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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)
ananthaditya67
ANANTH ADITYA 9 years 3 months ago

Sir / Madam
Sub:- This letter about solving energy problem & Global warming problem etc.,
I have an Idea about solar energy & 3 years of electricity save in small battery type, I have some idea, I need appointment , . It may slows universal problem and we may control natural disasters " effects" that's are earthquake, cyclone, floods & also build roads, water problem, we build a houses, buildings (without foundation) it all to do not tack much time & Global warming etc., I made software,

24ketan
ketan tardalkar 9 years 3 months ago

Thnx for upgrading comman man .try to save nature by shifting trees , make sure to control on traffic by using so many ways ; took all hospitals under govt hospital. for that if posible form govt regulatory body as like TRI.kindly promot farmers to cultivate organic farming. open all the subsidary scheme for them as easy as posible. so many other ways we can talk across the table if posible. this comman man is there.

samarthbhatt
Samarth Bhatt 9 years 3 months ago

I would like to congratulate the central government to come up with a much needed #SanjeevaniSwasthyaBimaYojana .

The following are the requests/suggestions,

1. include the private clinics and diagnostic testing services by providing them with thumb print identifier and smart card reader.
2. include the transportation cost of the emergency medical service vehicle as well.
3. include free/affordable cancer care for those families with the annual income of less than 5,00,000.

Sound
Sound 9 years 3 months ago

Pollution most hazardous thing especially thro mtc buses, autos to be reduced. Encroachments to be removed soon, toilets at public places, public transport system to be increased, road safety measures to be improved, infrastrucuture facility(road,electricity) to be improved

Hemant_162
Hemant_162 9 years 3 months ago

The best NGO for the swacch Bharat is The Ugly Indian. They can be found on Facebook. They truly deserve to be noticed, supported and honored.

srivastava.rajesh2
RAJESH SRIVASTAVA 9 years 3 months ago

This Is completely meet to people desire and thanks to think this type of thought its appreciable.but if its apply to hole india people in hole india than our one step for our country develop.where our country people leave with stress fell life and contribute their effort to country. this type of thought develop required in our country.

niranjansarkar
Niranjan Sarkar 9 years 3 months ago

Not only about this yojana or other schemes for public, it's time to think differently that how would poor people would come to know about these schemes. Why shouldn't our councilors take initiatives. Every ward councilor should organize a ward meeting at least once in a month to share scheme details to the residents and not only to the party members. Why we need to go to the brokers to make a license and why not the local councilor help us with the easy procedures.Thanks.

satishgolwala
Satish Shah 9 years 3 months ago

Heard with fanfare govt. launched the various scheme including opening of bank accounts for under privileged, crediting subsidy in to their bank accounts directly,provide them small loans etc. Other day I was talking with round the corner cobbler, he stated that on opening the account "KYC" was not needed but now to operate the same they say bring in various proof.Those illiterate people do not have documents which bankers' are asking for and they don't have minimum balance. We feel cheated.

ashwinianand5659
Ashwini Anand 9 years 3 months ago

Every citizen must have adhar card to avail this service,through which he can login to government website. As website is not feasible for poor then he can call on toll free number and provide his adhar details,the CSR will help in providing the details of hospital and doctor registered through this service. Whatever amount the patient need to pay will be free and doctor can charge this amount from government pocket. Doctor from Aims will decide the amount reimburse to doctor.

abdul quadir_3
abdul quadir_3 9 years 3 months ago

My freind father is dying at the gate of PG govt hospital kolkata as they r not able to admit bcoz vip seats cant be released.....kahe ka bima aur swasthya

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