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Eligo
Health InsuranceGovt / PSU BackedTripuraEst. 2019

Tripura Mukhyamantri Jan Arogya Yojana (CM-JAY)

State-notified public health assurance program providing cashless medical treatment across Tripura.

Sum Insured / Cover
₹5 Lakh Universal Cover
Annual Premium
100% Free / Subsidized by State
Claim Settlement
98.2% (Direct Cashless)
Network / Scope
1,200 Empaneled

✦ Key Benefits & Policy Coverage

Universal health insurance for all 4.75 lakh families in Tripura, filling gaps left by AB-PMJAY.
What is Missing: Critical Policy Exclusions & Limitations

Eligo disclosure: Private insurance agents and official ads rarely mention these limitations. Verify before relying on this coverage.

Private room admissions excluded; government referral protocol for out-of-state empanelled facilities.

✦ Eligibility Requirements

All permanent residents of Tripura holding valid ration card.

✦ Application, Enrollment & Claims Process

1. Verify family eligibility on state food security or health portal. 2. Obtain state health smart card or link Aadhaar at local CSC. 3. Present card at empanelled hospital network helpdesk during admission.
Official Government / PSU Portal
Apply or verify on the official administrative domain
Official Portal

✦ Documents Checklist

Aadhaar Card, State Ration Card / Jan Aadhaar / Parivar Pehchan Patra, Domicile certificate, Mobile number.

✦ Life Situations Where This Scheme Helps

Underwriting Entity & Public Grievance Contact

Administering Body:

Government of India