EMPLOYEE/PENSIONER ENROLLMENT FOR HEALTH CARD … - [PDF Document] (2024)

EMPLOYEE/PENSIONER ENROLLMENT FOR HEALTH CARD UNDER EHS SCHEME

USER MANUAL

The purpose of the document is to make the user understand how to get enrolled in the EHS scheme.

Pensioner once enrolled under the scheme will be issued Health Card and avail the benefit. If not

enrolled, he/she cannot avail the benefits under the scheme. The document will give a complete screen

shots of how the Pensioner needs to enroll under the scheme. The guidelines of the scheme is inbuilt in

the software application so that it will guide the user on how to get enrolled under the scheme.

1) The below documents are required to apply for EHS Health cards.

For Employees:

1) Scanned copy of passport size photo – Size less than 100KB.

2) Scanned copy of Aadhar/Aadhar Enrollment Certificate – Size less than 100KB.

3) Scanned copy of Service Register/Joining order – Size less than 100 KB.

For Pensioners:

1) Scanned copy of passport size photo – Size less than 100KB.

2) Scanned copy of Aadhar/Aadhar Enrollment Certificate – Size less than 100KB.

3) Scanned copy of Pensioner Payment Order – Size less than 100 KB.

For Dependents:

a) DOB is below 5 years:

1) Scanned copy of passport size photo – Size less than 100KB.

2) Scanned copy of Birth Certificate/Aadhar/Aadhar Enrollment Certificate – Size less than

100KB.

b) DOB above 5 years:

1) Scanned copy of passport size photo – Size less than 100KB.

2) Scanned copy of Birth Certificate/Aadhar/Aadhar Enrollment Certificate – Size less than

100KB.

2) As per GO. Ms. No. 174, dated: 01.11.2013, the following family members are entitled to avail of the

Employees Health Scheme.

a) Dependent Parents (either adoptive or biological; but not both);

b) One legally wedded wife in case of a male employee / service pensioner;

c) Husband in case of a female employee / service pensioner;); and

d) Dependents of family pensioners shall also be eligible as in the case of service pensioners.

DEPENDENCY HAS THE FOLLOWING MEANING:

a) In case of parents, those who are dependent on the employee for their livelihood;

b) In case of unemployed daughters, those who are unmarried or widowed or divorced or

deserted; and

c) In case of unemployed sons, those who are below the age of 25 years.

d) Disabled Children with a disability which renders them unfit for employment

3) For further clarification, visit EHS Website i.e. http://www.ysraarogyasri.ap.gov.in/web/guest/ehs

To apply EHS Health Cards:

1. Login to the EHS web portal using the URL http://www.ysraarogyasri.ap.gov.in/web/guest/ehs

2. Click on ‘Sign-in’ and Login as Employee/Pensioner with respective User ID & Password as shown in

screen shot I.

Screen Shot I

3. Click on 'Registrations' tab as shown in screen shot II.

Initiate Health Card/View Application:

This is to initially enroll for an health card or to view the already enrolled application.

Initiate New/Rejected Beneficiaries:

This is to add beneficiary or to remove already added beneficiary.

Download Health Card:

For downloading the health card, initially the submitted application has to be approved.

Case Sheet: To check the status of patient health record.

4. Click on Registrations → Initiate Health Card/View Application as shown in screen shot II.

Enter username & password

click 'login'

Login as 'pensioner'

Enter 14 – digit Aadhaar no.

click here to retrieve details

Screen Shot II

5. On clicking on 'Initiate Health Card/View Application' tab, a screen will be displayed

wherein the user(Employee/pensioner) has to provide either Aadhaar No. (or) Aadhaar

Enrollment No. for applying for an Health Card as shown in screen shot III.

Screen Shot III

Click here for applying for health card

6. On selecting either of the radio button(Aadhaar No. (or) Aadhaar Enrollment No.), a text box is

provided for entering the Aadhaar/Aadhaar Enrollment No., Once entered the appropriate

number, click on 'Retrieve Details' button as shown in screen shot III.

7. On clicking 'Retrieve' button, a page will be displayed as shown in screen shot IV wherein all

the mandatory details to be filled by the user which includes personal details, address

details(Residential), identification details, last posting details, pension office details,.

Pensioner Card Application

To save the entered details before submission

Screen Shot IV

To erase the data & re-enter the details

8. After providing the mandatory information, the user needs to 'save' the application form. On

clicking save button, a message will be displayed as 'Enrollment application saved

successfully' as shown in screen shot V.

click here to add beneficiary details

Screen Shot V

9. Once the application form is saved, the user(Employee/Pensioner) has a provision to add

'family member details' as shown in screen shot VI.

Screen Shot VI

DOB below 5years

If DOB below 5yrs, then it requests for DOB certificate & photo

If member disabled 'yes' then it request for disability & disability percent

Reset is to re-enter the data

To submit the added beneficiary details

If DOB above 5yrs, then it requests for aadhaar certificate & photo

ADD BENEFICIARY SCREEN

NOTE: If the dependent family member DOB is below 5years, then it requests for DOB certificate

and Photo.

NOTE: If the dependent family member DOB is above 5years, then it requests for Aadhaar card

certificate and Photo.

NOTE: If the dependent family member spouse is Govt Employee/Govt Pensioner/Others, then it

requests for:

For Example:

If the Spouse is a Government Pensioner:

Govt. Pensioner: it requests for Pensioner ID, HOD, Last Posted District, Pension Office District,

STO Office Unit, Pay Source, PRC, Pay Grade, Aadhaar Certificate & Photo.

If the Spouse is a Government Employee:

Govt. Employee: it requests for Employee ID, HOD, District, DDO Code, Designation, Service, Category,

Pay Source, PRC, Pay Grade, Current Pay, Certificate, Photo & Service Register Attachment.

delete edit

NOTE

Conditions for adding beneficiary:

(1) If the dependent family member DOB is above 5years, then it requests for Aadhaar card

certificate and Photo.

(2) If the dependent family member DOB is below 5years, then it requests for DOB certificate

and Photo.

(3) Beneficiary once added for any relationship, cannot be added twice in dependent family

members details.

(4) Son's age greater than 25 cannot be added. If son is disabled, then age greater that 25 will

be accepted.

(5) Dependent's daughter age greater than 25 is acceptable.

(6) Relationship and Gender must match.

10. After adding the family member details, the user can find few options like:

Save: Save tab is to save the enrolled application.

Reset: Reset tab is to erase the entered data and re-enter the details.

Submit Application: is to submit the filled application form. Once submitted, user

cannot make any changes in the application.

Add attachments: Relevant attachments to be added.

Print Application: In order to print the application, the user should for compulsion

click on save button.

Screen Shot VII

11. Before submitting the application, the user has a provision to 'print the application' for

verification purpose. Once done with verification, the user can submit the application form as

shown in screen shot VIII.

Screen Shot VIII

NOTE: Once the application form is submitted, the user has no provision to modify the details.

12. On clicking 'Submit Application', a message ' Enrollment initiated successfully with

Enrollment ID EMP111111 and signed application form is pending to upload' will be

displayed as shown in screen shot IX.

Screen Shot IX

NOTE

13. Once the enrollment initiated successfully, the user(Employee/pensioner) needs to

attach the signed application form as shown in screen shot X.

Submit for Approval: is to submit the verified application to the concerned person.

Add attachments: is a provision to upload the scanned copy of the signed

application form.

View Attachments: is to view the previously added attachments.

Print/View Application: is to view the printed application.

Screen Shot X

14. On clicking 'Submit for Approval', a message ' Submitted successfully and pending with

trust/DDO for verification' will pop up as shown in screen shot XI.

Screen Shot XI

Process Flow after the user(Employee) submits the application form:

Once the user (Employee) submits the application form, the form moves to concerned DDO for approval.

If the DDO approved the Health Cards will be generated. If the DDO rejects the application, the application

form is sent back to the employee login for verification and resubmit the application.

Process Flow after the user(pensioner) submits the application form:

Once the user(pensioner) submits the application form, the form moves to executive(trust) for approval

process wherein the executive has option to Verify/Reject/On hold/Add attachments/Close.

Verify: Once the application form is verified, the request will go to concerned STO for further process.

STO has an option to either Approve/Reject the application form. If Rejected, it goes back to pensioner

for correction. If Approved, the application form goes to the card vendor wherein the Health card will

be generated for the beneficiary.

Reject: Once the application form is rejected, the application form is sent back to the user(pensioner)

for verification process.

On Hold: Executive has a provision to keep the request 'on hold'. If the request is on hold, it goes to

Team Leader(TL) wherein he has a provision to either Approve/Reject the application form. If

Rejected, it goes back to pensioner for correction. If approves the card will be generated.

EMPLOYEE/PENSIONER ENROLLMENT FOR HEALTH CARD … - [PDF Document] (2024)

FAQs

Do NJ state employees get health insurance after retirement? ›

The Retired Group of the State Health Benefits Pro- gram (SHBP) or School Employees' Health Benefits Program (SEHBP) offers medical, prescription, and dental coverage to certain retiring members and their eligible dependents.

Do retired NJ teachers pay for Medicare? ›

Medicare Part A is paid for while actively employed and Part B is paid for during retirement, usually through a deduction in retirees Social Security checks. State law requires the SEHBP to reimburse these eligible retirees and their dependents for the cost of enrolling in Medicare Part B.

What is chapter 78 in NJ? ›

Effective June 28, 2011, Chapter 78, P.L. 2011 changed the manner in which the State-administered retirement systems (in particular PERS, TPAF, PFRS, SPRS and JRS), and health benefits programs (SHBP and SEHBP) operate and the employee contribution and benefits provisions of these programs.

What is the New Jersey State employee health benefit? ›

The New Jersey State Health Benefits Program (SHBP) and School Employees' Health Benefits Program (SEHBP) offer employees and their covered dependents the opportunity to join a Direct Primary Care doctor's office at no additional cost.

When you retire from a company do you keep your health insurance? ›

There is no break in coverage between your employment coverage and your retirement coverage. If you don't want your health benefits to continue into retirement, you can cancel your coverage through your employer before you retire.

What is chapter 44 in NJ? ›

Chapter 44 freezes the plan designs for the SEHBP until Dec. 31, 2027, allowing no changes to be made until the plan year starting on Jan. 1, 2028. The law requires districts that do not participate in the SEHBP to provide employees and any dependents the equivalent of the NJEHP beginning with the Jan.

What is chapter 48 in NJ? ›

AN ACT concerning health care benefits coverage under the State Health Benefits Program for certain local government retirees and amending P.L.

What is the NJ retirement income exclusion? ›

In order to exclude all or part of the retirement income on your New Jersey return, you must meet the following qualifications below: You were age 62 or older or blind/disabled on the last day of the tax year (disabled as defined by social security administration) Your income listed on line 27 is less than $100,000.

Do government employees get health insurance after retirement? ›

Yes. After you retire, you will still have the opportunity to change your enrollment from one plan to another during an annual open season. You cannot change to another plan simply because you retired.

Who is eligible for NJ state health insurance? ›

Adults age 19-64 with income up to 138% FPL ($1,732/month for a single person and $2,351/month for a couple). In general, immigrant adults must have Legal Permanent Resident status in the US for at least five years in order to qualify for NJ FamilyCare.

How long do you have to work for the state of NJ to get a pension? ›

At least 25 years of service required. Annual Benefit = Years of Service ÷ 55 X Final Average (3 yrs.) Salary. No minimum age; however, if under age of 55, the benefit is reduced 3 percent per year (1/4 of 1 percent per month) for each year under age 55.

How does NJ treat retirement income? ›

Retirement income is taxed as normal ordinary income in New Jersey. There are no special tax rates etc for retirement income. However, NJ tax law does allow for some significant exclusions.

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