Swasthya Sathi” was announced in Cabinet No – 2625 dated 17th February, 2016, and Finance Department notification no – 1104-F (P) dated 25th February, 2016.
A State level Implementation Committee (SLIC) under the chairmanship of the Chief Secretary formed to oversee the scheme and there is a registered society named “Swasthyasathi Samiti”
- Basic health cover for secondary and tertiary care up to Rs 1.5 Lakh per annum through Insurance mode (PSU) and Critical illness like Cancer, Neuro surgeries, cardiothoracic surgeries, liver diseases, blood disorders etc. up to Rs 5 Lakh through Assurance mode.
- Paperless, Cashless, Smart Card based.
- There is no cap on the family size and Parents from both the Spouse are included.
- All pre-existing diseases are covered.
RSBY ( Rashtriya Swasthya Bima Yojna)
The beneficiaries under RSBY are entitled to hospitalization coverage up to Rs. 30,000/- per annum on family floater basis, for most of the diseases that require hospitalization. The benefit will be available under the defined diseases in the package list. The government has framed indicative package rates for the hospitals for a large number of interventions.
The beneficiary is any Below Poverty Line (BPL) family, whose information is included in the district BPL list prepared by the State government and the family falling into any of the above defined (point number 1) eleven categories are eligible. The eligible family needs to come to the enrolment station, and the identity of the household head needs to be confirmed by the authorized Government official.
WBHS ( West Bengal Health Scheme)
The West Bengal Health for All Employees and Pensioners Cashless Medical Treatment Scheme, notified in 2014 is a comprehensive health scheme which aims to provide cashless medical facilities to employees, officers and pensioners of state government (not excepting family pensioners) All India Service (AIS) officers and their family members across empanelled hospitals in West Bengal. The WBHS 2008 has been merged with the Health for All Employees and Pensioners Cashless Medical Treatment Scheme, 2014 from September 15th, 2014.
ESIC (Employees’ State Insurance Corporation)
The Employees’ State Insurance Scheme provides full medical care in the form of medical attendance, treatment, drugs and injections, specialist consultation and hospitalization to insured persons and also to members of their families where the facility for Specialist consultation, hospitalization has been extended to the families.
ECHS (Ex-Servicemen Contributory Health Scheme) :
Ex-servicemen Contributory Health Scheme (ECHS) was launched with effect from 01 April 2003. The Scheme aims to provide allopathic medicare to Ex-servicemen pensioner and their dependents through a network of ECHS Polyclinics, Service medical facilities and civil empanelled/Govt hospitals spread across the country. The Scheme has been structured on the lines of CGHS to ensure cashless transactions, as far as possible, for the patients and is financed by the Govt of India.