Categories
Health Insurance

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

TPA

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

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

Categories
Health Insurance

Dr YSR Aarogyasri Scheme (A Complete Guide)

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

Login button

Step 3) Enter your login details

login box
Login box

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

download button
Download button

Step 3) Select ‘YSR Aarogyasri Health Card Performa’

download 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

Login button

Step 3) Fill-up the details and login

login box
Login box

Dr YSR Aarogyasri Health card

Step 1) Visit the official website 

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

Step 2) Click on ‘EHS’

EHS button
EHS button

Step 3) Click on ‘Download Health Card’

download health card
Download health card

Step 4) Enter your user ID

enter your user ID
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.

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

Frequently asked questions

Categories
Health Insurance

Swasthya Sathi Scheme of West Bengal (A Complete Guide)

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

Swasthya Sathi website
Swasthya Sathi website

https://swasthyasathi.gov.in/

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

Click on Login

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

Login box
Login box

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

apply online button
Apply online button

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

Step 3) Enter your mobile number and OTP

Online Application
Online Application

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’

find your name box
Find Your Name Box

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.’

 

Swasthya Sathi Package list
Swasthya Sathi Package list

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.

find your name button
Find Your Name Button

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

find your name box
Find Your Name Box

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.

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

Frequently asked questions

  • In which hospitals can the beneficiary receive treatment?

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

  • Which grade hospitals are empaneled under this scheme?
    • Grade A
    • Grade B
    • Grade C
    • Grade R
  • When was this scheme launched?

    2016

  • Is Swasthya Sathi completely sponsored by The State Government?

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

  • Does Swasthya Sathi have an online portal?

    https://swasthyasathi.gov.in/

     

  • Are OPD consultations covered?

    They are covered if the consultation leads to hospitalization.

  • Does this scheme provide pre and post hospitalization?

    Yes, up to specified limits.

  • Categories
    Health Insurance

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

    TPA

    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/

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

    Categories
    Health Insurance

    West Bengal Health Scheme (WBHS) – A Complete Guide

    form

    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

    WBHS portal
    WBHS portal

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

    WBHS online enrolment
    WBHS online enrolment

    Step 3) Enter your date of employment

    WBHS online enrolment page
    WBHS online enrolment page

    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

    WBHS portal
    WBHS portal

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

    WBHS Login Page
    WBHS Login Page

    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 rate chart
    WBHS rate chart

    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

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

    Frequently asked questions

  • What is the full form of WBHS?

    The full form of WBHS is West Bengal Health Scheme.

  • When was The WBHS Scheme launched?

    2008

  • Who was the Chief Minister when WBHS was launched?

    Mamata Banerjee

  • Is ECHS only available to state government employees of Bengal?

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

  • What is the official online portal of ECHS?

    https://wbhealthscheme.gov.in/

     

  • Categories
    Health Insurance

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

    military

    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.
    One time charge table

    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

    official ECHS website
    Official ECHS website

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

    ECHS useful links
    ECHS useful links

    Step 3) Fill-up the registration form

    ECHS registration
    ECHS 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

    official ECHS website
    Official ECHS website

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

    ECHS useful links
    ECHS useful links

    Step 3) Click on ‘Click to Login’

    ECHS login page
    ECHS login page

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

    ECHS login box
    ECHS login box

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

    ECHS troubleshooting contact details
    ECHS troubleshooting contact details

    How to check your ECHS claim status

    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:

    ECHS claim submission
    ECHS claim submission

    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.

    ECHS Contact Details
    ECHS Contact Details

     

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

    Frequently asked questions

  • What is the full form of ECHS?

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

  • When was The ECHS Scheme launched?

    2003

  • Who is the current Managing Director of ECHS?

    MAJ General NR Indurkar (As of 2022)

  • Is ECHS only available to Ex-servicemen?

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

  • What is the official online portal of ECHS?
  • Categories
    Health Insurance

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

    mahatma phule

    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?

    1. 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.
    2. Submit the requested documents to your Arogyamitra.
    3. Once your documents are submitted and approved by your Arogyamitra, your health card will be disbursed to you.
    4. You can now use this health card at any network hospital while availing treatment.

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

    Categories
    Health Insurance

    Chiranjeevi Health Insurance Scheme (Get Complete Details)

    rajasthan

    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

    Step 2) Make your unique SSO ID

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

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

    Frequently asked questions

  • When was The Chiranjeevi Yojana launched?

    2021

  • Which Chief Minister launched The Chiranjeevi Yojana

    Ashok Gehlot

  • What is the premium rate for the scheme?

    INR 850 / year

  • Is Chiranjeevi scheme available to Non-Rajasthanis?

    No, it is only available to Rajasthani Natives.

  • Categories
    Health Insurance

    Swavlamban Health Insurance Scheme (Enrolment, Benefits & Eligibility)

    disability

    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:

    1. Features and Benefits of the scheme
    2. How to enrol under the scheme
    3. 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.

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

    Frequently asked questions

  • Which insurance company manages the Swavlamban Health Insurance Scheme

    New India Assurance Company

  • When was the Swavlamban Health Insurance Scheme launched?

    2016

  • Does Swavlamban Health Insurance Scheme provide cashless hospitalization?

    Yes, cashless hospitalization feature is available under this scheme.

  • Categories
    Health Insurance

    Niramaya Health Insurance Scheme (Benefits, Coverage & Enrolment)

    autism

    Niramaya Health Insurance Scheme (Enrolment, Benefits and Coverage)

    The Niramaya Health Insurance Scheme is a health scheme floated by The Department of Empowerment of Persons with Disabilities (Divyangjan). Under this scheme, people having disabilities like autism, mental retardation, cerebral palsy, and certain other mental disorders can avail health insurance coverage up to Rs.1 Lakh.

    We will talk about some of the most important aspects of The The Niramaya Health Insurance Scheme like:

    • Benefits of the scheme
    • Scheme coverage
    • How to enroll under the scheme?
    • Who is eligible for this scheme?

    Benefits of the scheme

    • The Niramaya Health Insurance Scheme provides health insurance coverage to people with mental disabilities. The importance of this cannot be underestimated as private health insurance companies generally do not extend their services to people with mental disorders. Affordable and good quality healthcare is their right also.
    • The scheme provides a health insurance coverage of Rs.1 Lakh. Although at this time of rising medical inflation, a coverage of just 1 Lakh could be considered quite less, but some coverage is better than no coverage.
    • This is a nationwide scheme.
    • Eligible people do not need to undergo any medical check-up in order to enroll under this scheme.
    • This scheme provides pre and post hospitalization coverage.

    Scheme coverage

    The scheme covers the following:

    • Hospitalization that results in surgery
    • Non-surgical hospitalization
    • Out Patient Treatment (OPD)
    • Medical check-up
    • Dental treatment
    • Ambulance costs
    • Alternative medicine

    You should also check the limits and sub-limits of coverage below:

    niramaya scheme coverage limit
    Coverage limits

     

    How to enroll under the scheme?

    1.) Visit the official Niramaya Health Insurance Scheme online page

    niramaya health insurance scheme official website
    Official Niramaya Website

    Choose your preferred search engine and search for the official Niramaya Scheme website. The website should look like the above image. Once on the website, click on the “Download” button.

    2.) Download the enrolment form

    download enrolment form
    Click on “Download Enrolment Form”

    Once on the download page, click on “Download Enrolment Form.”

    3.) Fill-up the form and submit it

    • Download the enrolment form, read it properly, find out what kind of documents and details are required, then fill-up the form.
    • Take a hard-copy of the filled-up form and submit to your nearest registered office of The National Trust.

    4.) Get your application ID

    Once your documents are vetted, The National Trust will issue you an application ID. If your application is approved, you can now download your Nirmaya E-card from the online portal.

    5.) Click on “Download Niramaya E-card of the beneficiary”

    Download Niramaya e-card
    Download Niramaya E-Card

    To download your E-card, click on “Download Nirmaya E-card of the beneficiary.”

    6.) Click on the “Nirmaya Card” tab

    click on Niramaya Card tab
    Niramaya Card Tab

     

    7.) Enter your application number and download E-card

    Download e-card
    Enter your application ID and click on “Download”

    Enter your application number and click on “Download.” If your application is approved, your Nirmaya E-card will be downloaded on your system. You can then use your E-card as and when required.

    Who is eligible for this scheme?

    All Persons With Disabilities (PwDs) are eligible under the Niramaya Scheme. All they have to do is fill-up the application form and pay a registration fee.

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

    Frequently asked questions

  • What is the maximum coverage under The Niramaya Health Insurance Scheme?

    Rs.1 Lakh

  • Is OPD as well as IPD hospitalizations covered under The Niramaya Health Insurance Scheme

    Yes, both OPD as well as actual hospitalizations are covered under this scheme

  • Does this scheme provide coverage for medical check up?

    Yes, medical check ups are covered under the scheme.

  • What is the meaning of the word "Niramaya"

    Niramaya means healthy and disease free.