Eligible state employees register via the SEHIS web portal (sehis.jharkhand.gov.in) or the official Android app. Applications are approved by the designated approval authority.

• Steps to enrol:
• Open sehis.jharkhand.gov.in or install the SEHIS Android app
• Click 'Register Here' if you are a new user
• Enter your mobile number and set a password
• Verify the OTP sent to your registered mobile
• Select 'Applicant' on the login screen and check EMPLOYEE
• On the dashboard, click 'New Application'
• Select your category (A, B, C or Pensioner)
• Enter your GPF/CPF/PPO number to auto-fill personal data
• Fill all mandatory (*) fields including family details
• Add dependents under the Dependents tab
• Verify OTP and submit — acknowledgement is generated
• Application goes to DDO for review and approval

What Documents Are Required for SEHIS Enrolment?

• Aadhaar card (self and all dependents)
• Service book / GPF or CPF number (Category A employees)
• PPO number (for Pensioners)
• Registered mobile number (mandatory for OTP verification at every step)
• Bank account details — account number and IFSC code (for reimbursement claims)
• Disability certificate, if any dependent has a disability (enables lifetime coverage)
• Marriage certificate for spouse; date of birth proof for children
• Income / dependency proof for parents

Yes — an employee can self-edit an application while its status is PENDING. Once approved, only the DDO can initiate a correction.

Self-edit (while PENDING):

• Login → Dashboard → find your application row
• Click the 'Edit' button (visible only when status is PENDING)
• Verify OTP sent to your registered mobile
• Update the required fields and click Submit
• All edits are logged in applicant history

After DDO approval (correction required):

• The employee cannot self-edit an approved application
• Contact your DDO to initiate an 'Application Correction'
• DDO unlocks via OTP, edits fields, fills reason, and resubmits
• All corrections are permanently logged with timestamp and reason

When transferred to a new office, your SEHIS application must be re-linked to the new DDO.

Transfer Application:

• Login → Dashboard → click 'Transfer Application' in the left-side menu
• Enter your GPF / CPF / PRAN / PPO / Unique Reference number
• The system fetches your current application details
• Confirm and submit — application moves to new DDO's queue

Transfer DDO (without moving the full application):

• Use 'Transfer DDO' from the dashboard menu
• Only the assigned DDO changes; all application data remains intact

Category A — Compulsory: All current serving state government employees and sitting MLAs. Enrolment is mandatory; no premium payment required.

Category B — Voluntary: Retired state employees/pensioners, ex-MLAs, AIS officers, Board/Corporation employees, university staff, and their dependents. Premium payment required for activation.

Category C: Advocates registered under the Jharkhand Advocates Welfare Fund Trustee Committee at High Court level.

• Spouse (legally married)
• Children up to 25 years of age if unemployed
• Unmarried daughters (any age) and widowed daughters
• Dependent parents (financially dependent on the employee)
• Disabled dependents — lifetime coverage regardless of age

Category C covers advocates registered under the Jharkhand Advocates Welfare Fund Trustee Committee at High Court level. Review is handled by Verifiers — not DDOs.

• Login → New Application → Select Category C
• Enter your Unique Reference Number (Bar registration number)
• Verify OTP to fetch archived data; fill all mandatory (*) fields and submit
• Application moves to the assigned Verifier's queue (not DDO)
• Verifier can approve, return for correction, or edit the application
• OTP + reason required at every Verifier action

Key difference: No DDO or HOD review — Verifiers manage the entire flow for Category C under State Admin oversight.

For cashless treatment at empanelled hospitals, the hospital coordinates directly with the TPA. No out-of-pocket payment for covered treatments.

Planned admission:

• Confirm the hospital is in the SEHIS empanelled network before admission
• Show your SEHIS Health Card at the insurance/TPA desk on arrival
• Hospital sends a pre-authorisation request to TPA/insurer
• Approval within 2–4 hours for planned procedures
• Discharge formalities are handled entirely by the hospital's TPA desk

Emergency admission:

• Go to the nearest empanelled hospital immediately
• Pre-authorisation is granted instantly; notify TPA within 24 hours
• Call helpline 1800-3455-027 if you face any issue at the hospital desk

When treatment is taken at a non-network or non-cashless facility, you can submit a reimbursement claim after discharge.

• Collect all original hospital bills, receipts, discharge summary, and prescriptions
• Submit completed SEHIS claim form with all documents to HR Benefits / DDO office
• TPA reviews the claim within 21 working days
• Approved amount credited directly to your registered bank account
• Claims must be submitted within 90 days of discharge date

Document checklist:

• Original hospital bills and payment receipts
• Discharge summary from the treating hospital
• Doctor's prescriptions and investigation reports
• Completed and signed SEHIS reimbursement claim form
• Copy of SEHIS Health Card; cancelled cheque or bank details (if first claim)

Claim Intimation officially notifies the scheme of an ongoing or upcoming hospitalisation through the portal.

• Login to your employee/pensioner dashboard
• Click 'Claims' → 'Claim Intimation'
• Enter hospital name, admission date, and diagnosis/treatment details
• Upload supporting documents if available
• Click 'Verify & Submit' → OTP sent to registered mobile
• Enter OTP and submit — claim is registered in the system
• Track status under 'Claim History' on the dashboard
• Full details available on the 'Claim Details' page

OTP is mandatory for every claim submission using your SEHIS-registered mobile number.

For treatment at non-network or non-cashless facilities:

• Collect all original bills, discharge summary, prescriptions
• Submit claim form with documents to HR Benefits / DDO
• TPA reviews within 21 working days
• Amount reimbursed to registered bank account
• Claims must be submitted within 90 days of discharge

Monitor all past and active claims through the applicant dashboard at any time.

• Login → Dashboard → Click 'Claims' in the left-side menu
• Claim History — lists all submitted claims with current status
• Claim Details — shows patient info, treatment details, and TPA response

Common claim statuses:

• Submitted — Claim filed, awaiting TPA review
• Under Process — TPA is reviewing documents
• Approved — Claim accepted; reimbursement in progress
• Settled — Amount credited to your registered bank account
• Rejected — Claim not approved; reason provided by TPA
• Pending Documents — Additional documents required by TPA

For serious/critical illnesses (गंभीर बीमारियाँ), the sum insured is enhanced to ₹10 lakh beyond the standard limit.

Covered conditions include:

• Cancer (various stages and types)
• Organ transplant — kidney, liver, heart, bone marrow
• Cardiac surgery including open heart, bypass, valve replacement
• Neurological procedures — brain surgery, spinal procedures
• And many more conditions listed in Sankalp Annexure A

• Download Sankalp_annexa.pdf from the Downloads section on the SEHIS portal
• Available at sehis.jharkhand.gov.in without login
• Category A & B both receive this enhanced ₹10 lakh coverage

SEHIS provides a family floater cover — all enrolled members share the annual limit.

• General hospitalisation: ₹5 lakh per family per year (floater basis)
• Critical illness (Annexure A): Enhanced to ₹10 lakh
• Air ambulance / air travel: Covered in special emergency circumstances

Floater basis means: all enrolled family members share the ₹5 lakh annual limit; any one member can use the full amount if needed. Critical illness creates a separate enhanced pool up to ₹10 lakh.

• Disabled dependents — lifetime coverage regardless of age
• Children — covered up to age 25 if unemployed
• Pensioners — cover activates only after premium payment is completed

• Spouse (legally married)
• Children up to 25 years of age if not employed
• Unmarried daughters (any age) and widowed daughters
• Dependent parents financially dependent on the employee
• Disabled dependents — lifetime coverage regardless of age or employment

Adding dependents on the portal:

• Dashboard → click 'Dependents' on the application row
• Click 'Add Dependent' → fill required details → Save
• Edit and delete options available; OTP required for edits
• DDO must also review and approve each dependent entry

Use the Hospital Search section to find network hospitals. You can also visit sehis.jharkhand.gov.in/home/hospital-details

• Search by city, district, or speciality
• Filter by cashless eligibility
• RIMS Ranchi and Rajendra Institute are government referral hospitals
• For queries: call helpline 1800-3455-027 (toll-free)

Use the Hospital Search section on the portal to locate SEHIS network hospitals by location or speciality.

• Visit sehis.jharkhand.gov.in/home/hospital-details — no login required
• Search by city, district, or medical speciality
• Filter by cashless eligibility to see only cashless-enabled hospitals
• RIMS Ranchi and Rajendra Institute are government referral hospitals
• Always confirm empanelment status before planned procedures
• Call helpline 1800-3455-027 (toll-free) for hospital queries
• For emergencies, visit the nearest empanelled hospital; notify TPA within 24 hours

Cashless (empanelled hospitals only) — strongly recommended:

• No upfront payment required from you
• Hospital coordinates directly with TPA for billing
• Pre-authorisation within 2–4 hours (planned) or instantly (emergency)
• No paperwork burden on the patient during hospitalisation

Reimbursement (any hospital):

• You pay the full hospital bill upfront
• Submit claim with original documents within 90 days of discharge
• TPA processes within 21 working days; money credited to your bank account
• More documentation required and longer processing time

Always use cashless when the hospital is in the network. Use reimbursement only when cashless is unavailable.

• Employee / Applicant: Submits applications, edits (while PENDING), adds dependents, files claims, transfers application and DDO, downloads acknowledgement
• Pensioner: Same as Employee, with additional premium payment step for activation
• DDO: First-level reviewer for Category A and Pensioner applications in assigned office. Can approve, return, correct, and bulk approve
• HOD: Manages Category B/C ecosystem — adds Sub-HODs, Verifiers, and Offices. Approves/returns Category B applications
• Verifier: Reviews Category B and C applications and dependents on behalf of HOD. Can approve, return, edit
• State Admin: Scheme-wide oversight, final approval authority, analytics dashboard access, manages HODs for B and C categories

Login type by role: Employee/Pensioner → 'Applicant' | DDO → 'DDO' | HOD/Verifier/Admin → 'Official'

• Go to sehis.jharkhand.gov.in
• Click 'Forgot Password' on the login page
• Enter your registered mobile number and click Submit
• Enter the OTP sent to your registered mobile number
• Forgot Password form opens — enter new password and re-enter to confirm
• Click Submit — password is updated immediately
• Return to login page and login with your new password (OTP required again)

If you no longer have access to your registered mobile number, contact the helpline at 1800-3455-027 for manual password assistance.

• Login to your SEHIS account
• Look for 'Change Password' in the left-side menu
• Enter your current password
• Enter and confirm the new password
• Submit — password is updated immediately

Always logout after each session, especially on shared or public computers. The Logout button is available in the left-side menu.