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:
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.
You can login to your Swasthya Sathi account by following the steps below:
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:
Hover over the ‘Apply Online’ tab on the top of the website and navigate to the Download Application Form’ section.
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.
You can also apply for the card via the online method. Let us understand how:
Once entered, click on ‘Submit.’ You will now be redirected to the online page where you can apply for the Swasthya Sathi Card.
You can check the status of your card in the following steps:
Your status will reflect on the next page.
You can check your claim status by logging into your Swasthya Sathi account on the official scheme portal.
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.
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.
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.’
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.
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:
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
The beneficiary will be eligible to get covered only if he/she receives treatment in an empaneled hospital.
Yes, this scheme is completely sponsored by The State Government of West Bengal.
They are covered if the consultation leads to hospitalization.
Yes, up to specified limits.