The Government of Rajasthan launched the Chiranjeevi Swasthya Bima Yojana (CSBY), a state-sponsored health insurance scheme, in September 2019. The objective was to provide affordable health care to the entire state population, regardless of socioeconomic status. The enrolment and delivery of this system warrant the use of digital pathways to increase accessibility and enhance beneficiary engagement. This study attempts an appraisal of digital mechanisms of CSBY regarding its enrolment process and beneficiaries' access to it. Simultaneously, it explores the benefits and challenges of implementing this scheme digitally.  A prospective, randomized cluster survey was carried out among patients and their families, health care workers, and personnel involved in the delivery of CSBY. To study the respondents, a 5-point Likert-scale research tool was developed, comprising questions on selected factors related to the enrollment process. For research variables, effective healthcare delivery factors (process time, process efficiency, transparency, digital infrastructure) were extracted using Exploratory Factor Analysis (EFA). Multiple linear regression was used to assess how these variables influenced healthcare efficiency. To seek beneficiaries' opinions on the benefits and challenges of CSBY, telephonic and personal interviews were conducted. Results revealed that, if further improved, process efficiency and digital infrastructure would foster effective healthcare delivery through CSBY across Rajasthan.