Insurance Plans
Basic health cover for secondary and tertiary care up to Rs. 5
lakh per annum per family
The Swasthya Sathi Card offerscashless, premium-free health coverage of up to ₹5 lakh per family annually for secondary and tertiary care in West Bengal, including coverage for pre-existing conditions and post-treatment expenses. The scheme provides access to empaneled government and private hospitals, covers a wide range of procedures, and issues a paperless smart card to each family for easy claim processing.
Key Benefits
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Cashless & Premium-Free: The entire cost of treatments is borne by the state government, with no premium from the beneficiary.
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Coverage Amount: Provides health coverage of up to ₹5 lakh per family per year.
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Family Coverage: Covers all members of the family, including parents from both spouses, and physically challenged dependents.
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Pre-existing Diseases: Covers all pre-existing medical conditions.
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Cashless Hospitalization: Includes pre-hospitalization expenses (one day prior) and post-treatment expenses for up to five days after surgery or treatment.
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Paperless & Smart Card-Based: A smart card is issued to each family for the entire process.
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Access to Empaneled Hospitals: Beneficiaries can avail of treatments at a network of over 2290 empaneled government and private hospitals.
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Comprehensive Care: Covers secondary and tertiary care, including surgeries, diagnostics, and treatments for critical illnesses.
How it Works
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Smart Card:
Each family is provided with a smart card containing their details and photographs.
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Cashless Treatment:
During hospitalization, the smart card is used at empaneled hospitals for cashless treatment.
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Paperless Processing:
All transactions and claims are managed through a paperless IT platform.
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Real-time Updates:
E-health records are uploaded in real-time upon discharge, and SMS alerts are sent to beneficiaries.
10 Biggest Benefits of Ayushman Bharat Yojana ((PMJAY))
Key Benefits of Ayushman Card (PMJAY) Scheme
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Healthcare cover of ₹5 lakh per family...
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All families listed in the SECC database will be covered...
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Priority given to girls, women and senior citizens...
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It includes secondary and tertiary care...
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All pre-existing diseases are covered...
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Cashless and Paperless Registration and Administration
In UP, you can see a doctor in 5 types of OPDs with Ayushman card. Patients suffering from common ailments will get treatment in General OPD . While specialist OPD includes heart, kidney, gastro. Knee transplant, pregnancy, cataract patients can be treated in Elective OPD .
Under the Ayushman card, the beneficiary gets free cashless health insurance up to Rs 5 lakh per annum, which covers the cost of treatment of various critical illnesses, hospitalization, surgery, medicines and other medical services. This card is available in listed hospitals across the country and helps in providing quality healthcare services to the poor.
Key Features of Ayushman Card:
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Health Insurance Coverage :
It provides health insurance cover of up to ₹5 lakh per family per year.
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Cashless treatment :
Through this card, beneficiaries can get cashless treatment in hospitals across the country.
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Comprehensive coverage :
It covers more than 1,500 health packages like various medical treatments, surgical procedures, diagnostic tests, hospitalization expenses, medicines and aftercare.
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Treatment of complex diseases :
Treatment of complex diseases like cardiac conditions, cancer, neurosurgery, kidney transplant, bone marrow transplant and congenital disorders is included.
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Financial Security :
This scheme provides good health services to the poor without any financial burden, thereby saving them from the trap of debt.
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Countrywide Availability :
The hospitals included in the panel under this scheme are present in different parts of the country.
There may be mistakes in the answers given by AI. In information, differences may be seen based on location or different situations.
Health plans which we accept:
Not covered by any of these plans? Contact us and we will find the best solution to suit you.