Mukhya Mantri Lok Sevak Arogya Yojana (MMLSAY) - Assam State Govt. Health scheme - Service / Pensioner

Mukhya Mantri Lok Sevak Arogya Yojana (MMLSAY) is a health reimbursement scheme launched by the Government of Assam to provide financial assistance for medical expenses to state government employees, pensioners, and their dependents. The scheme aims to streamline the medical reimbursement process through an online portal, ensuring timely and efficient processing of claims.

Mukhya Mantri Lok Sevak Arogya Yojana (MMLSAY)

Launched by: Government of Assam
Purpose: To provide cashless and reimbursed medical treatment to Assam government employees, pensioners, and their dependents.

Key Highlights:

Beneficiaries:
- All permanent employees of the Assam State Government.
- Pensioners of the Assam State Government.
- Dependents (as per Assam Medical Attendance Rules, 2008).
Objective:
- To streamline and digitize the medical reimbursement process.
- To offer cashless or reimbursable medical treatment options aligned with CGHS (Central Government Health Scheme) rates.
Mode of Claim:
- Entirely online through the MMLSAY Portal.
- No physical file movement for medical reimbursement.

Coverage Details:

Category	Coverage Scope
Diseases	All diseases covered under CGHS package rates.
Hospitals	Government and empaneled private hospitals (under Clinical Establishments Act).
Expenses	Consultation, hospitalization, surgeries, critical care, medicines, diagnostics, etc.
Advance Payment	75% advance in case of critical illness (with Board approval).

Contribution Rates (Monthly Subscription):

Grade	Monthly Subscription Amount
Grade IV Employees	₹125
Grade III Employees	₹225
Grade II Employees	₹325
Grade I Employees	₹500

Pensioners:
- They pay a one-time lump sum amount equivalent to 10 years of subscription according to their last held post.

Required Documents for Reimbursement:

Medical bills (original)
Discharge summary
Doctor’s prescriptions
Bank details for claim settlement
Diagnostic reports

Empaneled Hospitals

Assam government hospitals.
Select private hospitals across Assam empaneled under MMLSAY.
Treatment in non-empaneled hospitals is allowed in emergency cases, but requires documentation.

Documents Required

Aadhaar Card: For identity verification.
PAN Card: Used as a primary identifier for employees and pensioners.
Passport-sized Photograph: Recent photo for identification purposes.
Address Proof: Such as an electricity bill or domicile certificate.
Employment Details: Latest salary slip for employees or Pension Payment Order (PPO) for pensioners.
Mobile Number and Email ID: For communication and updates.
Dependent Documents: If applicable, documents proving the relationship with dependents.
- Spouse Aadhaar Card (Mandatory)
- Spouse Relationship Documents / Married Certificate (Mandatory)
- Spouse Individual Photo
- Father / Mother ID Proof (Aadhaar)
- Father / Mother Relationship Documents / Married Certificate (Mandatory)
- Father / Mother Individual Photo
- Son/Daughter Aadhaar Card (Mandatory)
- Son/Daughter Relationship Documents / Married Certificate (Mandatory)
- Son/Daughter Individual Photo
- Family Group Photo
- Nominee Bank Passbook or Cancelled bank cheque

Required Documents for Medical Reimbursement Claims

For submitting a medical reimbursement claim under MMLSAY, the following documents are generally required:

Discharge Summary/Certificate: From the hospital where treatment was received.
Hospital Bills: Final bills and summaries issued by the hospital.
Medical Prescriptions and Reports: Including diagnostic reports and doctor’s prescriptions.
Essentiality Certificate: Certifying the necessity of the treatment.
Referral Certificate: If treatment was referred by another medical board or authority.
Bank Passbook Copy: For processing the reimbursement payment.
Self-Declaration: Stating that no claim has been made from other sources.
Dependent Certificate: If the claim is for a dependent, proof of dependency is required.
Leave Order: If applicable, the leave order for the treatment period.
Legal Heir Certificate: In case the claimant is a legal heir of the beneficiary.
Death Certificate: If the claim pertains to a deceased beneficiary.

How to Register for MMLSAY

Visit the Official Portal: Go to mmlsay.assam.gov.in.
Beneficiary Registration: Click on the “Beneficiary Login/Registration” option.
Enter Details: Provide your employment type, PAN number, and mobile number to validate your account.
Fill Application Form: Complete the form with personal details and upload necessary documents such as Aadhaar card, PAN card, address proof, and passport-sized photograph.
Submit and Acknowledge: After submission, an acknowledgment with a reference number will be generated. You will receive SMS and email notifications regarding the status of your application.

Important Date of Mukhya Mantri Lok Sevak Arogya Yojana (MMLSAY)