What is Bhamashah Swasthya Bima Yojana?
It is a scheme to provide cashless facility to the IPD patients.
For the identified families covered under National Food Security Act (NFSA) and Rashtriya Swasthya Bima Yojana (RSBY).
By the Government (Medical and Health Department)
Through an Insurance Company “New India Assurance Company”
On a fixed premium per family per year on floater basis
Aims of the Scheme
To Hedge Govt. moneys
To provide quality health care that avoids large out of pocket expenditure
To provide financial security against illness
To Improve health status of the State.
To create a data base which could be used to make policy level changes in Healthcare.
To bring a revolution in healthcare in rural area – by providing stimulus to Private Sector to open hospitals in rural areas and reducing the increasing burden on Government facilities .
Salient features of the scheme
Cashless for beneficiary
Only for IPD procedures.
1715 disease packages are covered under the scheme which includes 1148 packages for Secondary illness, 500 for Tertiary illnesses.
67 disease packages are reserved for Govt. Institutions.
For the families covered under NFSA or RSBY.
To be coupled with Bhamashah Scheme.
Treatment through Govt. and accredited private hospitals.
Coverage of Rs. 30,000 for general illnesses and Rs. 3 lakh for serious ailments.
Provision for fund enhancement.
MNDY ,MNJY and MMBPLJRK to continue as usual.
Beneficiaries will be covered for secondary and tertiary illness according to the pre decided package rates.
Pre-existing conditions or diseases will be covered from beginning of the scheme.
Transportation allowance of INR 100 in cash to be given during discharge of the beneficiary with an annual ceiling of INR 500 and shall be a given only for Cardiac & Polytrauma cases.
Transportation allowance is included in the package cost.
Pre hospitalization of 7 days and post hospitalization of 15 days to be covered under the scheme.