Swasthya Sathi Scheme: Apply Card Online, Eligibility, Benefits

Swasthya Sathi Scheme, launched on December 30th, 2016 by the Chief Minister of West Bengal, provides basic health coverage to every citizen irrespective of their age group. The scheme covers tertiary and secondary healthcare up to Rs 5 lakh per year per family and is completely funded by the state government. This cashless, paperless, and Smart Card-based scheme has made healthcare accessible to all, without any financial burden on the people.

Swasthya Sathi Scheme Overview

Families Covered

2 Crores +

Hospital Empanelled

2260 +

Sum Insured

Rs 5 lakh

Pre-existing Diseases

Covered

Eligibility Criteria of the Swasthya Sathi Scheme

The West Bengal government has announced that all residents of the state, except those who are already insured under a government-sponsored health insurance scheme, will now be eligible for the benefits of a new scheme. However, individuals who receive medical allowances as part of their salary will not be covered under the new scheme. This move is aimed at providing better access to healthcare for a larger section of the population in the state.

Swasth Smart Card

The Online Swathya Sathi scheme provides beneficiaries with a Smart Card that captures important information such as biometric, photographs, mobile number, and SECC ID. The Smart Card is issued on the day of enrolment and enables a paperless and IT-based management system. This ensures that all insured family members’ details are easily accessible and efficiently managed through a digital platform.

Swasthya Sathi Scheme: Apply Card Online, Eligibility, Benefits

Key Features of the Swasthya Sathi Scheme

The Swasthya Sathi Scheme is a healthcare initiative implemented by the Government of West Bengal in India. Some of its key features are:

  1. Universal Health Coverage: The scheme provides health insurance coverage to all citizens of West Bengal, irrespective of their socio-economic background.
  2. Cashless Benefits: The scheme provides cashless benefits for secondary and tertiary care hospitalization expenses up to INR 5 lakhs per family per annum.
  3. Wide Range of Treatments: The scheme covers a wide range of treatments, including critical illnesses, surgeries, and therapies.
  4. No Enrollment Fee: There is no enrollment fee for the scheme, making it accessible to all sections of society.
  5. Family Coverage: The scheme provides coverage to the entire family, including the spouse, dependent children, and parents.
  6. Portability: The scheme is portable, which means that the benefits can be availed of in any empaneled hospital across the country.
  7. IT-enabled: The scheme is IT-enabled, ensuring a paperless and efficient management system.
  8. Smart Card: Each beneficiary family is issued a Smart Card that captures all relevant information, including biometric data, photographs, mobile number, and SECC ID.

Overall, the Swasthya Sathi Scheme aims to provide affordable and accessible healthcare to all citizens of West Bengal, thereby improving the overall health outcomes of the state.

Coverage Benefits of the Swasthya Sathi Scheme

The Swasthya Sathi Scheme provides comprehensive healthcare coverage to all citizens of West Bengal. The following are the coverage benefits of the scheme:

  1. In-patient Hospitalization: The scheme provides cashless benefits for in-patient hospitalization expenses up to INR 5 lakhs per family per annum. This includes room rent, nursing charges, doctor’s fees, and other medical expenses incurred during hospitalization.
  2. Daycare Procedures: The scheme covers expenses incurred on daycare procedures such as dialysis, chemotherapy, and radiotherapy, among others.
  3. Pre-Existing Conditions: The scheme covers pre-existing conditions from day one of enrollment.
  4. Organ Transplantation: The scheme covers expenses incurred on organ transplantation, including the cost of the organ, surgery, and post-operative care.
  5. Critical Illnesses: The scheme covers expenses incurred on critical illnesses such as cancer, kidney failure, and heart diseases, among others.
  6. Maternity Benefits: The scheme covers expenses incurred on maternity, including delivery, pre and post-natal care, and complications arising during pregnancy.
  7. Out-patient Department (OPD) Services: The scheme provides free OPD services, including consultation and diagnostic tests, in all government hospitals in West Bengal.
  8. Portability: The scheme is portable, which means that the benefits can be availed of in any empaneled hospital across the country.

Overall, the Swasthya Sathi Scheme provides comprehensive healthcare coverage to all citizens of West Bengal, ensuring that they have access to affordable and quality healthcare services.

How to Apply for the Swasthya Sathi Health Scheme?

To apply for the Swasthya Sathi Health Scheme, follow the below-mentioned steps:

  1. Visit the official website of the Swasthya Sathi Scheme.
  2. Click on the “Apply Online” option and fill in the required details.
  3. Upload the necessary documents and submit the application.
  4. After verification, a Smart Card will be issued to the beneficiary family.

Alternatively, one can also apply for the Swasthya Sathi Scheme online by following these steps:

  1. Visit the nearest enrollment center: Visit the nearest enrollment center with necessary documents. The list of enrollment centers can be found on the official website of the Swasthya Sathi Scheme.
  2. Fill the application form: Fill the application form and submit it along with the required documents. The documents required include proof of identity, proof of address, and a passport-size photograph.
  3. Get the Smart Card: Once the application is accepted, a Smart Card will be issued to the beneficiary family on the same day.

In both cases, there is no enrollment fee for the scheme, and the entire application process is free of cost. The scheme is open to all citizens of West Bengal, and the Smart Card can be used to avail cashless benefits in any empaneled hospital across the country.

Process for Swasthya Sathi Hospital Registration

  1. Visit the official website: The hospital needs to visit the official website of the Swasthya Sathi Scheme and click on the “Hospital Registration” option.
  2. Fill in the registration form: The hospital needs to fill in the registration form with the required details such as hospital name, address, contact details, type of hospital, and other necessary information.
  3. Upload the documents: The hospital needs to upload the necessary documents such as registration certificate, PAN card, bank details, and other documents as per the guidelines provided on the website.
  4. Submit the application: Once all the required details and documents are uploaded, the hospital needs to submit the application form.

After submitting the application, the Swasthya Sathi Scheme team will verify the details and documents provided by the hospital. If any further information or documents are required, the hospital will be informed via email. If the hospital meets the eligibility criteria and other requirements of the Swasthya Sathi Scheme, it will be approved for empanelment under the scheme. Once empaneled, the hospital can provide cashless treatment to the beneficiaries of the Swasthya Sathi Scheme and claim reimbursement for the treatment provided to the beneficiaries from the scheme.

How to Check Swasthya Sathi Hospital Registration Status?

Swasthya Sathi is a health insurance scheme launched by the government of West Bengal in India. If you want to check the hospital registration status under the Swasthya Sathi scheme, you can follow the steps below:

  1. Go to the official website of Swasthya Sathi – https://swasthyasathi.gov.in/.
  2. Click on the “Hospital Details” option from the menu.
  3. You will be redirected to a new page where you can see different options like District, Block, Hospital Name, etc.
  4. Select the District, Block, Hospital Name or Hospital Type from the available options.
  5. Once you have selected the options, click on the “Search” button.
  6. If the hospital is registered under the Swasthya Sathi scheme, it will appear on the page with its registration details.

How to Register for Treatment Outside West Bengal Under the Swasthya Sathi Scheme?

If you are a beneficiary of the Swasthya Sathi health insurance scheme in West Bengal and you need to receive treatment outside of the state, you can follow the steps below to register for the same:

  1. Visit the official website of Swasthya Sathi – https://swasthyasathi.gov.in/.
  2. Click on the “Beneficiary Login” option from the menu.
  3. Enter your Swasthya Sathi ID, mobile number and captcha code to log in.
  4. Once you have logged in, click on the “Treatment Outside WB” option from the dashboard.
  5. Fill in the necessary details such as the name of the hospital, location, date of admission, nature of treatment, estimated cost of treatment, etc.
  6. Upload all the necessary documents, such as the doctor’s prescription, diagnosis reports, and cost estimates.
  7. After submitting the application, you will receive a reference number which you can use to track the status of your application.

Steps to View Your Name in the Beneficiary List

If you have applied for the Swasthya Sathi health insurance scheme in West Bengal and want to check if your name is on the beneficiary list, you can follow the steps below:

  1. Visit the official website of Swasthya Sathi – https://swasthyasathi.gov.in/.
  2. Click on the “Beneficiary Login” option from the menu.
  3. Enter your Swasthya Sathi ID, mobile number and captcha code to log in.
  4. Once you have logged in, click on the “Beneficiary List” option from the dashboard.
  5. Select your district and block from the available options.
  6. You can search for your name on the list either by your name or by your ration card number.
  7. If your name is on the beneficiary list, it will be displayed along with your Swasthya Sathi ID and other relevant details.

If you are unable to find your name on the beneficiary list, you can contact the Swasthya Sathi toll-free helpline number 1800-345-5384 or visit the Swasthya Sathi kiosk in your district to enquire about the status of your application.

Steps to View Hospital Details Under Swasthya Sathi Scheme

If you want to view the details of hospitals registered under the Swasthya Sathi health insurance scheme in West Bengal, you can follow the steps below:

  1. Visit the official website of Swasthya Sathi – https://swasthyasathi.gov.in/.
  2. Click on the “Hospital Details” option from the menu.
  3. You will be redirected to a new page where you can see different options like District, Block, Hospital Name, etc.
  4. Select the District, Block, Hospital Name or Hospital Type from the available options.
  5. Once you have selected the options, click on the “Search” button.
  6. The page will display the list of hospitals that match the search criteria along with their registration details such as the hospital name, location, bed capacity, contact details, and the specialties they offer.
  7. You can click on the name of the hospital to view more details such as the number of Swasthya Sathi beneficiaries treated, the services offered, etc.

Steps to Log In to the Swasthya Sathi Portal

If you are a beneficiary of the Swasthya Sathi health insurance scheme in West Bengal and want to log in to the Swasthya Sathi portal, you can follow the steps below:

  1. Visit the official website of Swasthya Sathi – https://swasthyasathi.gov.in/.
  2. Click on the “Beneficiary Login” option from the menu.
  3. You will be redirected to a new page where you need to enter your Swasthya Sathi ID, mobile number and captcha code.
  4. Click on the “Submit” button.
  5. If the details you entered are correct, you will receive an OTP (One Time Password) on your registered mobile number.
  6. Enter the OTP on the next page and click on the “Submit” button.
  7. You will now be logged in to the Swasthya Sathi portal, where you can access your dashboard and avail of the various services offered under the scheme.

Process for URN Verification Under Swasthya Sathi Online

URN (Unique Reference Number) is a unique identification number provided to beneficiaries of the Swasthya Sathi health insurance scheme in West Bengal for tracking the status of their applications. If you have applied for the scheme and want to verify your URN online, you can follow the steps below:

  1. Visit the official website of Swasthya Sathi – https://swasthyasathi.gov.in/.
  2. Click on the “URN Verification” option from the menu.
  3. You will be redirected to a new page where you need to enter your URN and captcha code.
  4. Click on the “Submit” button.
  5. If the URN you entered is correct, the page will display the status of your application, whether it is approved or pending, along with other details such as the date of application and the hospital name.
  6. If your application is approved, you can also view your Swasthya Sathi ID and download your e-card from the same page.

How to Download the Swasthya Sathi App?

If you want to download the Swasthya Sathi mobile app on your smartphone, you can follow the steps below:

For Android users:

  1. Open the Google Play Store on your Android smartphone.
  2. Search for “Swasthya Sathi” in the search bar.
  3. Select the “Swasthya Sathi” app from the search results.
  4. Click on the “Install” button to download and install the app on your smartphone.

For iOS users:

  1. Open the App Store on your iOS smartphone.
  2. Search for “Swasthya Sathi” in the search bar.
  3. Select the “Swasthya Sathi” app from the search results.
  4. Click on the “Get” button to download and install the app on your smartphone.

Alternatively, you can also download the Swasthya Sathi app by scanning the QR code available on the official website of Swasthya Sathi – https://swasthyasathi.gov.in/.

How to View Notice Under Swasthya Sathi Scheme?

If you want to view the notices related to the Swasthya Sathi health insurance scheme in West Bengal, you can follow the steps below:

  1. Visit the official website of Swasthya Sathi – https://swasthyasathi.gov.in/.
  2. Click on the “Notice Board” option from the menu.
  3. You will be redirected to a new page where you can view the latest notices related to the Swasthya Sathi scheme, such as notifications about policy changes, new services, and updates on the application process.
  4. You can click on the individual notice to view its details and download it in PDF format if required.
  5. You can also use the search bar provided on the page to search for specific notices using keywords.

Steps to View Government Orders Under Swasthya Sathi Prokolpo?

  1. Visit the official website of Swasthya Sathi – https://swasthyasathi.gov.in/.
  2. Click on the “Government Order” option from the menu.
  3. You will be redirected to a new page where you can view the latest government orders related to the Swasthya Sathi scheme, such as orders regarding policy changes, implementation, and administration of the scheme.
  4. You can click on the individual order to view its details and download it in PDF format if required.
  5. You can also use the search bar provided on the page to search for specific orders using keywords.

Steps to View Tenders on Swasthya Sathi Portal

  1. Visit the official website of Swasthya Sathi – https://swasthyasathi.gov.in/.
  2. Click on the “Tenders” option from the menu.
  3. You will be redirected to a new page where you can view the latest tenders related to the Swasthya Sathi scheme, such as tenders for the procurement of goods and services required for the scheme’s implementation.
  4. You can click on the individual tender to view its details and download it in PDF format if required.
  5. You can also use the search bar provided on the page to search for specific tenders using keywords.

Process to Download Swasthya Sathi Reports

  1. Visit the official website of Swasthya Sathi – https://swasthyasathi.gov.in/.
  2. Click on the “Reports” option from the menu.
  3. You will be redirected to a new page where you can view the latest reports related to the Swasthya Sathi scheme, such as annual reports, progress reports, and evaluation reports.
  4. You can click on the individual report to view its details and download it in PDF format if required.
  5. You can also use the search bar provided on the page to search for specific reports using keywords.

Swasthya Sathi Scheme Rate Concerns

  • Open Heart Surgery – ₹80,000
  • Common Surgery – ₹19,500
  • Replacement Surgery – ₹85,000

Contact Information for Swasthya Sathi Scheme

Toll-free helpline number: You can call the Swasthya Sathi toll-free helpline number 1800-345-5384 for any queries or assistance related to the scheme. The helpline is available 24×7.

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