Saturday, October 2, 2010

Rajiv Aarogyasri Community Health Insurance Scheme(Aarogyasri I)

Rajiv Aarogyasri Community Health Insurance Scheme(Aarogyasri I)
Aarogyasri I is a unique Community Health Insurance Scheme being implemented in Andhra Pradesh from 1st April, 2007. The scheme provides financial protection to families living below poverty line upto Rs. 2 lakhs in a year for the treatment of serious ailments requiring hospitalization and surgery. 330 procedures are covered under the scheme. The scheme is being implemented through Insurance Company, selected through a competitive bidding process. The objective of the scheme is to improve access of BPL families to quality medical care for treatment of identified diseases involving hospitalization, surgeries and therapies through an identified network of health care providers. The scheme provides coverage for the systems like Heart, Lung, Liver, Pancreas, Renal diseases, Neuro-Surgery, Pediatric Congenital Malformations, Burns, Post -Burn Contracture Surgeries for Functional Improvement, Prostheses (Artificial limbs), Cancer treatment (Surgery, Chemo Therapy, Radio Therapy ), Polytrauma ( including cases covered under MV Act) and Cochlear Implant Surgery with Auditory-Verbal Therapy for Children below 6 years (costs reimbursed by the Trust on case to case basis ). All the preexisting cases of the above mentioned diseases are covered under the scheme.
The beneficiaries of the scheme are the members of below poverty line (BPL) families as enumerated and photographed on the Rajiv Aarogyasri Health Card/ BPL Ration Card. The benefit on family is on floater basis i.e. the total reimbursement of Rs.1.50 lakhs can be availed of individually or collectively by members of the family. An additional sum of Rs 50,000 is provided as buffer to take care of expenses if it exceeds the original sum i.e. Rs 1.50 lakhs per Individual/family.Cost for cochlear Implant Surgery with Auditory �Verbal Therapy is reimbursed by the Trust up to a maximum of Rs.6.50 lakhs for each case.
The transaction is cashless for covered procedures. BPL beneficiary can go to hospital and come out without making any payment to the hospital for the procedures covered under the scheme. The same is the case for diagnostics if eventually the patient does not end up in doing the surgery or therapy. Hospitals have to conduct at least one free medical camp in a month, there by taking advanced evaluation to the doorstep of patient. All the Primary Health Centers (PHCs) which are the first contact point, Area/District Hospitals and Network Hospitals, are provided with Help Desks manned by AAROGYA MITHRAs to facilitate the illiterate patients. The Aarogyamithras were selected by the Mandal Samakhyas under Indira Kranti Patham (Self Help Group Movement)

Visit Official Website
5:59 AM - By AIDS Response 1

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Comprehensive Health Insurance Scheme (CHIS): Kerala

Comprehensive Health Insurance Scheme (CHIS): Kerala
Details of Comprehensive Health Insurance Scheme (CHIS)
Particulars Description
Name of the Scheme Comprehensive Health Insurance Scheme (CHIS)
Sponsored by State Government
Funding Pattern 100% State Government
Ministry/Department Labour and rehabilitation department
Description This is a scheme implemented by the Government of Kerala to cover the non- RSBY population. The special feature of Comprehensive Health Insurance Scheme (CHIS) is that it extends to all the families other than the BPL families (Absolute Poor) as per the Planning Commission's guidelines who come under the Rashtriya Swastya Bima Yojana (RSBY). The non-RSBY populationwill be divided into two categories: (a) those belonging to the BPL (Poor) list of the State Government but not to the list as defined by the Planning Commission and (b) the APL families that belong neither to the State government list nor to the list prepared as per guidelines of the Planning Commission. In the case of families of the first category (a), the beneficiaries will have to pay Rs.100 per annum per family as beneficiary contribution, and the State Government will meet all the remaining expense including for the smart card. In the case of families of the second category (b), the beneficiary contribution will cover the entire amount of thepremium, plus the cost of the smart card. In other words, the beneficiary contribution will be Rs.30 perfamily per annum for RSBY families, Rs.100 for families belonging to category (a) and the entire amount forfamilies belonging to category (b).The total outlay for the project is Rs. 4300.00 lakh.
Beneficiaries Individual,Family,Community,Women,Children,
Benefits
Benefit Type Others,
Other Benefits Health insurance
Eligibility criteria (a) those belonging to the BPL (Poor) list of the State Government but not to the list as defined by the Planning Commission and (b) the APL families that belong neither to the State government list nor to the list prepared as per guidelines of the Planning Commission.
How to Avail The beneficiary contribution will be Rs.30 per family per annum for RSBY families, Rs.100 for families belonging to category (a) and the entire amount forfamilies belonging to category (b).
Validity of the Scheme
Introduced On 04 / 07 / 2008
Valid Upto 31 / 03 / 2010
Reference URL http://www.kerala.gov.in/dept_labour/go_95_2008.pdf (-1 MB) (PDF file that opens in a new window)
5:54 AM - By AIDS Response 0

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Jeevandai Aarogya Yojana (JAY)

Jeevandai Aarogya Yojana
Public Health Department,
State Government of Maharashtra.
About the Scheme
The Govt. has implemented Jeevandai Arogya Yojna in the State from 11 October 1997 to provide financial help to financially weaker sections of the Society and the people below poverty line, for providing Super Specialty Services to such people for treatment of serious diseases of heart, kidney, Cancer and brain. These patients can avail medical services for these ailments in recognized Govt. and Private Hospitals. In this programme, Rs. 70,000/- are provided to the beneficiary for getting surgery done in the recognized hospital. However, since the cost of disposable equipments required for surgery has gone up, the funds provided for recognized surgery fall short and as such, patients face financial difficulty. To overcome this problem, Govt. has decided to increase the medical treatment cost up to 150,000/- (Rs. One lakh fifty thousand from Government Rule of 10 July 2006 included the medical treatment & operation cost of Cancer as well.
Activities
Patient from economically weaker sections cannot afford treatment due to increasing health care cost. This is true for cost of Heart surgeries, Brain surgeries & Kidney transplant since such health care treatment is available at very few hospitals to prove these super specialty medical services to economically backward patients Jeewandai Aarogya Yojana was started from 11th October 1997.
Objectives
1. Reduction in mortality & morbidity due to brain, kidney, heart & cancer diseases.
2. Financial support to below poverty line patients for heart, kidney, cancer & brain surgeries.
Strategy & Process of getting the assistance
Financial support of Rs.150,000/- (Rupees One lakh fifty thousands only ) To only for B.P.L. Family below poverty line patients for undergoing brain, kidney cancer & heart surgeries at Govt. recognized hospitals.
1. Patient only from the Maharashtra region & below poverty line (BPL family) is eligible for the scheme.
2. He / She have to submit the application on plain paper to The Directorate, Public Health Department Govt. of Maharashtra, Jeevandai Arogya Yojana, Arogya Bhawan, St. George hospital compound, V.T. Mumbai. with photocopies of yellow ration cards (BPL Card), domicile certificate of Maharashtra, annual income certificate less than Rs. 20,000/- p.a., medical treatment cost certificate issued by hospital, two-passport size photograph of the patient etc.
3. Every Tuesday in a week, a meeting is organized to assess & seek the expert’s opinion on the application of medical treatment help. Meeting chaired by Directorate, along with Government medical doctor’s panel from J. J. Hospital etc.
4. Once it is approved in the meeting to provide the medical assistance to the patient. Directorate office issues the written order / authority letter to the concern hospital to start the medical treatment of the patient.
5. Hospital gets a treatment cost of the patient from the government in a month as per availability of the fund.
6. Annul budget of Government of the Maharashtra allocated the funds for the year 2009 – 2010 is Rs. 43 crores (Rupees Fourty three crores only) for the Jeevandai Arogya Yojana for Maharashtra. Last year annual budget for the scheme was Rs. 23 crores 45 lakhs (Twenty three crores & forty five lakh only)
7. Every year the budget increases as per the requirement of beneficiaries.
8. Jivandai is an exclusive scheme for the medical treatment assistance from the Health department of the Govt. of Maharashtra.
9. It has no any relation with the Chief Minister Relief Fund, Maharashtra.
Medical Assistance provided by the Jeevandai Arogya Yojana from the period of 2006 to 2010
No Year Funds Provided No. of Patients Benefited
1 2006-2007 110,000,000/- 1894
2 2007-2008 190,000,000/- 3726 / 452*
3 2008-2009 23,4500,000/- 5339 / 765*
4 2009-2010 430,000,000/- N.A.


* indicates number of Cancer patients benefited the help of Jivandai Arogya Yojana (JAY)

Inclusion of Cancer treatment in the Jivandai Arogya Yojana by the Government Rule of the Maharashtra State Government decided on July 10, 2006. In the year, 2007-08 total numbers of beneficiaries of the scheme was 3726 and out 452 were the cancer patients avail the benefit of the scheme.

In the year as budget increased the number of beneficiaries also increased where 5339 out of 765 were the cancer patients avail the benefit of the scheme.
5:50 AM - By AIDS Response 0

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Arogya Kosh for BPL Patients, Sponsored by Central and State Govt


Assistance is provided to the poor persons living below poverty line for getting specialized treatment for life threatening diseases. The State/District illness assistance funds would be established under the Societies Registration Act. The societies will be registered with the registrar, cooperative society, and will be responsible for identifying the life threatening illness, for which the assistance is to be provided to the poor. It will also be responsible for fixing a criteria for identifying the poor, to whom this assistance is to be provided, and to what extent. The society will monitor the activities of the District society funds from time to time to evaluate the successful implementation of the scheme. The scheme is essential in public interest, and will serve the rural population of the State of Haryana.
Schemeis to provide financial help/Facility for the Treatment of the persons living below poverty line in the state, assistance is being given for the specialized treatment. The Fund is established in the name of “AROGYA KOSH”. This is a sharing scheme and Central Govt. contributes the 50% of the assistance made by the State Govt.
Objectives:
To provide financial assistance/reimbursement for specialized/super specialty treatment to the patients below poverty line along with one attendant for the treatment of the diseases from the govt. approved institutions.
State Health Society will be the nodal agency for the implementation & monitoring of this “AROGYA KOSH” In the financial year 2005-06 State Government had released its share of Rs. 100 lacs and Rs. 50.00 lacs were contributed by Government of India .
5:31 AM - By AIDS Response 0

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Goa Mediclaim Scheme, State Govt. Schemes


An unique scheme of "Mediclaim" has been introduced in Goa since 1989. Under this scheme, financial assistance to the maximum extent of Rs. 1.50 lakhs per illness is provided for availing super specialties which are not available under the State Government hospitals, for residents of Goa, whose annual house hold income is less than Rs. 1,50,000/- per annum. However, in the case of medical treatment such as kidney transplantation/ open heart surgery, cancer and neuro surgery, the aforesaid limit will be to the maximum extent of Rs. 3,00,000/- (rupees three lakhs) with medicines for post operative care.
Kind of treatment covered are (i) Neurological Disorders ; (ii) Cardio-Thoracic Surgery ; (iii) Kidney transplantation ; (iv) Plastic Surery; (v) Radiotherapy ; (vi) total Replacement of Joints ; (vii) Any other major diseases/illness. In order to avail this facility one has to apply to the Director of Health Services in the prescribed form C & D along with (i) Medical Certificate in form -A from the Medical Superintendent, Goa Medical College stating that the patient is referred to some other recognized Hospital since the facilities are not available at Goa Medical College and (ii) Income certificate in Form-B from the concerned Mamlatdar. Medical Certificate shall be issued by the Medical Superintendent of Goa Medical College (GMC) on the recommendation of the Unit Head of various Department of GMC or Sr. Consultant of Hospitals attached to this DHS after ascertaining that the particular case cannot be treated at Government Hospital in the State of Goa including GMC. Based on this certificate, Director of Health Services shall issue letter for Mediclaim.
Incase any patient has gone to recognised institute outside Goa for treatment which is not available in Government Hospitals in Goa, without Mediclaim Certificate he shall apply directly to the Director of Health Services along with the relevant papers.
The patients can avail the super specialties under this scheme in any of the following recognized hospitals in Goa State or outside Goa State.
I. In the State of Goa
1. Salgaonker Research Centre, Vasco and
2. Chodankar Nursing Home, Porvorim
3. Maharaj Goa M.R.I Scan Centre, Bambolim
4. Manipal Goa Cancer Hospital, Dona Paula, Panaji Goa.
II. Outside the Goa State:
5. K.L.E.S. Hospital, Belgaum.
6. Kasturbha Hospital, Manipal
7. Wockhardt Hospital, Bangalore
8. Jaslok Hospital, Mumbai
9. Tata Memorial Hospital, Mumbai
10. Wanless Hospital, Miraj
11. Swasthiy Prathistan Fracture & Orthopaedic Hospital, Miraj
12. R. G. Stone Clinic, Mumbai
13. Ruby Hall Clinic of Great Medical Foundation, Pune.
14. Madras Medical Mission, Chennai
15. K.E.M. Hospital, Mumbai .
16. Nanavati Hospital, Mumbai
17. Bombay Hospital and Medical Research Centre, Mumbai
18. P.D. Hinduja Hospital, Mumbai.
19. Wadia Hospital, Mumbai
20. J.J.Hospital, Mumbai
21. Sion Hospital, Mumbai
Government of Goa has tie-ups with the hospitals listed at sr. nos. (1) to (13) above, so that patients need not pay the hospital authority and the hospital authorities will directly submit the bills to the Directorate of Health Services for settlement to the tune of Rs. 1,50,000 or actual whichever is lower. Incase the patients opt to go to the hospital listed at Sr. No. (14) to (21), they have to pay first to the hospital authorities and then submit the bills which are countersigned by the hospital authorities to the Director of Health Services for reimbursement. However such patients before proceeding for treatment should invariably obtain the letter of authority in Form-E from the Director of Health Services.

For Application Forms
5:24 AM - By AIDS Response 4

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Friday, September 24, 2010

Delhi State Illness Assistance Fund--Delhi Arogya Nidhi (DAN)


Introduction
State Illness Assistance Fund is a fund, which provides financial assistance to the poor patients who are suffering with life threatening disorders for their treatment in the Govt. Hospitals. The fund is managed by the Society known as Delhi Arogya Nidhi (DAN). The Society is registered under the Society Registration Act, 1860.

Eligibility Criteria
1. Patient must be resident of Delhi and has to furnish domicile proof of residing in Delhi continuously since 1/1/2007 to date.
2. Patient should belong to a family living “Below Poverty Line”.
3. Treatment should be from Government Hospital in Delhi.
4. The patient should be suffering with life threatening disorder.
Procedure For Applying
1. Application to be submitted to the office of Chief Medical Officer (Delhi Arogya Nidhi) located at Room No. 92, Physiotherapy Block, Lok Nayak Hospital, Delhi-2 in the prescribed Performa.

2. Proof of continuous residence in Delhi since 1.1.07 to date to be submitted with respect to either Ration Card or Electoral Voter’s Photo Identity Card (in case the patient is a minor Birth Certificate). The photocopies of these documents to be attached and original to be brought at the time of submission of application form for verification. In case EPIC is not available, he must submit extract from electoral roll of a date prior to 1.1.07.

3. Estimate Certificate about the expenditure to be incurred on the treatment at a Govt. hospital duly signed by Consultant/ Medical Superintendent/ Chief Medical Officer of the Hospital to be submitted in original.
4. Two photographs of patient, duly attested by the treating doctor.
5. A copy of BPL Ration Card to be submitted. Original to be shown for verification of the fact patient belongs to a family living “BPL” and in case BPL Ration Card not available Income Certificate issued by area SDM to be submitted in original certifying that the family’s income is upto Rs. 24200/= per annum.
6. Photocopies of the treatment record.
7. Documentary evidence from the employer, if in service.
8. Applicant has to submit an affidavit as per the performa enclosed.

Forms
1. Delhi Arogya Nidhi Affidavit
2. Delhi Arogya Nidhi Financial Aid Form
3.
Delhi Arogya Nidhi Estimate Certificate Form
4.
Income Certificate
(click on form headings to get the forms)

Procedure For Sanction

1.All the applications received are periodically examined in the Governing body meetings and decision is taken on them.

2.Cheques are issued directly to the hospital in r/o those patients whose cases are approved.
9:28 AM - By AIDS Response 0

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U P State Health Schemes

The Biggest state is not having any well known health schemes. Will be updates the information later !
9:24 AM - By AIDS Response 0

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Text

Most of the State Goverments are ready to support the patients suffering from various Illnesses which create big family financial burdens.

Here I am trying to get a collection of the forms and related informations for your help.

Thanks


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