Does Aarogyasri Scheme have an online portal?

https://www.ysraarogyasri.ap.gov.inhttps://navasakam2.apcfss.in

Month: October 2022

Medi Assist TPA (Complete Details)

Post author By parastar
Post date October 18, 2022

Medi Assist TPA (Complete Details)

Medi Assist TPA acts as a Third-Party Administrator between insurance companies and policyholders. A TPA basically acts as a link between the insurance policyholder and the insurance company. Medi Assist TPA was founded in 2000 by Mr. NS Raghavan.
The company currently has around 3000 employees, has a presence in over 45 cities in India, and has its registered office in Bengaluru, India.

Let us now talk about some of the most important points about Medi Assist TPA, they are:

Products and services
Customer support
Submission of claims
Download E-Card
Claim intimation
Medi Assist TPA Hospital list
Company management
Notable accomplishments

Products and services

Services

The company provides the following services:

Enrolment and on boarding: Medi Assist TPA’s marketing and on boarding team looks after customer acquisition and enrolment. They guide potential customers about the types and kinds of insurance policies available, and the most suitable policy for their needs and requirements.
Providing customer support: Providing customer support is one of the most important function of any TPA company. It is the TPA company’s duty to ensure that all customer queries, questions and grievances are catered to and the best possible support is extended to the policyholder.
Management of claims: During a claim, the claimant will submit the claim to his/her TPA company and the TPA company will look after the claim management process thereafter. They will act as a link between the policyholder and the insurance company. It is the role of the TPA company and the agent to smoothen things out for the policyholder.

Products

The company provides the following products to its customers:

Member platform: The member platform provides policyholders with all of the important details pertaining to their insurance policy. Once logged in, all important insurance related reports can be accessed and downloaded.
Outpatient platform: The Outpatient platform can be used by policyholders to get access to important outpatient related details.
Claims management platform: Policyholder claims can be accessed and managed through this platform.

Their customers can leverage these technologies in order to get better results for themselves and their families.

Notable accomplishments

Details	Stats
Claims settled	60 Lacs+
Active members	4.5 Cr+
Offices	27
Insurance partners	30

Customer support

Department	Phone Number
Helpline	080 22069449
Helpline	1800 425 9449
Senior Citizen Helpline	1800 419 9493
Email	info@mediassist.in
SMS Facility (to know claim status)	SMS “CLAIMS ” to +91 96631 49992

Submission of claims

You can submit your claim to Medi Assist TPA using the following method:

Step 1) Visit the official Medi Assist TPA website

Step 2) Navigate to the ‘Intimate Claim’ section at the bottom of the website

Step 3) Enter your details

Here, you will need to enter either your Medi Assist ID / Employee ID / Policy No. Once entered, click on ‘Identify.’
Follow the next guided steps and submit your claim online.

Download E-Card

This is how you can download your Medi Assist TPA E-Card:

Step 1) Visit the official Medi Assist TPA website

Step 2) Navigate to the ‘Download eCard’ section at the bottom of the website

Step 3) Enter your details

Here, you will need to enter either your Medi Assist ID / Employee ID / Policy No. Once entered, click on ‘Identify.’

Medi Assist TPA Hospital list

Check out all of the affiliated hospitals here.

You will simply need to enter your city location and insurance company and the system will show you a list of all empaneled hospitals within your city.

Company management

Name	Contact Details
Dr. Vikram Jit Singh Chhatwal (Director)	https://www.linkedin.com/in/dr-vikram-chhatwal-विक्रम-छतवाल-30372082/
Srimathy Ranganathan (Director)	https://www.linkedin.com/in/srimathy-ranganathan-406b70156/?originalSubdomain=in
Satish Gidugu (CEO)	https://www.linkedin.com/in/satishgidugu/

Source: Medi Assit TPA

Medvantage Insurance TPA (Services, Customer Care, E-Card and more)

MD India Health Insurance TPA Pvt Ltd

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Raksha Health Insurance TPA Pvt Ltd

Are you looking for a new insurance policy or a policy renewal? Reach out to us and let us assist you.

Health Insurance

Medvantage Insurance TPA (Services, Customer Care, E-Card and more)

Post author By parastar
Post date October 16, 2022

Medvantage Insurance TPA (Services, Customer Care, E-Card and more)

Medvantage Insurance TPA is a third-party administrator that has ties with health insurance companies, and helps in providing health insurance related services to policyholders. Medvantage Insurance Tpa was founded in 2001 and currently has 8 offices across India, including offices in Mumbai, Hyderabad, Pune, Kolkata, and Bangalore. The company’s registered office is in Airoli, Navi Mumbai.

Let us talk about the most important topics concerning Medvantage, such as:

Services
Medvantage Insurance Login
How to download Medvantage E-Card
Customer Care
Empanelled Hospital List
Company Management

Services

Enrolment: Potential policyholders are brought aboard rather seamlessly through their online enrolment process, where customers can understand the different types of policies, their benefits and features.
Customer Support: This is the fundamental service offered by any TPA company, they support the policyholder during their time of need. They assist the policyholder and their family during the difficult time of hospitalization as well as post and pre-hospitalization customer support.
Claims Management: Medvantage TPA handles claims management where they vet the claim application and investigate the case. If all things are in alignment, they will then begin the claim disbursement process.
Account Management: All your communication with the TPA company is handled through experienced account managers that ensure that there isn’t a communication gap during correspondence.

Medvantage Insurance Login

You can login to your Medvantage TPA account by visiting the following link.
Once on the login page, you will need to enter your Email ID/ Mobile Number/ User ID and your password. Once entered, click on ‘Login.’

What are the benefits of logging in? Well, you can submit your insurance claim online, and you can even track your claim status online after logging in.

How to download Medvantage E-Card

You will need to download your Medvantage E-Card in order to access cashless treatment at affiliated hospitals. How can you download the E-Card?

Step 1) Visit the official website

Official website: https://medvantagetpa.com/

Step 2) Navigate to ‘Download E-Card’

Step 3) Enter your details

Now, you can download your E-Card by either entering your registered phone number or your registered Email ID. You will need to enter the following details:

Registered phone number/ Email ID
OTP number
Captcha details
Once entered, click on ‘Verify’

Customer Care

You can contact Medvantage TPA in multiple ways, let’s mention them below:

Email

Department	Contact Details
Customer Service	customerservice@medvantagetpa.com
Grievances	Grievances
General Enquiry	contactus@medvantagetpa.com

Phone Numbers

Department	Contact Details
Customer Service	1800-209-8884
Cashless Department	1800-209-8444
Senior Citizens Helpline	(022)4933-7781

You can also contact Medvantage through their online contact form. Just mention your name, email ID, query, phone number, and click on ‘Submit.’

Empanelled Hospital List

It is extremely important to find out if your desired hospital is empaneled with your insurance company, as you will only be able to take advantage of cashless hospitalizations in empaneled hospitals. You can find a list of all of the empaneled hospitals with Medvantage here.

Once on this page, you will need to enter the following details:

Name of your insurance company
City
Hospital name
Pin code
Captcha

Now, press on ‘Search.’ You will now get a list of all of the network hospitals in your area.

Company management

Name	Contact Details
Nimish R Parekh (Chairman)	https://sg.linkedin.com/in/nimishparekh
Prashant Nagarkar (Vice President)	https://in.linkedin.com/in/prashant-nagarkar-618ba612
Sanjay Kotkar (Claims Manager)	https://in.linkedin.com/in/sanjay-kotkar-897132217

MD India Health Insurance TPA Pvt Ltd

What is TPA in insurance? (Understand its concept and role)

Safeway TPA

Raksha Health Insurance TPA Pvt Ltd

Are you looking for a new insurance policy or a policy renewal? Reach out to us and let us assist you.

Health Insurance

Dr YSR Aarogyasri Scheme (A Complete Guide)

Post author By parastar
Post date October 15, 2022

Dr YSR Aarogyasri Scheme (A Complete Guide)

This article will explain the most important aspects of The Dr YSR Aarogyasri Scheme. This Scheme was introduced by The State Government of Andhra Pradesh in 2007, with the aim to provide quality health care services to the economically challenged people in Andhra Pradesh.

We will touch upon all of the most important aspects of these scheme, such as:

What is Dr YSR Aarogyasri Scheme?
What is Dr YSR Aarogyasri Health Care Trust?
Benefits and features of the scheme
Scheme coverage (Inclusions and Exclusions)
How to apply for The Aarogyasri Scheme?
How to login to your Aarogyasri Account?
Dr YSR Aarogyasri Health card
Aarogyasri Mobile App
Scheme Management

What is Dr YSR Aarogyasri Scheme?

As mentioned above, this state government initiative was launched in 2007 with the aim to provide quality health care services to the economically backward people of Andhra Pradesh. This scheme is a completely financed state government social health initiative which is managed by The Dr YSR Aarogyasri Health Care Trust. This trust handles all activities regarding the scheme.

This scheme is only available to the economically challenged people of Andhra Pradesh, no other people are eligible towards this scheme.

What is Dr YSR Aarogyasri Health Care Trust?

The Dr YSR Aarogyasri Health Care Trust manages all of the operations of The Dr YSR Aarogyasri Scheme. It manages the following activities:

Issuance of Aarogyasri Health Card
Checking eligibility of applicants
Disbursing payment to applicants
Accepting or declining claim requests

Benefits and features of the scheme

Let us now look at some of the most important benefits of The Dr YSR Aarogyasri Health Care Scheme:

Under this scheme, eligible people are provided health insurance coverage up to Rs.5 Lakhs / year.
Cashless hospitalization is also provided under this scheme. Cashless hospitalization basically means that the Trust will directly disburse the payment to the hospital, the patient will not need to make any out of pocket expenses.
This scheme also provides coverage for consultation and OPD.
One of the most important features of this scheme is that it provides coverage for pre-existing conditions and diseases. This means that if the scheme beneficiary is already suffering from any pre-existing condition, he/she will still be covered under this scheme.
Post hospitalization treatment is also covered under this scheme (up to certain limits.)
Family floater option is also available under this scheme.

Scheme coverage (Inclusions and Exclusions)

This scheme covers a total of 2434 diseases and disorders. Mentioned within are some of the notable inclusions and exclusions of the scheme.

Inclusions	Exclusions
General Surgery	Tuberculosis
Ophthalmology	HIV/AIDS
Septorhinoplasty	Infectious diseases
ENT Surgery	Leprosy & Filaria
Surgical Gastroenterology	Malaria
Paediatric Surgeries	Gastroenteritis
Neurosurgery	Knee replacement surgeries
Surgical Oncology	Gamma-knife procedures in neurosurgery
Plastic Surgery	Jaundice
Glaucoma Surgery	Cardiac and liver transplant
Cardiology	Bone marrow treatment
Nephrology
Pulmonology
Dermatology
Rheumatology
Psychiatry
Myringoplasty
Open radical Prostatectomy
The neck of bladder reconstruction for incontinence
Lumbar hernia repair in a pediatric patient
Polytrauma
Prostheses
Genitourinary surgeries

If you want to find out all of the diseases covered under this scheme, you can check it out here.
Further, there is another list of additional diseases covered which can be accessed here.

Empaneled hospitals of The Aarogyasri Scheme

Here are the notable hospitals affiliated with the scheme:

Hospital Name	City
Sunshine Heart Institute	Hyderabad
Olive Hospital	Hyderabad
Yashoda Hospital	Hyderabad
Sentini Hospital	Vijayawada
Care Hospital	Vizag
Sevenhills Hospital	Vizag
Lotus Childrens Hospital	Hyderabad

Get a complete list of all empaneled hospitals here.

How to apply for The Aarogyasri Scheme?

Applicants can apply for the scheme in two ways, either online or offline. Let us discuss about both the online and the offline method below:

Online method

Step 1) Visit the official website of the scheme

You can access the official website from here: https://navasakam2.apcfss.in

Step 2) Register on the website then login

Step 3) Enter your login details

Step 4) Fill-up the Aarogyasri application form

Step 5) Upload all requested documents along with the fill-up form

Step 6) Check application status

Offline method

Step 1) Visit the official website of the scheme

You can access the official website from here: https://navasakam2.apcfss.in

Step 2) Click on the ‘Downloads’ button on the top bar

Step 3) Select ‘YSR Aarogyasri Health Card Performa’

Download Performa

Step 4) Download the form

Step 5) Fill-up the form and attach the requested supporting documents

Step 6) Submit the fill-up form along with all documents to the Aarogyasri Health Care Trust Office

How to login to your Aarogyasri Account?

Step 1) Visit the official website

Official website: https://navasakam2.apcfss.in

Step 2) Navigate to the ‘Login’ button

Step 3) Fill-up the details and login

Dr YSR Aarogyasri Health card

Step 1) Visit the official website

Official website: https://www.ysraarogyasri.ap.gov.in/

Step 2) Click on ‘EHS’

Step 3) Click on ‘Download Health Card’

Step 4) Enter your user ID

Aarogyasri Mobile App

The scheme benefits and features can also be accessed through the official scheme app. The app is currently only available on the Google Play Store. You can access it from here.

Scheme Management

You can find out the name of the management employees, their designation, and their contact numbers here.

Swavlamban Health Insurance Scheme (Enrolment, Benefits & Eligibility)

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Are you looking for a new insurance policy or a policy renewal? Reach out to us and let us assist you.

Frequently asked questions

2007

Yes, this scheme is completely sponsored by The State Government of Andhra Pradesh.

Health Insurance

Swasthya Sathi Scheme of West Bengal (A Complete Guide)

Post author By parastar
Post date October 13, 2022

Swasthya Sathi Scheme of West Bengal (A Complete Guide)

Launched in 2016, The Swasthya Sathi Scheme is a health insurance scheme introduced in West Bengal, under the governance of Mamata Banerjee. This scheme is one of largest health schemes in India with over 2.4 crore+ families covered.

In addition to this, there have been over 39.5 Lakhs + hospitalizations (as of 2022) which are covered under this scheme. Lastly, this scheme has a very high claim settlement ratio of 95.1%. Let us understand the most important aspects of this scheme, such as:

What is The Swasthya Sathi health Scheme?
What are the features and benefits of Swasthya Sathi?
How to login to your Swasthya Sathi account?
What is Swasthya Sathi Card and how to get it?
How to check your Swasthya Sathi Card status?
How to check your claim status?
The Swasthya Sathi App
Swasthya Sathi Package list
Swasthya Sathi find your name
Contact details and helpline numbers
Hospital list

What is The Swasthya Sathi health Scheme?

Swasthya Sathi is a universal health care scheme launched by the Government of West Bengal. Under this scheme, all permanently residing families of West Bengal are eligible to enroll under the scheme. This scheme provides health coverage of up to Rs.5 Lakhs / family per year. That being said, individuals who are covered under any other state sponsored health care scheme cannot enroll under this scheme.

What are the features and benefits of Swasthya Sathi?

Under this scheme, beneficiaries will receive a health care coverage of Rs.5 Lakhs/family per year.
All pre-existing diseases and disorders will be covered under this scheme.
Cashless hospitalization feature is available under this scheme.
This scheme is completely financed by The State Government of West Bengal. The beneficiary is not required to pay charges.
Pre hospitalization and post-hospitalization expenses are covered (up to a certain limit.)
Reimbursement claims are disbursed to the policyholder within 30 days.
There is a special 24×7 call center that is always at hand for providing assistance to claim beneficiaries.
Beneficiaries can also submit their complaints, queries, or questions to the online portal of the scheme and expect a prompt reply.

How to login to your Swasthya Sathi account?

You can login to your Swasthya Sathi account by following the steps below:

Step 1) Visit the official Swasthy Sathi website

https://swasthyasathi.gov.in/

Step 2) Click on the ‘Login’ button on the top right hand side

Step 2) Enter your username and password and click on ‘Submit’

What is Swasthya Sathi Card and how to get it?

All of the scheme benefits can only be accessed if you have a Swasthya Sathi Card. Therefor it is extremely important that you know how to get this card. We will show you how you can get the card in the following simple steps:

Offline method

Step 1) Download the Swasthya Sathi application form

apply online button — Apply online button

Hover over the ‘Apply Online’ tab on the top of the website and navigate to the Download Application Form’ section.

Step 2) Download the relevant form, take a print and fill-it

Step 3) Submit to your nearest scheme affiliated medical center

You will have to submit your form along with the request documents like Aadhar Card, BPL Certificate, Domicile Certificate, etc. Once the submission is done, your card will be disbursed to you within 7 days.

Online Method

You can also apply for the card via the online method. Let us understand how:

Step 1) Visit the official scheme website and navigate to the ‘Apply Online’ section

Step 2) Click on ‘Online Application for Swasthya Sathi Card’

Step 3) Enter your mobile number and OTP

Once entered, click on ‘Submit.’ You will now be redirected to the online page where you can apply for the Swasthya Sathi Card.

How to check your Swasthya Sathi Card status?

You can check the status of your card in the following steps:

Step 1) Visit the official website

Step 2) Click on ‘Find Your Name’

find your name button — Find Your Name Button

Step 3) Enter your registered mobile number and click on ‘Submit’

Your status will reflect on the next page.

How to check your claim status?

You can check your claim status by logging into your Swasthya Sathi account on the official scheme portal.

The Swasthya Sathi App

You can also avail the benefits and features of this scheme through the official Swasthya Sathi App, which is available on the Android Play Store. The app is currently not available on the Apple App Store.

Swasthya Sathi Package list

You can access the complete Swasthya Sathi Package list here. Here, you can check out all of the medical conditions, disease, and disorders covered under the scheme, and the maximum amount covered per disease. You will simply have to select the Grade of the procedure and click on ‘Show Data.’

All of the covered procedures and their maximum coverage amount will be visible on the next page.

Swasthya Sathi find your name

What if you want to check the status of your Swasthya Sathi application? You can do so by visiting the Swasthya Sathi find your name page. You can access this page from the homepage.

Click on ‘Find Your Name’ from the top bar of the home page.

Once on the page, enter your registered mobile number and click on ‘Submit.’

Contact details and helpline numbers

Helpline Number

18003455384 (Toll-Free)

You can also access the entire contact details of the entire Swasthya Sathi team here. You can easily contact the relevant person or the department easily through the contact details mentioned there.

Swasthya Sathi Hospital List

You can find out all of the empaneled hospitals under the scheme by navigating to the ‘Hospital Information’ tab and clicking on ‘Active Hospital List.’
Once on this page, enter the following details:

State
District
Hospital Type
Hospital Grade

Now press ‘Submit’ and get a list of all the network hospitals for that area.

Awaz Health Insurance Scheme (Enrollment, Benefits and Features)

Are you looking for a new insurance policy or a policy renewal? Reach out to us and let us assist you.

Frequently asked questions

The beneficiary will be eligible to get covered only if he/she receives treatment in an empaneled hospital.

Grade A
Grade B
Grade C
Grade R

2016

Yes, this scheme is completely sponsored by The State Government of West Bengal.

https://swasthyasathi.gov.in/

They are covered if the consultation leads to hospitalization.

Yes, up to specified limits.

Health Insurance

Paramount TPA (Claim Status, Customer Care, Hospital List, and more)

Post author By parastar
Post date October 12, 2022

Paramount TPA (Claim Status, Customer Care, Hospital List, and more)

Paramount Health Services & Insurance TPA Pvt. Ltd. (PHS) is a Third-Party Administrator that currently operates in over 160+ locations across India. Paramount TPA was founded in 1996 and is a notable player in the Indian Health Insurance sector, and is one of the largest TPA providers in India.

Paramount TPA was founded by Dr. Nayan Shah, and he currently serves as the company’s Managing Director. The company provides the following services:

Health insurance claim management
Customer handling and support
Policyholder assistance
Health portfolio management
Handling of medical check ups

This article aims to provide a complete understanding of Paramount TPA and all of its benefits, features, services, and more. We will touch upon the following topics:

How to check your Paramount TPA claim status
How to download claim form
Paramount TPA customer care
Paramount TPA login
How to download E-card?
Paramount TPA hospital list
Paramount TPA management

How to check your Paramount TPA claim status

This is how you can check your claim status:

Step 1) Visit the official Paramount TPA website

Step 2) Navigate to the claim status page

Step 3) Enter your claim details

Once on this page, you will need to enter the following details:

Insurance company
Policy type
PHS ID
IPD/OPD

Once selected, click on ‘Submit.’ You will now be redirected to a page that will show your claim status.

How to download your claim form

You can download the claim form using these simple steps:

Step 1) Visit the official Paramount TPA website

You can access the website here.

Step 2) Navigate to the ‘Downloads’ section

The ‘Downloads’ section is on the top bar of the homepage. Hover over it and then click on ‘Download Forms.’

Step 3) Download Forms

Now, you will need to select the relevant claim form and download it to your PC or mobile phone.

Paramount TPA Customer Care

Contact	Phone Number
Landline	+91 22 666 20 808
WhatsApp	+91 91369 72004

Branch address and phone number

Location	Address	Phone Number	Email ID
Andheri (East) – Mumbai (Corporate Office)	401, Sumer Plaza, 4th Floor, Marol Maroshi Road, Andheri (E) 400 059.	+91 22 40004200
Thane (Head Office)	Plot No. A-442, Road No. 28, Ram Nagar, M.I.D.C. Industrial Area, Wagle Estate, Thane West Pin Code – 400604.	022-68342424	contact.phs@paramounttpa.com
Bangalore	Janardhana Towers, No. 133/2, 3rd floor Residency Road, Bangalore – 560025	080-41990100
Chennai	2nd Floor, “Ampa Manor”, No. 107/3, Nelson Manickam Road, Aminjikarai, Chennai – 600 029. (Landmark – Opposite to MGM Healthcare)	(044)- 43435959 / 43435933 / 43435944
Delhi	Building No. D-39, Okhla Industrial Area, Phase-I, New Delhi – 110 020.	41637594 / 95 / 96
Kolkata	ICMARD Building, 4th Floor & 8th floor, Block 14/2, C.I.T. Scheme VIII (M) Ultadanga, Kolkata – 700 067.	(033)-23567005 / 23567008 / 9836561300 / 9331457647
Ahmedabad	Office No. 304,Meera Manan Arcade, Near Krupa Petrol Pump, Parimal Cross Road, Ellisbridge, Ahmedabad-380006.	(079)-40399287/40399288 Fax No:(079)-26401545
Chandigarh	SCO-46, Cabin No.-106-107, First Floor, Sector -11,(Landmark Canon Plaza) Panchkula(Chandigarh).134109	9316111218
Hyderabad	No. 1-8-303/48/9, 1st Floor, Tirumala Chambers, PG Road, Behind Chutneys Restaurant, Begumpet, Hyderabad – 500 016	(040) – 66758271 / 66759271 Fax No:(040) – 66366271
Pune	Office no 403-404, Mayfair Tower I C.T.S. no 28, Wakadewadi Shivaji Nagar, Pune – 411005.	020-25541100 / 020- 25541111
Cochin	H No.Cc662946, Kanakathuparambu, Near Nariamparambil Court, Kacherippady, Kochi – 682018.	(0484) – 2393709/(0484)-2392610/(0484)-4011962

Get a complete list of all branches here.

Paramount TPA Login

You can login to your Paramount TPA account by visiting the link here.
You will need to enter the following details while logging in:

Username
Password
Group Code

Once entered, kindly click on ‘Log in.’

If you don’t have an account, you will have to register for an account first. Once have registered for an account, then you can login to your account using your credentials.

How to download E-card?

You can download your Paramount TPA E-card by visiting the link here.

Once, you are on this page, you will need to enter the following details:

Insurance company
PHS ID/Employee ID/Policy No
Once entered, please click on ‘Submit.’

Your E-card will be downloaded.

Paramount TPA Hospital List

You can check out all of the empaneled network hospitals of Paramount TPA here. You will simply need to enter your state, city, Insurance company. Once your details are entered, click on ‘Submit.’

Paramount TPA Management

Name	Designation	Contact Details
Dr. Nayan Shah	Founder and Managing Director	https://www.linkedin.com/in/nayan-shah-4655767/
Mr. Atman Shah	Vice President Operations & Customer Relations	https://www.linkedin.com/in/atmans/

MD India Health Insurance TPA Pvt Ltd

What is TPA in insurance? (Understand its concept and role)

Safeway TPA

Raksha Health Insurance TPA Pvt Ltd

Are you looking for a new insurance policy or a policy renewal? Reach out to us and let us assist you.

Health Insurance

West Bengal Health Scheme (WBHS) – A Complete Guide

Post author By parastar
Post date October 11, 2022

West Bengal Health Scheme (WBHS) – A Complete Guide

The West Bengal Health Scheme (WBHS) is health scheme for State Government Employees in West Bengal. This scheme was introduced by The State Government of West Bengal in 2008, in association with the state’s finance department. WBHS provides cashless health coverage to eligible state government employees of West Bengal.

This is one of the most important social healthcare schemes in the state, and has proved to be beneficial to lacs of state government employees in West Bengal.

Let us now discuss about some of the most important aspects of this scheme and provide you with a complete and detailed overview of the scheme. Topics discussed below are:

Features and benefits of WBHS
Coverage under this scheme
How to register under WBHS?
How to apply for a claim under WBHS?
WBHS Eligibility criteria
WBHS Portal
How to login to WBHS
WBHS Hospital list
WBHS Rate Chart
WBHS Downloads
WBHS Online Claims
WBHS Contact Details

Features and benefits of WBHS

Mentioned below are some of the most important and notable benefits and features of The West Bengal Health Scheme (WBHS):

Cashless indoor treatment coverage up to Rs.1.5 Lakhs per beneficiary. If the treatment cost goes beyond Rs.1.5 Lakhs, reimbursement is subject to clauses mentioned within the scheme.
Option for OPD treatments and consultations are also available.
Surgical treatment is covered.
A total of 1014 different medical conditions are covered under WBHS.
Cashless treatment is provided, but the beneficiary will need to visit a network hospital in order to avail cashless coverage. Further, if a scheme beneficiary gets treatment in a non-network hospital, he/she will only be eligible to receive reimbursement up to a certain percentage of the treatment cost.

Notable statistics of this scheme

Some notable stats include (As of 2022):
888985 beneficiaries of these scheme
175 Private Hospitals Empaneled under this scheme
There are over 500+ treatments at any given time

Coverage under this scheme

A wide variety of diseases and disorders are covered under this scheme. Let us list some of the most common diseases covered under the scheme:

Neurology
Cardiology
Laparoscopic/Endoscopic operations
E.N.T
Ophthalmology
General Surgery
Nephrology
Vascular Surgery
Dental treatment
Burns
Respiratory disorders
Skin disorders
Obstetric disorders
Gynecology
Malaria
Tuberculosis
Crohn’s Disease
Rheumatoid Arthritis
Hepatitis
COPD (Chronic obstructive pulmonary disease)
Diabetes
Renal failure
Thalassemia
Animal bites
Accidents
LUPUS

You can get a complete list of all diseases covered here.

How to register under WBHS?

You can register under The WBHS Scheme in the following simple steps:

Step 1) Visit the official WBHS Website

Step 2) Hover over the ‘Online Enrolment’ tab and click on ‘Govt Employee’

Step 3) Enter your date of employment

Step 4) Enter your personal details and family details and proceed

Step 5) Upload the requested documents to the website

Step 6) Save all the details and take a print of the application form

Your registration is now complete.

How to apply for a claim under WBHS?

You can file a claim under WBHS using the below mentioned simple steps:

Step 1) First, you will need to show your WBHS Card to your hospital

Step 2) The hospital will verify your WBHS Card

Step 3) Upon completion of treatment, the government will disburse the treatment cost to the hospital

WBHS Eligibility Criteria

The below mentioned people are eligible for enrolling under WBHS:

Employees of The State Government of West Bengal, their families, pensioners and their families
All India Service Officers and pensioners
IPS, IAS, and IFS Officers
Beneficiaries who have opted for this scheme as medical allowance

WBHS Portal

This scheme scheme is tech-savy and a lot the scheme features and benefits can be handled through the online WBHS Portal. Further, all scheme related documents, forms, information, and additional features can be accessed through the portal. You can access the portal here.

How to login to WBHS

You will need to login to the WBHS Portal in order to access scheme related features like submitting a claim, uploading your documents, monitoring your claim status and more. Let us now find out how you can login to your account.

Step 1) Visit the official WBHS Portal

Step 2) Click on the green ‘Login’ button on the top right hand side

Step 3) Enter your User ID, Password, Captcha and press on OK

You will now be logged into your WBHS Account

WBHS Hospital list

All Government Hospitals, clinics, diagnostic centers that come under the management of The State Government of West Bengal are empaneled under this scheme.

There are also certain selected private hospitals that are empaneled under this scheme. You can find a list of all of the empaneled hospitals here.

Some notable hospitals empaneled with WBHS include:

Sr. No	Notable Hospitals Empanelled under WBHS
1	Ruby General Hospital
2	Desun Hospital and Heart Institute
3	Charnock Hospitals
4	ECO Hospital and Diagnostics
5	Nightingale Diagnostic and Medicare
6	Vivekananda Hospital
7	Sanjiban Hospital
8	Glocal Hospital
9	Dreamland Nursing Home
10	K.P.C Medical College and Hospital
11	Paramount Hospital
12	The Calcutta Medical Research Institute
13	Malda Nursing Home
14	Mission of Mercy Hospital
15	Citylife Hospital

WBHS rate chart

All procedures covered have a maximum rate chart that they need to adhere to. You can access the entire rate chart of all procedures and surgeries, and their associated maximum coverage rate here.

WBHS Downloads

You can download all necessary forms from here.

Downloadable forms include the following:

Application form
Claim submission form
E-payment mandate form
Rate chart
Claim reimbursement form

WBHS Online Claims

You can initiate an online claim through the WBHS Online Claim page. But first, you will need to login to your WBHS Account.

WBHS Contact Details

Department	Contact Details
Technical Helpline	support.hshed-wb@nic.in, 18001028014
Government Offices	wbhsgovt.officeassist@gmail.com
All Hospitals	wbhshospitalassist@gmail.com

Officials	Contact Details
Mr. Aloke Kumar Mukherjee (WBA & AS Joint Secretary)	033-2254-4197, js1med.fd-wb@gov.in
Mr. Swayambhu Dey (Accounts Officer and Ex-Officio Assistant Secretary)	033-2254-4730, 033-2254-4730
Mr. Manikratan Dey (OSD & EO Joint Secretary)	033-2254-5049, dsmed.fd-wb@gov.in

Ex Servicemen Contributory Health Scheme (ECHS) – A Complete Guide

Swavlamban Health Insurance Scheme (Enrolment, Benefits & Eligibility)

Niramaya Health Insurance Scheme (Benefits, Coverage & Enrolment)

Awaz Health Insurance Scheme (Enrollment, Benefits and Features)

Are you looking for a new insurance policy or a policy renewal? Reach out to us and let us assist you.

Frequently asked questions

The full form of WBHS is West Bengal Health Scheme.

2008

Mamata Banerjee

Yes, it is solely available to state government employees in Bengal.

https://wbhealthscheme.gov.in/

Health Insurance

Ex Servicemen Contributory Health Scheme (ECHS) – A Complete Guide

Post author By parastar
Post date October 9, 2022

Ex Servicemen Contributory Health Scheme (ECHS) – A Complete Guide

The Ex Servicemen Contributory Health Scheme (ECHS) is a social welfare scheme designed to provide Medicare to Ex-servicemen and their dependents. This scheme was launched in the year 2003 by The Department of Ex-servicemen Welfare and currently has 427 Polyclinics and medical treatment centers and hospitals across the nation.

The scheme is completely financed by The Government of India, and is currently headed by MAJ General NR Indurkar – Managing Director of ECHS.

Let us talk about the most important benefits and features of the scheme. Further, we will discuss in detail about some of the other most important aspects of the scheme, such as:

What is ECHS?
Benefits and features of ECHS
How to apply for ECHS
ECHS eligibility criteria
How to login to your ECHS account
ECHS card status
How to submit a claim
How to check your ECHS claim status
List of network hospitals and polyclinics
Contact details

What is ECHS?

The Government along with the Armed Forces realized that the current systems of state sponsored Medicare were not enough for our nation’s soldiers, hence they introduced The Ex Servicemen Contributory Health Scheme (ECHS)

Under this scheme, eligible personal will be entitled towards quality medical treatment and medical coverage to the retirees of the Indian Armed Forces. The ECHS not only covers Ex-servicemen but it also extends its coverage to the person/family that is in receipt of thee Ex-servicemen’s pension (after his/her death)

Benefits and features of ECHS

The following are the core benefits and features of ECHS:

The ECHS Scheme is a comprehensive medical care scheme covering all of the major disorders and diseases, including cancer, neurological conditions, cardiac conditions, renal disorders, joint replacement surgeries and many more. Further, there is no cap on treatment costs.
The is a fully financed scheme by The Government of India.
Scheme beneficiaries can avail medical treatment in over 427 Polyclinics and medical treatment centers and hospitals across the country.
OPD treatment is also covered under this scheme, and is completely free of cost.
Although treatment is completely free of charge and borne by the Government, the beneficiaries of the ECHS Scheme will need to pay a one-time contribution fee (mentioned below) at the time of enrolling under this scheme.

How to apply for ECHS

As mentioned before, all Ex-servicemen are eligible to enroll under this scheme. Let us now understand the steps involved for applying towards this scheme:

Offline process

Step 1) Collect the ECHS application form and fill it

Step 2) Make the one-time contribution fee

Step 3) You will need to furnish an affidavit (if needed)

Step 4) Collect your ECHS Smart Card

Online process

You can also register under this scheme through the official ECHS website. Let us guide you through the steps.

Step 1) Visit the official website

Step 2) Navigate to the ‘useful links’ tab and click on ‘ECHS Smart Card Online Application.’

Step 3) Fill-up the registration form

You will now need to populate the requested details within the form.

Step 4) Your ECHS account will now be registered

Once filled and submitted, your ECHS account will now be registered

Step 5) You will now be required to submit all relevant documents either physically or online through the portal

You can now login to your ECHS portal with your username and password and upload the requested documents to the portal.

Step 6) Documents will now be vetted

Once all documents are vetted, you can download your ECHS Card through the portal.

ECHS eligibility criteria

The following are eligible towards ECHS:

All Ex-servicemen of the Indian Armed Forces (Army, Navy, and Air Force) that are receiving pension or disability pension, as well as their dependants.
Members of the military Nursing Service (MNS)
Whole time officers (WTOs) of The National Cadet Corps (NCC)
Short Service Commissioned Officers (SSCOs)

To learn about the entire eligibility requirements kindly visit the following link and scroll down to the ‘Eligibility section.’

How to login to your ECHS account

Step 1) Visit the official ECHS website

Step 2) Navigate to the ‘useful links’ tab and click on ‘ECHS Smart Card Online Application.’

Step 3) Click on ‘Click to Login’

Step 4) Enter your login details and press on ‘Login’

You can also reach out to their customer support team through the following contact details below:

How to check your ECHS claim status

ECHS claim status

You can easily check your ECHS claim status by visiting their ‘Online Claim Status Checker’ page. Once on the page, kindly enter the following details:

Service number
Claim ID
Captcha code
And press ‘Submit’

ECHS Card status

Once you have registered under the scheme, you can login to your ECHS account and download your ECHS card. You can also check your card status through the portal after logging-in.

ECHS Android and IOS App

With a view to improve the user experience, various features and benefits of The ECHS scheme can be accessed through The Official ECHS Android and IOS Apps respectively. Kindly download the apps on your phone and access the portal through it.

How to submit a claim

Your claim can be submitted online through their claim submission page on The ECHS portal.

Ensure that you have below mentioned documents at hand before submitting you claim:

List of network hospitals and polyclinics

It is important that you are well versed with the nearest hospitals and polyclinics affiliated under this scheme. You can get a complete list of all hospitals here.

Contact details

You can locate your nearest nearest ECHS Regional center here. Lastly, you can reach out to the major scheme officials here.

Swavlamban Health Insurance Scheme (Enrolment, Benefits & Eligibility)

Niramaya Health Insurance Scheme (Benefits, Coverage & Enrolment)

Awaz Health Insurance Scheme (Enrollment, Benefits and Features)

Rashtriya Swasthya Bima Yojana (Name Check, Benefits & Hospital List)

Are you looking for a new insurance policy or a policy renewal? Reach out to us and let us assist you.

Frequently asked questions

The full form of ECHS is Ex-Servicemen Contributory Health Scheme (ECHS)

2003

MAJ General NR Indurkar (As of 2022)

Yes, it is solely available to Ex-servicemen and their dependents.

Health Insurance

Mahatma Jyotiba Phule Jan Arogya Yojana- MJPJAY (Complete Guide)

Post author By parastar
Post date October 7, 2022

Mahatma Jyotiba Phule Jan Arogya Yojana- MJPJAY (Complete Guide)

The Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) is one of the most important flagship health insurance schemes in the State of Maharashtra. The MJPJAY Scheme was launched by The State Government of Maharashtra in 2012, with the aim of providing free medical care to the underprivileged in the State of Maharashtra.

MJPJAY provides health care coverage up to a sum assured of ₹1,50,000 for eligible people. Let us now discuss about some of the most important aspects of MJPJAY, such as:

Features and benefits
Eligibility
List of diseases covered
How to apply for MJPJAY

Features and benefits

The Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY) was introduced with the objective to provide good quality health insurance coverage to the poor and underprivileged people in Maharashtra.
Under this scheme, eligible personal can avail completely free health care treatment up to a sum of ₹1,50,000.
Pre-existing diseases and disorders are covered under this scheme from the 1st day itself.
Both, diagnostics as well as surgical intervention is covered under MJPJAY.
The scheme beneficiary will have the choice to either get admitted in a government hospital or a private hospital (will have to be empaneled.) The choice remains with the scheme beneficiary.
Most major diseases, disorders, and conditions are covered under this scheme.
Further, there is a list of surgeries that will only be conducted at government authorized hospitals. Apart from these surgeries, the beneficiary is free to choose his hospital.
Both individual as well as family floater options can be availed under this scheme.

Eligibility

This scheme can be availed by anyone that matches all the below criteria:

A person/family living in a distressed area of Maharashtra
A person having a Ration Card, Annapurna Card, and Antyodaya Anna Yojana Card (AAY)

Even farmers that belong to distressed areas can apply under this scheme.

List of diseases covered

Let us now list some of the major diseases covered under MJPJAY:

Burns
Craniological diseases
General surgery
Opthamology Surgery
Pediatric Surgery
Surgical Oncology
Plastic Surgery
Infectious Disease
Gastroenterology
Nephrology
Neurological disorders
Dermatology
Thyomectomy
Refractory Cardiac Failure
Renal Angioplasty
Snake Bite Requiring Ventilator Support
Tb Tympanoplasty
Meningitis
Severe anemia

Here is a complete list of all covered diseases.

How to apply for MJPJAY and get The MJPJAY Card?

Visit your nearest government hospital (has to be a network hospital) and ask to speak with an Arogyamitra. An Arogyamitra is a person that will assist you in enrolling under The MJPJAY scheme and getting your MJPJAY Health Card.
Submit the requested documents to your Arogyamitra.
Once your documents are submitted and approved by your Arogyamitra, your health card will be disbursed to you.
You can now use this health card at any network hospital while availing treatment.

Swavlamban Health Insurance Scheme (Enrolment, Benefits & Eligibility)

Niramaya Health Insurance Scheme (Benefits, Coverage & Enrolment)

Awaz Health Insurance Scheme (Enrollment, Benefits and Features)

Rashtriya Swasthya Bima Yojana (Name Check, Benefits & Hospital List)

Are you looking for a new insurance policy or a policy renewal? Reach out to us and let us assist you.

Health Insurance

Chiranjeevi Health Insurance Scheme (Get Complete Details)

Post author By parastar
Post date October 7, 2022

Chiranjeevi Health Insurance Scheme (Get Complete Details)

The Chiranjeevi Health Insurance Scheme also known as the Mukhyamantri Chiranjeevi Yojana is a notable social scheme launched by the Government of Rajasthan in 2021. Eligible persons can avail health insurance at a highly subsidized rate. Under this scheme, all permanent residents of Rajasthan can apply towards this scheme.

Also, poor Rajasthani residents (under BPL, SECC and NFS) will be eligible to receive health insurance coverage free of charge. Let’s talk about the most important aspects of The Chiranjeevi Health Insurance Scheme, such as:

Features and benefits
Scheme eligibility
Scheme application process

Features and benefits

The Chiranjeevi Health Insurance provides health insurance coverage to Rajasthani residents up to ₹10 Lakhs at an extremely nominal and subsidized premium of ₹850 / year. Also, Rajasthani natives that fall under BPL, SECC and NFS will get health insurance coverage completely free of cost.
The policyholder will be covered against more than 1500+ medical treatments.
The policyholders under this scheme can avail cashless hospitalization. This is a highly beneficial feature as the policyholder will not need to bear out-of-pocket expenses.
This scheme provides both post and pre hospitalization coverage.
Policyholders can avail medical treatment in government as well as private hospitals, the choice is theirs.

Scheme eligibility

This is a rather straight-forward scheme; the scheme beneficiaries will need to be permanent residents of the State of Rajasthan. Further, poor Rajasthani residents (under BPL, SECC and NFS) will be eligible to receive scheme benefits completely free of cost.

Scheme application process

Let us now find out how to apply for this scheme.

Step 1) Visit the official scheme website and click on ‘Online Registration’

chiranjeevi health insurance scheme website — Chiranjeevi health insurance scheme website

First, you will need to visit the official scheme website.
Next, click on ‘Online Registration.’

Step 2) Make your unique SSO ID

Now, You will need to click on ‘Redirect to SSO’
Redirect to SSO
Once clicked, now you will need to register for your SSO ID.

Click on either ‘Jan Aadhar’ or ‘Google’ button.
Enter your Aadhar number or Google ID and click on ‘Next.’
Now, the system will send you a unique SSO ID link. Fill-up the requested details on this link and click on ‘Register.’
SSO registration

You have now registered on the portal. You can also view a complete video demo on how to register here.

Step 3) Sign-in to the portal

Now you can sign-in to the portal using your login and password credentials.

Step 4) Upload your documents

After logging into your account, you will now need to upload all the relevant documents to the portal.
After the documents are uploaded, the same will be vetted and if eligible, you will become a policyholder under The Chiranjeevi Health Insurance Scheme.

The following documents will be requested to be uploaded, ensure they are on-hand. Aadhaar card, Income certificate, Passport size photograph, bank statement, phone number, BPL certificate, ration card, address proof.

Step 5) Check your status

You can now check your application status through the online portal.

Swavlamban Health Insurance Scheme (Enrolment, Benefits & Eligibility)

Niramaya Health Insurance Scheme (Benefits, Coverage & Enrolment)

Awaz Health Insurance Scheme (Enrollment, Benefits and Features)

Rashtriya Swasthya Bima Yojana (Name Check, Benefits & Hospital List)

Are you looking for a new insurance policy or a policy renewal? Reach out to us and let us assist you.

Frequently asked questions

2021

Ashok Gehlot

INR 850 / year

No, it is only available to Rajasthani Natives.

Health Insurance

Swavlamban Health Insurance Scheme (Enrolment, Benefits & Eligibility)

Post author By parastar
Post date October 5, 2022

Swavlamban Health Insurance Scheme (Enrolment, Benefits & Eligibility)

The Swavlamban Health Insurance Scheme, launched in 2016, is a public health insurance scheme that provides health care coverage for people with disabilities (PwDs). PwDs have a hard time getting covered by private insurance companies, this leads them to be excluded from the helpful umbrella of insurance.

The Government of India realized this and in an attempt to ensure that PwDs get adequate insurance coverage came up with The Swavlamban Health Insurance Scheme. PwDs include people with blindness, leprosy, motion disabilities, mental illness and disorders, hearing impairments, and similar disorders.

Let us now learn about the most important topics concerning The Swavlamban Health Insurance Scheme, including:

Features and Benefits of the scheme
How to enrol under the scheme
Scheme eligibility

Features and Benefits of the scheme

The Swavlamban Health Insurance Scheme provides a health coverage of Rs.2 Lakhs for people with disabilities at a very low premium of Rs.357/year.
The scheme also provides a family floater option that can extend coverage of the scheme to the entire family.
PwDs do not need to undergo any medical tests or check ups in order to enroll themselves in this scheme.
Coverage will be extended to pre-existing conditions and disorders.
Both, pre and post hospitalizations are covered under this scheme.
OPD coverage (up to Rs.10,000 / year.)
Cashless coverage will be extended to PwDs

How to enroll under the scheme

The scheme is run through The New India Assurance Company limited, which is running the scheme in association with The Ministry Of Social Justice, Department of Empowerment of Persons with Disabilities.

Step 1 – Visit your nearest New India Assurance Company limited branch and ask them to furnish you with the scheme form.

Step 2 – Fill-up the form, submit it, and make your first premium payment.

Ensure that all required documents like your PwD certificate and Identification and address proof documents are with you while approaching the insurance officer.

Scheme eligibility

PwDs will need to fall under all of the below criteria in order to be eligible towards The Swavlamban Health Insurance Scheme:

People with disabilities between the age of 0 – 65 years of age
PwDs will need to have a government authorized disability certificate (PwD certificate)
The family income of the PwD should not exceed Rs.3 lakhs / year

You can visit your nearest New India Assurance branch to know more about this scheme.

Niramaya Health Insurance Scheme (Benefits, Coverage & Enrolment)

Awaz Health Insurance Scheme (Enrollment, Benefits and Features)

Are you looking for a new insurance policy or a policy renewal? Reach out to us and let us assist you.

Frequently asked questions

New India Assurance Company

2016

Yes, cashless hospitalization feature is available under this scheme.