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Share your views on Sanjeevani Swasthya Bima Yojana in Daman and Diu U.T.

Share your views on Sanjeevani Swasthya Bima Yojana in Daman and Diu U.T.
Start Date :
Feb 15, 2016
Last Date :
Apr 01, 2017
00:00 AM IST (GMT +5.30 Hrs)
Submission Closed

Introduction ...

Introduction

"Sanjeevani Swasthya Bima Yojana" is a comprehensive Health Insurance Scheme launched by the Administration of Union Territory of Daman & Diu for the resident citizens of Daman and Diu.

The insurance coverage is provided by Public Sector General Insurance Company-United India Insurance Co.Ltd and claims services will be provided by MDIndia Healthcare Services(TPA)P.Ltd.

Objectives

The basic objective of Sanjeevani Swasthya Bima Yojana Health Insurance Scheme is to to improve access of families with a lower income to quality health care services.The following beneficiaries are identified who are eligible for the scheme:

1. BPL (Below Poverty Line) families
2. Domicile families whose family income is below 1lakh/annum.
3. Other residential families (APL families etc)

What are the Benefits provided to the beneficiaries?

• Cashless access service is provided so that the beneficiaries do not have to pay any sum prior to and post availing of services. The same are covered under the Comprehensive Health Insurance Scheme (CHIS).
• The scheme provides coverage of hospitalizations and surgeries procedures,upto Two lakh rupees per year for each family. The total amount of reimbursement can be availed individually or collectively by the family members per year.
• Coverage of Health services and pre-existing diseases are provided on a day care basis.
• The hospital stay one day prior to hospitalization to 5 days from discharge date, along with food allowance shall be a part of the package rate.
• This policy is also extended with Death insurance , including accidental death and disability benefit of one lakh rupees per person .Disability insurance will be covered as follows:

1. Permanent total disability due to accident: One lakh rupees per individual.
2. Loss of one eye/limb in accident-Rs.50000/- per individual.

• Maternal care and newborn child will be covered. If the newborn is sixth Member in the scheme, then also he/she shall be covered upto the discharge of the mother from hospital.

What is the process of Enrollment of Beneficiaries?

All the beneficiary families are issued Smart Cards with Bio Metric images of all family members captured in presence of Government Authorities through enrollment stations at all major locations-Taluka and village wise, announced through local representative and media and beneficiary can remain present with required document to give their bio metric images and photo with all family members,Smart card will be issued by authorized agencies on the spot.

The beneficiary will have to avail only network hospitals services where this smart card should be produced and thumb impression done to validate identification. The hospital will fill all the details of treatment and package codes and the cost will be paid directly to the hospital as per the package charges.

UT Administration will pay the premium for the BPL (Below Poverty Line) families and the Domicile Families with below one lakh/annum income, whereas the other residential families will pay the premium amount to avail the services.

What is the validity period of the scheme?

This policy is issued for a period of 1 year and will be renewed under contract for 3 years.

The Department of Health, Daman and Diu U.T. is inviting comments in this regard so that significant ideas can be co-opted and access to the beneficiaries can be improved.

The last date for submissions of suggestions is 31st March, 2017.

Showing 75 Submission(s)
Aravind Pezholil
Aravind Pezholil 9 years 2 months ago

Guruvayur Devaswom Buildings and Marriage Hall : The staff employed in the Dewaswom Buildings are not taking proper bookings for the devotees to stay. Instead they are blocking the rooms reservations and collect extra money ( without receipts ) during peak seasons. Poothanam Auditorium is a good Air Conditioned Hall for the marriage purposes or conferences but the food serving area is not furnished properly and also not air conditioned considering the income generated from there.

Aravind Pezholil
Aravind Pezholil 9 years 2 months ago

We are from Guruvayur. Guruvayur Devaswom has good deposit in Banks. The money is unutilized pr0perly. They have sufficient land to open a Medical College. Guruvayur Dewaswom has a Hospital which is not properly equipped with medicine, staff and facilities to stay inside. Please check about it

ballabh.kanti@rediffmail.com
Kanti Ballabh 9 years 2 months ago

The scheme is very good and beneficial for families enrolled by the Govt. The success depend upon the data prepared by the dept. It is seen that 30% data is wrong with the result expected Smartcards are not issued. If issued, the beneficiary is not at the given address therefore can't get benefit. Monitoring by the dept. responsible for implementation of scheme is must and should not blame Insurer only. Misuse of Smartcard will tantamount to corruption, hence Monitoring Team is must.

kktnair@gmail.com
KKT Nair 9 years 2 months ago

Sir,

It is very good plan to help especially the poor. But the very sad situation in Kerala is that most of all bankers does not interest to sell to public. Better to say that they are ignoring the clients who asks. So please do the needful.

sandeep jain_36
sandeep jain_36 9 years 2 months ago

this is a good scheme and should be applicable to everybody. but before implementing this scheme we need to ensure that we have hospitals available to implement this scheme. also TPA should not be allowed to administer this scheme.
also this should be applicable 24x7 to make it efective

dguha1952@gmail.com
DEBASISH GUHA 9 years 2 months ago

All this projects can be successful if we have people participation. One hand govt/ ngo did not have fund to invest .Therefore it is requested sr.citizen who are active or retired and age is within 70 years can be roped in for specific job like adminitration ,accounting ,inspection ,training etc. modules can be made and SR citizen can be roped in with honorable terms and condition. He can work from his house and contribute in the module. ost will be 10% of originally thought of /

jaspal_16
jaspal_16 9 years 2 months ago

In India traffic is the major problem. If at any place there is a traffic than it should be intimated or depicted at all red lights within the diameter of 1 Km that if u turn Right or Left than at that place there is heavy traffic. So that passenger can take alternate route to save time & petrol.

Mohan gowda_1
Mohan gowda_1 9 years 2 months ago

Hello this mohan.a from Bangalore we all know that garbage is a main problem in Bangalore sir you made a suggestion of dry and wet wastes but no one is following the instructions so that if u charge a severe actions on it this would be in a move.And aprt that we can held our farmers from this,wevcan produce manure from the wet wastes so it would be easily gets decomposed and the problem will be solved easily,so that there will be a very big support for the farmers so that the soil will be healty

kamalakannan narayanan
KAMALA KANNAN NARAYANAN 9 years 2 months ago

இந்தியா சுதந்திரம் பெற்று 69 ஆண்டுகள் ஆகிறது. தொழில்நுட்ப துறையில் அசூர வளர்ச்சி அடைந்தாலும் பள்ளிக்கல்வித் துறையில் மெதுவான முன்னேற்றமே உள்ளது. அடிப்படை மாற்றமாக அனைத்து வகுப்பறைகளில் கரும்பலகைகள் black board ஒழிக்கப்பட்டு smart class வகுப்புகள் ஏற்படுத்தப்பட வேண்டும். மாணவர்கள் கல்வியில் ஏற்படும் இந்த மாற்றம் இந்தியாவின் வளர்ச்சிக்கு மிகப்பெரிய முன்னேற்றம் மற்றும் மகோன்னத வெற்றிக்கு வழி வகுக்கும் என்பதை நம்பிக்கையுடன் பதிவு செய்கிறேன். வந்தேமாதரம், ஜெய்ஹிந்த்.

kamalakannan narayanan
KAMALA KANNAN NARAYANAN 9 years 2 months ago

ஜெய் ஹிந்த், வேலையில்லா படித்த இளைஞர்கள் அரசு பணிக்கு விண்ணப்பங்கள் வாங்கும் போது அதற்கான கட்டணங்களை வங்கியில் செலுத்தும் போது வங்கிகள் வசூலிக்கும் சேவைக் கட்டணங்களை இரத்து செய்தல் வேண்டும். அதே போல் படிக்கும் மாணவர்கள் தேர்வு கட்டணங்களை வங்கியில் செலுத்தும் போதும், வரைவோலை demand draft எடுக்கும் போதும் அதற்கான தரகு தொகையாக commission charges முற்றிலுமாக இரத்து செய்ய வேண்டும். மத்திய அரசு உடனடியாக நடவடிக்கை எடுக்க வேண்டும். அது செயல்பாட்டுக்கு வருமானால் படித்த இளைஞர்கள், மாணவர்களுக்கு பயனாகும்

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