Login to sehis.jharkhand.gov.in with employee credentials

Fill personal details, family members, and upload documents

DDO / Approval authority verifies and approves application

Health card generated and downloadable from portal

Premium (if applicable, Category B) deducted from salary/pension

Patient admitted to empanelled/network hospital

Show SEHIS Health Card at the TPA/insurance desk

Hospital submits pre-authorisation request to insurer

Approval received (2–4 hrs planned; instant emergency)

Treatment proceeds; discharge settled by TPA directly

Collect all original bills, discharge summary, prescriptions

Fill SEHIS reimbursement claim form (download from portal)

Submit to DDO / HR Benefits desk with complete documents

TPA reviews claim within 21 working days

Amount credited to registered bank account

Emergency admission — cashless triggered automatically

Notify SEHIS helpline 1800-3455-027 within 24 hours

Air ambulance covered under special provisions

Submit all transport bills along with claim documents

Approval as per Sankalp dated 24-01-2025 provisions

Login to SEHIS portal → My Profile → Add Beneficiary

Enter family member details and upload Aadhaar/proof

DDO verifies relationship and approves

Beneficiary added to health card within 3 working days

Disabled dependents eligible for lifetime coverage

Raise ticket via SEHIS portal or call 1800-3455-027

District coordinator handles within 3 working days

Escalate to JSAS if unresolved (Jharkhand State Arogya Society)

JSAS Executive Director reviews within 7 days

Resolution communicated via email/SMS