitals may be added to or removed from the network based on various factors, including quality audits and compliance with scheme guidelines. Therefore, it is highly recommended that beneficiaries verify the empanelment status of a hospital before seeking treatment.

The most reliable source for this information is the official website of the Ayushman Bharat Haryana scheme, managed by the State Health Agency (SHA). You can visit the portal at `sha.haryana.gov.in` and navigate to the section for empanelled hospitals. This will provide you with the most current and accurate list, ensuring you go to a facility where you can avail of cashless benefits without any complications.

What to Do if a Hospital Refuses Cashless Treatment

In the unfortunate event that an empanelled hospital refuses to provide cashless treatment or demands payment for a covered procedure, beneficiaries have recourse. Your first point of contact should be the Ayushman Mitra at the hospital's helpdesk. They are trained to resolve such issues and facilitate the cashless process.

If the Ayushman Mitra is unable to resolve the problem, you should not hesitate to escalate the matter. You can file a grievance through the official scheme portals (`chirayuayushmanharyana.in` or the national PM-JAY portal) or by calling the national toll-free helpline number. Documenting the incident, including the name of the hospital and the staff you interacted with, can be helpful when filing a complaint. The implementing authority takes such complaints seriously to ensure compliance from all empanelled healthcare providers.

Frequently Asked Questions

What is the Chirayu Haryana scheme?

Chirayu Haryana is a state-sponsored health insurance scheme by the Government of Haryana, operating as an extension of the national Ayushman Bharat PM-JAY. It provides a health cover of ₹5 lakh per family per year for secondary and tertiary care hospitalisation at empanelled public and private hospitals.

How is eligibility for Chirayu Haryana determined?

Eligibility is determined based on the annual family income verified through the Parivar Pehchan Patra (PPP) system. Families with an income up to ₹1.80 lakh are automatically covered for free, while those with incomes between ₹1.80 lakh and ₹3 lakh can opt-in by paying an annual premium of ₹1,500.

Can I get treatment in a hospital outside Gurugram or Haryana under this scheme?

Yes, the Chirayu Haryana scheme offers portability of benefits across the country. You can receive cashless treatment at any hospital that is empanelled under the Ayushman Bharat PM-JAY scheme, regardless of its location in India.

Does the Chirayu scheme cover dental procedures?

The scheme covers dental treatments that require hospitalisation. Routine outpatient procedures like check-ups, cleanings, or cosmetic treatments are not covered. The presence of dental hospitals on the empanelled list indicates that specific, medically necessary inpatient dental surgeries are included.

What should I do if an empanelled hospital asks me to pay for treatment?

The scheme is cashless for all covered treatments. If an empanelled hospital demands payment, you should immediately contact the hospital's Ayushman Mitra for assistance. If the issue persists, you can file a grievance on the official Chirayu or PM-JAY portal or call the national helpline number.

Is there a cost to get a Chirayu card?

For eligible families with a verified annual income up to ₹1.80 lakh, there is no cost for enrolment or the card. For families in the ₹1.80 lakh to ₹3 lakh income bracket, an annual contribution of ₹1,500 is required to join the scheme and receive its benefits.

Related

• Chirayu Haryana in Haryana: eligibility and how to enrol
• Government hospital OPD appointment guides in Haryana
• Mukhyamantri Swasthya Bima Yojana: which state scheme is it?

Medical Disclaimer

The information provided in this article is for general informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.