WEST BENGAL STATE FUNDING SCHEME(S)
Swasthya Sathi Scheme
State Government
Department of Health and Family Welfare, Government of West Bengal
All cancers
All citizens of West Bengal state. Firstly, applicants should be permanent residents of West Bengal state. Secondly, for applying under this scheme, he/she should not have already registered with any other health-related scheme
All pre-existing diseases are covered. The entire premium is borne by the state government and no contribution from the beneficiary. Online Swathya Sathi smart card is provided to each family on the day of enrollment. Smart card captures the details of the family members, photographs, biometric, address, mobile number, and SECC ID. Management of the scheme is in paperless IT platform from day one. Online empanellment and gradation of hospitals based on the services and infrastructure are available. 100% online pre-authorization with turn around time of 24 hrs. SMS triggers and instant alerts to the beneficiaries on blocking of card. Real-time uploading of e-health record of the beneficiaries on discharge. Claim reimbursement to the hospital with TAT of 30 days else interest are being charged for delayed payment. Online grievance monitoring mechanism. Online triggers and alerts to detect probable frauds with escalation matrix.
Basic health cover for secondary and tertiary care up to INR 5 lakhs per annum per family.
Swasthya Sathi Smart Card
INR 5 lakhs per annum per family. There is no cap on the family size and parents of both the spouses are included. All dependent physically challenged persons in the family are also covered.
The scheme is operated online through the smart card number. Beneficiary will have to install the app to avail its services.
West Bengal Health Scheme
Government - State
Department of Health and Family Welfare, Government of West Bengal
All cancers
West Bengal government sector employees, superannuated employees, family pensioners of Govt. of WB, and central government employees. Click here to download the scheme details: https://wbhealthscheme.gov.in/Home/wbhs_about_scheme.aspx
In addition to the West Bengal Services (Medical Attendance) Rules 1964, with a view to providing better medical facilities to the employees of government of West Bengal, West Bengal Health Scheme, 2008 was introduced. Since 2008 it was known as West Bengal Health Scheme. Since 2014 it is renamed as West Bengal Health for All Employees and Pensioners Cashless Medical Treatment Scheme, 2014. Cost of OPD treatment relating to the indoor treatment incurred during the period of thirty days prior to admission as well as during the period of thirty days after discharge is available for reimbursement. OPD treatment cost is reimbursable in case of certain specified diseases provided treatment done in recognized hospitals. Follow-up medical treatment cost is reimbursable in case of certain specified disease provided treatment done in recognized hospitals. 60% (80% where number of bed is more than 80) of approved cost or actual amount paid whichever is less is reimbursable when treatment is done in non-empanelled hospitals within the state. Cost of certain investigations are reimbursable on the basis of OPD prescriptions of doctors consulted in a recognized hospitals in case of any disease, provided the investigations are done in empanelled hospital/diagnostic centre. Actual cost of treatment, including cost of journey with one attendant, is reimbursable provided treatment is done in certain specified specialty hospitals outside the state.
Cashless indoor treatment facilities up to INR 1 lakh, provided treatment is done in private empanelled hospitals. Reimbursement of indoor treatment cost beyond INR 1 lakh is also available, subject to submission of claim to DDO/PSA.
Service ID card
Cashless indoor treatment facilities up to INR 1 lakh, provided treatment is done in private empanelled hospitals. Reimbursement of indoor treatment cost beyond INR 1 lakh is also available, subject to submission of claim to DDO/PSA.
This scheme is only for the state government employees.
Health Minister's Cancer Patient Fund (HMCPF) of Rashtriya Arogya Nidhi (RAN)
Central Government
Ministry of H&FW, Government of India
All cancers
The “Health Minister's Cancer Patient Fund (HMCPF) within the Rashtriya Arogya Nidhi (RAN)” has also been set up in 2009. In order to utilize the Health Minister's Cancer Patient Fund, the revolving fund as under RAN, has been established in 27 Regional Cancer Centres (RCCs). Such step would ensure and speed up financial assistance to needy patients and help fulfil the objective of HMCPF under RAN. The financial assistance to a cancer patient of up to INR 2,00,000/- (INR Two lakh only) would be processed by the concerned RCC, on whose disposal the revolving fund has been placed. Individual cases, which require assistance of more than INR 2 lakhs is to be sent to the ministry for processing. Revolving funds have been created in all the 27 Regional Cancer Centres (RCCs) and funds upto INR 50 lakhs will be placed at their disposal. The revolving funds will be replenished on fulfilment of conditions regarding submission of utilization certificate and list of beneficiaries.
INR 2 lakhs per treatment cycle
Citizenship documents, income certificate or declaration, etc.
INR 2 lakhs per treatment cycle
Chittaranjan National Cancer Institute, Kolkata
37,S.P.Mukherjee Road,Kolkata-700 026.INDIA
Tel : (Off.)2475-9313/2475-8057
(EPABX) : 2476-5101,5102,5104
Fax : 91-33-2475-7606
[email protected]
Health Minister's Discretionary Grant (HMDG)
Central Government
Ministry of H&FW, Government of India
All cancers
Only those who have an annual family income up to INR 1,25,000 and below are eligible for financial assistance from Health Minister's Discretionary Grant (HMDG).
Financial assistance towards treatment in government hospitals, including super specialty government hospitals/institutes, as per guidelines.
The Central Government Health Scheme
Central Government
Ministry of H&FW, Government of India
All cancers
Applicable for retired central government employees and dependents as well as pensioners, freedom fighters and other specific groups of people. It offers coverage for cancer treatment at approved rates from any hospital, apart from the hospitals set up under CGHS.
Inpatient treatment for all enrolled members at government and empanelled facilities. Cashless treatment at empanelled hospitals and diagnostic centers. Medical investigations conducted at government or empanelled diagnostic centers. Specialist consultations at polyclinic or government hospitals. Outpatient treatment (OPD), including expenses for medications. Reimbursement for emergency medical treatments undertaken at government or private hospitals. Expenses related to maternity, child health services, and family welfare. Expenses incurred for external medical accessories, such as hearing aids, appliances, artificial limbs, etc. Alternative treatment procedures such as ayurveda, homeopathy, siddha, and unani.
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CGHS health insurance card
As per 7th CPC, the contribution per month based on the level include:
For more details, check out this link http://cghskolkata.nic.in/pdf/Frequently%20Asked%20Questions%20about%20CGHS13.pdf
National Health Protection Scheme
Central Government
Ministry of H&FW, Government of India
All cancers
Families who are found to belong to the criteria used as proxies for deprivation as per the Socio Economic and Caste Census (SECC).
The components of the National Health Protection Scheme (NHPS) provides coverage for hospitalization expenses and transportation charges. India's NHPS all assess poverty through multidimensional poverty measures (MPM) that formally target the household level.
Provides coverage up to INR 5 lakhs per family per year for secondary and tertiary care hospitalization.
Biomatric NHP card
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Prime Minister's National Relief Fund
Ministry of H&FW, Government of India
Ministry of H&FW, Government of India
All cancers
The PMNRF provides financial assistance to indigent patients for treatment of major diseases at government/PMNRF empanelled hospitals to partially defray the expenses.
It provides partial coverage for heart surgeries, kidney transplantation, cancer treatment, and more such treatments.
The disbursement out of the fund is made at the discretion of the Prime Minister and in accordance with the Prime Minister's directions.
Two passport size photographs of patient (one pasted on application, another stapled with application), copy of residence proof, original medical certificate mentioning the type of disease, estimated cost of expenditure, and copy of his income certificate.
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List of empanelled hospitals: https://pmnrf.gov.in/en/about/private-hospital-lists
Chief Minister's Relief Fund
Government - State
Chief Minister's Office, Government of WB
All cancers
Applications for sanction of financial assistance from Chief Minister's Relief Fund are processed and examined by the CMRF Cell of Chief Minister's Office.
Health problems which require expensive Medicare.
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[email protected]
(033) 2253 5278
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