UP Government Employee Cashless Health Insurance Scheme
UP Government Employee Cashless
UP State Government Employee Cashless Health Insurance Scheme 2016 free medical treatment card approved by UP State govt Cashless Health Insurance Scheme under the ministry of swasthya approved the bill of SGHC
UP cashless health insurance national insurance to government employee from teacher, cooperative banks, Lekhpal Tehsildar gram Panchayat adhikari other district Safai Karmi. From Uttar Pradesh jila first launched smart city of Kanpur, Lucknow Ghaziabad and Agra after that it will launched mini city Allahabad, Meerut etc will get benefits for cashless health insurance. Some major bank also providing the Medical facility with good comparison. Sbi cashless health insurance is first launched under state government of bank authority they are already giving their employee with their senior citizens.
cashless health insurance is a national insurance scheme and yojana which will be linked to Aadhaar card in state govt employee Rules and regulation: the scheme will ensure policy for indoor medical treatment expenses, specified day care procedures and opd medical expenses relating to chronic diseases up to rupees 3 lacs per family the existing provision of fixed monthly medical allowance will also be continue.
UP Health scheme 2016 swasthya vibhag or parivar kalyan vibhag Recommendations of the cash less Health scheme as are following. Cashless will similar like CGHS of central government. Under the CGHS, those diseases which are curable by contracted hospital for central government employee, state government will also provided cashless scheme for treatment of such diseases in contracted hospital for state govt employee. Incurable disease will be considered from Niyamawali 2013 and state govt employee, pensioner will be eligible for the treatment. 95 % advance fund will be provided instead of 75% on the basis of calculation of government hospitals. Rate and Hospital will be as it is which is for central government employee. SGPI Lucknow, lohia Ayurvigyan Sansthan, Gramin Ayurvigyan Sansthan RIMS Etowah , and other government and government aided hospitals will be also recommended for the treatment or getting the benefit of this cash less scheme . Total 95% fund will be provided by the government on the medical Bill of these hospitals.
Name of the posts: State Government Employee Cashless Health Insurance Scheme
Eligibility Criteria: All India Service officers, Serving, Newly Recruited, Retired and retiring only state Govt, Senior citizen of Government, Pensioner
Benefits: cash less scheme providing Health card, Smart Card WITH 95 % advance fund. The Insurance Scheme shall pay all expenses incurred in course of medical treatment availed by the beneficiaries in the empanelled hospitals/ nursing homes (24 hours admission clause) within the country, arising out of any illness/disease/injury and or sickness.
Hospital: Government hospitals PGI Lucknow, lohia Hospital, Gramin hospital
Coverage of Pre-existing diseases: All diseases under the Scheme shall be covered from day one and Newborn benefit Newborn child (single/twins) to an insured mother would be covered from day one up to the expiry of the current policy plan period for the expenses incurred for treatment taken in empanelled Hospitals/Nursing Homes/Day Care Clinics as In-patient during the currency of the policy and will be treated as part of the mother subject to eligibility under maternity benefit.
Pre & Post hospitalization benefit: Benefits up to 7 days Pre Hospitalization & up to 30 days Post Hospitalization respectively which would cover all expenses related
To treatment of the sickness for which hospitalization was done.
OPD services shall not be part of Day Care facilities.
Eye Surgery, Lithotripsy (kidney stone removal), and Tonsillectomy D&C
Dental surgery following an accident
Surgery of Hydromel
Surgery of Prostrate
Little Gastrointestinal Surgery
Surgery of Nose/Throat / Ear
Surgery of Urinary System
Treatment related to dog bite/snake bite etc.
Treatment of fractures/dislocation, Contracture releases and minor reconstructive procedures of limbs which otherwise require hospitalization
• Laparoscopic therapeutic surgeries that can be done in day care
• Identified surgeries under General Anesthesia or any procedure mutually agreed upon between Insurer/ TPA and Nodal Department.
• Coronary Angiography/ cardiac interventions done on daycare basis
Cashless health insurance meaning note: In case of organ transplant, the expenses incurred for the Donor are also payable under the scheme.
Punjab government Cashless Health Insurance Scheme to employee pensioner in Punjab Chandigarh and panckula where cashless treatment is available under LIC, Star health