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
Genital
Surgery
Surgery of
Nose/Throat / Ear
Surgery of
Urinary System
Dialysis
Parenteral
Chemotherapy
Radiotherapy
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
There are some points to be cleared. 1. By showing this card to the designated hospital ,patient will have to pay the bill and later money will be refunded by govn.or hospital will not charge . 2. Limit of the cost of treatment.3 Names of hospitals outside where patient can get this facility.
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