Swasthya
Sathi
Scheme at a Glance:
West Bengal Govt was announced Swasthya Sathi in
year 2016 vide Cabinet No. 2625 dated 17th February 2016 and Finance
Department notification No. 1104-F (P) dated 25th February, 2016.
However this scheme was officially launched by Hon’ble Chief Minister, Mamata Banerjee
of West Bengal on December 30, 2016.
Objectives:
The objectives behind launching Swasthya Sathi Smart
Card with Cashless Health Scheme is to help residents of Paschim Bangla (WB) to
issue cashless treatment with free of cost.
Salient Features of the Scheme:
ü The
entire premium will be borne by the Govt of West Bengal there no contribution to
be taken from the beneficiary.
ü Health
coverage for minor and superior care up to Rs. 5 lakh per annum per family irrespective
of Upper, Lower & Middle Class.
ü All
type of diseases are covered under this scheme whether it pre or post existing.
ü Entire
family members including parents, spouse and dependent physically challenged
persons are covered under this scheme.
ü Online
Swathya Sathi Smart card is being provided to each and every family on the very
fast day of Enrolment. Smart Card captures the details of the insured person ,
Photo, biometric, address, Contact Number etc which will be provided later on.
ü Any
once can access this scheme through online IT platform from day one.
ü Instant
SMS alerts to the beneficiaries on blocking of card
ü Real-time
updating of E-health record of the beneficiaries on their discharge from the
hospital / health centre.
ü Settlement
of Claims to the hospital with TAT of 30 days beyond to this interest as applicable
will be charged for delayed payment.
ü This
Scheme is Paperless, Cashless, Smart Card based.
Who can apply to this Scheme:
1. All
family members those are residents of West Bengal irrespective of Caste &
Class.
2. Members
of SHG, ASHA & ICDS. This will also cover self help group members
3. Casual
and Contractual employees of Govt of West Bengal
4. Civil
volunteers
5. Volunteers
work under Disaster Management, Home Guard and Civil Defence
6. Doctors
working under Homeopathic, Ayush and Unani & RBSK will also cover under
this scheme
7. Panchayet
8. All
ex-RSBY Card Holders
9. Govt
employees who have not covered under Mediclaim are also eligible to avail this
benefit
10. Those
who have not enrolled under any other health scheme will be eligible to enrol
under this Swasthya Sathi scheme.
How to apply Swasthya Sathi Scheme:
1. Go
to nearest health centre/Camp/Hospital to apply for the scheme, gradually
applications for this scheme will take place in offline mode as of now.
2. After
receiving the enrolment FORM-B (Application for enrolment under Swasthya
Sathi) fill all the blanks carefully and attached photocopy of all
supporting documents as prescribed in the scheme and submit to nearest centre/Camp/Hospital.
Please carry ORIGINALS for verification.
3. On
receiving filled up application form the agent will help people to fill
registration form online and submit the same. Upon submission of enrolment form
system will generate an ID & Password of the applicant.
4. The
Smart Card under Swasthya Sathi Scheme will be generated via official portal.
The applicant can acquire digital SMART CARD later on logging into to the
online portal.
Benefit under Swasthya Sathi scheme:
1. Paperless
2. Cashless
3. Smart
Card
4. Free
of Cost treatment
5. Insurance
premium borne by WB Govt
6. Coverage
sum Rs. 5 Lakh
Important
Links
