Rashtrya Swasthya Bima Yojna (RSBY)
is a government-run healthinsurance scheme to provide health
insurance coverage to the unrecognised sector workers belonging to
the BPL category and their family members, so as to mitigate the
burden of the hospitalization expenses and improve access to quality
healthcare. The scheme was launched under the Ministry of Labour and
Employment) in 2008 as it was transferred to the Ministry of Health
& Family Welfare on Ďas is where basisí with effect from 01.04.2015.
The RSBY beneficiary data is based
on the BPL Ration Card holder under Food & Civil Supply department
and Card Holders of MGNREGA under Rural Development department.
Eligible Below Poverty Line (BPL) family are enrolled on payment of
registration fee of Rs. 30.00 per family. Enrolled beneficiaries are
entitled to cashless hospitalisation services from empanelled public
as well as private hospitals.
scheme provides cover for hospitalization expenses upto
Rs.30,000/- for a family of five comprising of head of
household, spouse and up to three dependents on a floater basis
and an additional Rs.30,000/- for each senior citizen (60 years
and above) in each family.
Pre-existing illnesses are covered from day one
Presently there are more than 1800 interventions (medical and
Transportation charges are also covered upto a maximum of Rs.
1,000/- with Rs. 100/- per visit. This will be provided by the
hospital to the beneficiary at the time of discharge in cash.
and post hospitalization costs up to 1 day prior to
hospitalization and up to 5 days from the date of discharge
fromthe hospital shall be part of the package rates.
Screening and Follow up care as separate day care packages.
addition to the above, the scheme expanded in 2016-17 to provide
better coverage to senior citizens belonging to enrolled BPL
family under Senior Citizen Health Insurance Scheme, wherein
each senior citizen will be entitled for
additional coverage of Rs. 30000.00.
The enrolment process is in full swing and will continue till 31st
March. As on 31st January 2017, 140512 beneficiaries have been
enrolled. To make the services accessible and take closer to the
people, all public health facilities having indoor facilities,
starting with the district hospitals will be empanelled. So far, 18
private (7) and public (11) hospitals has been empanelled. The
Reliance General Insurance Company Ltd has been selected for
implementation of RSBY in the State for FY 2016-17.
Website designed and maintained by the Department of Health & Family Welfare, Nagaland,
Kohima - 797001.