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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.

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