It provides free access to medical care in government empanelled 488 hospitals for 971 types of diseases, surgeries and therapies costing up to Rs.1,50,000 per year per family (Rs.2,50,000 only for renal transplant).

The scheme is called successful amid some allegations of hospitals directly or indirectly causing patients to incur out-of-pockets expenses on some part of the treatment.

In 1997, the then Chief Minister of Maharashtra Manohar Joshi started 'Jeevandayee Yojana' for the poor people which covered cost of treatment of very serious illnesses.

Also Rashtriya Swasthya Bima Yojana (RSBY) launched by the Government of India in 2008 had largely failed, while the Aarogyasri health insurance scheme of neighbouring Andhra Pradesh state had become very successful.

[5][10] Statistics of beneficiaries are daily updated on RGJAY Society website which reflects data since 2 July 2012 i.e. since the commencement of the scheme.

The scheme does not cover Above Poverty Line families which holds white ration card.

In emergency case of appendicitis, hospital may admit the patient and RGJAY Society may approve the package mentioned in the policy.

[16] RGJAY Society and NIC has identified eligible hospitals throughout the Maharashtra and has empanelled them to implement this scheme.

NIC and RGJAY Society has connected all of these hospitals through a computer network with dedicated database of beneficiary families.

If all documents are in order, the network hospital admits the patient and sends online pre-authorization request to the insurer NIC which can also be reviewed by the RGJAY Society.

In emergency cases, network hospital can give telephonic intimation to the NIC and approval can be granted immediately.

[20] The process of health camps organizations is coordinated by the RGJAY Society and NIC and MDIndia Healthcare seNices acts as the third-party administrator.

The venue of the health camp is identified by the district collector (or by the additional commissioner in case of BMC).

Organization of health camp is publicised through newspaper advertisements, pamphlets, local cable network, public address system etc.

Network hospital is also required to carry common drugs which includes ibuprofen, paracetamol, aspirin, diclofenac sodium, metronidazole, albendazole, norfloxacin, ciprofloxacin, ampicillin, ranitidine, B-complex etc.

Doctors in health camp are required to carry out following investigations on the patients - hemogram, ESR, BSL, blood group, routine microscopic X-ray, fundoscopy, otoscopy, radiological ECG, USG, vision test, hearing test etc.

If the illness falls within predefined 971 procedures, then free treatment and medicine is given to the patient in the health camp.

Govt may modify criteria of 'minimum 30 beds' to accommodate smaller hospitals in the interior area of Maharashtra.

RGJAY Society denied this claim by stating that 6.62 lakh procedures were carried out, but only 6232 grievances were received which amounts to only 0.94%.