Jaipur Sports Doc
RGHS & Cashless

RGHS and Cashless Orthopedic Treatment in Jaipur

Yes, planned orthopedic surgery can run on RGHS or cashless insurance at Shalby Hospital, Vaishali Nagar, where Dr. Abhishek Saxena operates. As of November 2026, the hospital's published list names RGHS, MAA Yojana and 24 insurers. Cover depends on your scheme and procedure, so share your card before planning surgery.

Schemes

Which schemes the hospital lists

RGHSRajasthan government employees, pensioners, ministers, MLAs, All India Services officers, and eligible employees of state bodies and their familiesOn the hospital's published list
MAA YojanaFamilies enrolled in the Rajasthan state schemeOn the hospital's published list
Bhamashah Swasthya Bima YojanaFamilies enrolled in the Rajasthan state schemeOn the hospital's published list. Ask whether it still applies to you.
CGHSCentral government employees, pensioners and their dependantsNot on the published list. Ask before planning.
ECHSEx-servicemen and their dependantsNot on the published list. Ask before planning.
Ayushman Bharat PM-JAYEligible families with an Ayushman cardNot named on the published list. Ask before planning.
Private health insurancePolicyholders with a cashless networkSee the insurers below
Corporate and PSUEmployees of tied-up organisations, including SBI, RBI, BSNL, FCI and GAILOn the hospital's published list. Check yours.

Source: Shalby Hospital Jaipur's insurance and TPA page, checked 4 November 2026. Lists change, so confirm yours before admission.

Insurers

Insurers and TPAs listed by the hospital

Government schemes

  • Rajasthan Government Health Scheme (RGHS)
  • MAA Yojana
  • Bhamashah Swasthya Bima Yojana

Insurers

  • Aditya Birla Health Insurance
  • Bajaj Allianz General Insurance
  • Cholamandalam MS General Insurance
  • Cigna TTK Health Insurance
  • Future Generali India Insurance
  • Go Digit General Insurance
  • HDFC ERGO General Insurance
  • ICICI Lombard General Insurance
  • IFFCO Tokio General Insurance
  • Liberty General Insurance
  • Max Bupa Health Insurance
  • National Insurance
  • Navi General Insurance
  • Park Mediclaim Insurance TPA
  • Reliance General Insurance
  • Royal Sundaram Health Insurance
  • SBI General Insurance
  • SBI Life Insurance
  • Star Health & Allied Insurance
  • The New India Assurance
  • The Oriental Insurance
  • United India Insurance
  • Universal Sompo General Insurance
  • VH Medcare

TPAs

  • Health India Insurance TPA Services
  • Paramount Health Services & Insurance TPA

Listed names can change, and a tie-up does not guarantee your own policy will be approved. See Shalby's current list

Partner hospital

Where scheme and cashless treatment runs

Scheme and cashless admissions run through the insurance desk at Shalby Multi-Specialty Hospital, 200 Feet Bypass Road, near Gandhi Path, Chitrakoot Sector 3, Vaishali Nagar. See the Vaishali Nagar clinic page for directions.

Consultations at Arthrogenix Clinic, Durgapura are paid directly. If you are planning surgery on a scheme or insurance, tell the team when you book so your documents can be checked first.

Documents

Documents to keep ready

  • RGHS: your RGHS e-card or Jan Aadhaar card, and your SSO ID
  • RGHS employees and pensioners: your employee ID or pension details
  • Private insurance: your insurance card or policy number, and photo ID
  • CGHS and ECHS: first ask the desk whether your scheme can be used here, then bring your card and any referral it requires
  • Doctor's advice for surgery, with your MRI, X-ray and test reports
Claim steps

How a cashless admission works

  1. 1

    Share your documents

    Send your card or policy details and reports to the team on WhatsApp, or bring them to your consultation.

  2. 2

    Consultation and plan

    Dr. Saxena confirms the diagnosis and the procedure, which the approval request needs.

  3. 3

    Approval request

    At the hospital's desk, show your card. The hospital requests approval from the scheme or insurer where required.

  4. 4

    Admission and surgery

    Once approved, you are admitted on the planned date. Check the approved amount before admission.

  5. 5

    Settlement

    The scheme or insurer settles eligible costs directly with the hospital. You pay for anything not covered.

What is covered

Which procedures are covered

Cover depends on your scheme's package and your policy wording, not on the procedure's name alone. Planned operations often discussed for cover include ACL reconstruction, knee arthroscopy, meniscus repair, rotator cuff repair, and knee and shoulder replacement.

Before you plan, ask about the approved amount, implant limits, room category and any charge not covered. Many private policies have waiting periods for joint replacement. RGHS cashless treatment is settled at prescribed rates, and its official helpline is 181.

FAQs

Questions patients ask

Dr. Saxena operates at Shalby Hospital, Vaishali Nagar, which lists RGHS on its published tie-up list as of November 2026. Share your RGHS e-card or Jan Aadhaar card with the team before planning so your eligibility and package can be confirmed.

RGHS cashless treatment is available at government hospitals and empanelled private hospitals, so check the hospital first. Dr. Abhishek Saxena operates at Shalby Hospital, Vaishali Nagar, listed for RGHS as of November 2026. The official RGHS helpline is 181.

Shalby Hospital Jaipur lists 24 insurers and 2 TPAs as of November 2026, including Star Health, HDFC ERGO, ICICI Lombard, Bajaj Allianz, New India Assurance and Max Bupa. See the full list on this page and confirm your policy before admission.

They are not on Shalby Hospital Jaipur's published tie-up list as of November 2026. Ask the team or the hospital's desk before planning treatment, because lists change and your scheme may have its own referral rules.

Ayushman Bharat PM-JAY is not named on Shalby Hospital Jaipur's published list as of November 2026, though MAA Yojana, Rajasthan's state scheme, is listed. Ask the hospital's desk about your card before planning treatment.

Consultations at the Durgapura clinic are paid directly. Scheme and cashless admissions run through Shalby Hospital, Vaishali Nagar. If you are planning surgery on cover, tell the team when you book.

It varies with the scheme, insurer and paperwork. For planned surgery, start the process several days before your preferred date, and keep your reports and card details ready to avoid delays.

Possibly. You pay for anything outside the approved amount, such as a higher room category, implants above a limit, or items your scheme or policy does not cover. Ask for the approved amount before admission.

Book Appointment

Check your cover before you plan

Send your card or policy details and your reports. You will get clear next steps before you commit.

Request an Appointment

Send your details and the team replies on WhatsApp.

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