Introduction
Healthcare affordability has been a significant concern for many residents of Rajasthan. In response, the Rajasthan Government launched the RGHS (Rajasthan Government Health Scheme) to ensure that government employees, pensioners, and other eligible beneficiaries can access quality medical care at little to no cost. As of 2025, RGHS has become a lifeline for thousands of families, offering coverage for OPD, IPD, surgeries, diagnostics, and even critical treatments under a well-structured, cashless system.
This comprehensive guide covers everything you need to know about the RGHS scheme in 2025: benefits, eligibility, the list of empanelled hospitals, how to apply, and a detailed FAQ section to clarify common doubts.
Section 1: What is RGHS (Rajasthan Government Health Scheme)?
The Rajasthan Government Health Scheme (RGHS) is a state-level healthcare initiative launched by the Government of Rajasthan. It provides cashless treatment and reimbursement services to:
- State government employees
- Pensioners and their dependents
- Ministers, MLAs, Ex-MLAs
- Judges and judicial officers
- Journalists accredited with the state
Under RGHS, beneficiaries can access treatment at government hospitals and private hospitals that are empanelled under the scheme.
Section 2: Key Features and Benefits of RGHS 2025
- Cashless Treatment:
- Available at all empanelled hospitals
- Covers both OPD (Outpatient) and IPD (Inpatient) services
- Wide Network of Hospitals:
- Includes government hospitals, medical colleges, and private multispecialty hospitals across Rajasthan
- Coverage of Major Treatments:
- Orthopedic surgeries (e.g., knee/hip replacement)
- Cardiac, neuro, oncology, and maternity care
- Dialysis and cancer treatments
- Online Portal and Mobile App:
- For card management, hospital search, OPD booking, and reimbursement claims
- Diagnostics and Medicines:
- Full coverage of essential diagnostics (MRI, CT, blood tests) and prescribed medicines
- Reimbursement Facility:
- In case of non-network treatment (e.g., emergency), reimbursement can be claimed as per RGHS rates
- OPD Booking Facility:
- Advanced appointment scheduling for OPD consultation at select hospitals
- Digital Identity Integration:
- Linked with Rajasthan SSO ID for centralized and secure access
Section 3: Who is Eligible for RGHS?
Eligible categories under RGHS include:
- All Rajasthan Government employees (working)
- Retired pensioners (civil and family pensioners)
- Accredited journalists
- Elected representatives (MLAs, MPs from Rajasthan)
- Ministers, Judges, Ex-MLAs
- Dependents of the above (as per definition: spouse, minor children, dependent parents)
Required Documents:
- RGHS ID card or SSO login
- Proof of employment/retirement (salary slip, pension certificate)
- Aadhar card, family details
- Passport size photo (for card)
- Dependent documents (birth certificate, income affidavit, etc.)
Section 4: How to Apply for RGHS Card in 2025
Step-by-Step Process:
- Visit the official RGHS portal: https://rghs.rajasthan.gov.in
- Login via SSO ID (Single Sign-On Rajasthan portal)
- Select RGHS > Registration Form
- Fill in personal and family details
- Upload relevant documents (ID proof, service certificate, etc.)
- Submit the application
- Once approved, you can download or print the RGHS card
Offline Assistance:
- Visit the nearest e-Mitra center for help with the application
- Hospitals also offer help desks to assist patients in generating cards
Section 5: RGHS Empanelled Hospitals in Rajasthan (2025 Updated List)
RGHS has a growing list of empanelled hospitals across Rajasthan including:
Top Cities with Maximum Coverage:
- Jaipur: SMS Hospital, Mahatma Gandhi Hospital, Jaipur Hospital, EHCC, Narayana Multispecialty
- Jodhpur: AIIMS Jodhpur, Medipulse Hospital
- Udaipur: GBH American Hospital, Paras Hospital
- Kota: MBS Hospital, Sudha Hospital
- Ajmer, Bikaner, Sikar: Each has a set of empanelled hospitals covering multiple specialties
Where to Find the Full List?
- Visit https://rghs.rajasthan.gov.in → Empanelled Hospitals section
- Use the search tool on RajOrthoExperts.in for orthopedic hospital listings
Section 6: Treatments Covered Under RGHS
- Joint Replacement (Knee, Hip)
- Spine Surgeries
- Fracture Fixation and Bone Surgery
- Dialysis
- Heart Bypass (CABG)
- Chemotherapy, Radiotherapy
- Cataract Surgery
- Maternity & C-Section
- ENT Surgeries
- Hernia, Appendix, Gallbladder surgeries
- Pediatric Care
Excluded Treatments:
- Cosmetic surgeries
- Fertility treatments
- Experimental procedures not listed in the approved packages
- Organ transplant surgeries (except in specific emergency approvals)
Section 7: RGHS OPD Facility & Booking Process
- Patients can book OPD appointments online
- Login through SSO > Select Hospital > View OPD slots
- Choose Doctor and Time Slot > Confirm Booking
- SMS/Email confirmation is sent
Tip: Book OPD in advance for major hospitals as slots fill up quickly
OPD can also be availed by walk-in at government hospitals (subject to queue system).
Section 8: RGHS Reimbursement Process
When to Claim Reimbursement?
- Emergency treatment taken outside RGHS network
- Partial payments at semi-empanelled hospitals
Documents Needed:
- Original bills and prescriptions
- Discharge summary
- Hospital ID, treatment details
- Reimbursement Form (download from portal)
- Doctor’s prescription (if pre-approved treatment is bypassed)
Submission:
- Online via portal or submit physically to DDO office
- Processing time: Usually 15–30 days
- Status can be tracked online
Section 9: RGHS Contact and Helpline Info
- Helpline: 104 (Toll-free)
- Email: rghs.helpdesk@rajasthan.gov.in
- SSO Portal: https://sso.rajasthan.gov.in
Local RGHS Cell Contacts:
- Jaipur Division: Available at SMS Hospital Helpdesk
- Other cities: Available at Medical College or District Hospitals
Section 10: Detailed FAQs About RGHS Scheme (2025 Edition)
- Can private employees apply for RGHS?
No, RGHS is exclusively for Rajasthan Government employees, pensioners, and listed beneficiaries like MLAs and accredited journalists. - Are medicines free under RGHS?
Yes, all essential medicines prescribed by a doctor during OPD or IPD treatment are covered and provided at no cost. - Can I use RGHS outside Rajasthan?
No, treatment is allowed only in empanelled hospitals within Rajasthan. Exceptions are made only in life-threatening emergencies with prior approval. - Can I add new family members after generating the card?
Yes. You can log into the SSO portal, go to RGHS dashboard > Family Details > Add Dependent. - How long does RGHS card approval take?
Usually within 3–7 working days after successful online submission and verification. - Is pre-authorization needed for surgeries?
Yes, most major surgeries require prior authorization from RGHS authorities, usually coordinated by the hospital. - What happens in case of emergency hospitalization?
You can receive treatment immediately. Later, either cashless can be regularized or reimbursement can be claimed with emergency certificate. - Is there any age limit for dependents?
Yes. Children are eligible until age 25 (if unmarried). Parents are covered only if financially dependent. - How to update mobile/email linked to RGHS?
Login via SSO > Profile Section > Edit Contact Info. Update and save changes. - Can RGHS be used for mental health services?
Yes, consultations, medicines, and counseling sessions are covered at approved facilities. - How to correct wrong data in the RGHS card?
Submit an online correction request via SSO or contact your DDO with valid proof. - What if my card is not accepted at a listed hospital?
Immediately report to RGHS helpdesk at 104 or file a grievance through the RGHS portal. - Can I appeal a rejected reimbursement claim?
Yes, you can file an appeal with supporting documents through your DDO or RGHS grievance cell. - Are diagnostic centers also listed under RGHS?
Yes. Many diagnostic labs are empanelled and offer services like MRI, CT, X-rays under cashless facility. - What is the role of the DDO in RGHS claims?
Drawing and Disbursing Officers (DDOs) verify and forward claims, corrections, and card approvals for employees. - Are dental surgeries covered?
Only medically necessary dental surgeries (not cosmetic) like fracture, cyst removal are covered. - Is maternity covered for daughters of pensioners?
No, only the primary beneficiary (and their wife) is eligible for maternity coverage. Daughters are not. - Can I get reimbursement if I forgot to swipe the RGHS card?
Yes, but only if valid reason and documentation are submitted, subject to approval by RGHS. - How often should I renew the RGHS card?
Typically, once a year. Notifications for renewal come via SMS or email through the portal. - Where can I download treatment package rates?
From the official RGHS portal under ‘Approved Packages’ section: rghs.rajasthan.gov.in
Conclusion
The RGHS scheme has become a game-changer in making quality healthcare accessible to lakhs of people in Rajasthan. Whether you need a small OPD consultation or a major surgery like a knee replacement, RGHS offers comprehensive, affordable, and cashless services at top hospitals.
For detailed listings, updates, and help in choosing the right hospital, keep visiting RajOrthoExperts.in — your trusted guide for orthopedic healthcare under government schemes.
Need help booking a surgery or OPD? Contact us on WhatsApp or use our free RGHS hospital search tool.