Gujarat Karmayogi Swasthya Suraksha Yojana Resolution On 15th May 2025, the Health and Family Welfare Department of Gujarat Government released a new resolution for health benefits of state government employees and pensioners. This scheme is named Gujarat Karmayogi Swasthya Suraksha Yojana (GKSSY).
Quick Information Table: Gujarat Karmayogi Swasthya Suraksha Yojana Resolution
| Feature | Details |
| Scheme Name | Gujarat Karmayogi Swasthya Suraksha Yojana (GKSSY) |
| Announced By | Health and Family Welfare Department, Gujarat |
| Date of Launch | 15 May 2025 |
| Who is Covered | State employees, pensioners, AIS officers, and dependents |
| Benefit Type | Cashless Treatment at PMJAY hospitals |
| Annual Coverage | ₹10 lakh per family per year |
| Hospital Type | Only PMJAY empaneled hospitals |
| Card Required | G-series Ayushman Bharat PMJAY card |
| Card Issued By | State Health Agency (SHA) |
| If Cost > ₹10 Lakh | Extra cost reimbursed under old rules (2015 or 1954 rules) |
| OPD Treatment | Not Covered |
| Special Conditions | Non-PMJAY package treatment cost reimbursed with prior approval |
Before this, most employees and pensioners had to follow a reimbursement system – they had to first spend money on treatment and then apply to get the money back. This process was long and sometimes difficult. With this new resolution, the Gujarat government has tried to make things easier by expanding the cashless treatment facility.
The aim of this scheme is to bring all employees and pensioners under one system and give them a cashless health benefit through PMJAY (Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana).
Gujarat Karmayogi Swasthya Suraksha Yojana Advantages
The new scheme is called Gujarat Karmayogi Swasthya Suraksha Yojana (GKSSY). Under this, many categories of people will get cashless treatment at approved hospitals.
This scheme is helpful because:
- Earlier, only limited people like fixed pay employees or AIS (All India Services) officers were getting cashless treatment.
- Now, all Gujarat state employees, pensioners, AIS officers, and their dependent family members will be covered.
- Cashless treatment means no need to pay money in advance at hospitals.
- The scheme uses the existing structure of PMJAY, which is already working in many hospitals.
- The benefit can be taken in any PMJAY empaneled hospital.
This change removes confusion and brings everyone under one system.
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Gujarat Karmayogi Swasthya Suraksha Yojana Eligibility
People who are eligible to get benefits under Gujarat Karmayogi Swasthya Suraksha Yojana are:
- All currently working Gujarat state government employees.
- All pensioners of Gujarat government.
- All India Services (AIS) officers serving in Gujarat and their pensioners.
- Dependent family members of the above categories.
In short, if you work with Gujarat government or are a pensioner, you are covered under this scheme.
Gujarat Karmayogi Swasthya Suraksha Yojana Required Documents
To get the cashless benefits, you will need the following documents:
- Proof of being a Gujarat government employee or pensioner
- Identity proof (Aadhaar card)
- Proof of family members (if applying for dependents)
- Special G-series Ayushman Bharat PMJAY card (explained below)
How to Apply For Gujarat Karmayogi Swasthya Suraksha Yojana
To take benefit of this cashless treatment, you must get a special G-series Ayushman Bharat PMJAY card. This card is different from the regular PMJAY card and is meant only for Gujarat government employees and pensioners.
Step-by-step process:
- Visit the official website or registration center notified by the Gujarat government (To be announced by the State Health Agency).
- Apply for the G-series PMJAY card.
- This card will be issued through State Health Agency (SHA), which is the nodal authority.
- Once the card is ready, you can use it for cashless treatment.
- If you do not have the G-series card yet, you can still get reimbursement under old rules until you get the card.
Key Benefits of the Scheme
- Cashless Treatment: No need to pay in advance. Treatment expenses will be directly settled by the government at PMJAY-approved hospitals.
- High Coverage: ₹10 lakh per family per year for hospital treatment.
- Wider Access: All employees, pensioners, AIS officers, and their dependents are included.
- No OPD Coverage: Only hospital admission (in-patient treatment) is covered.
- If cost exceeds ₹10 lakh: You can still claim extra treatment cost as per older rules – 2015 rules for state employees and 1954 rules for AIS officers.
- If treatment not in PMJAY package: You can also claim reimbursement for procedures not included in the PMJAY package, with proper approval.
Final Thoughts
The Gujarat Karmayogi Swasthya Suraksha Yojana is a strong and helpful step by the government. It solves many problems employees and pensioners were facing under the old reimbursement system.
Now with cashless health treatment, people can get faster and smoother medical care without worrying about money first.
The system also respects old rules, so no one is left behind. However, the success of the scheme depends on how fast and effectively the G-series card system is implemented by the State Health Agency.
