Swasthya Sathi Benefits
TheSwasthya Sathi scheme provides West Bengal residents with up to Rs. 5 lakh in health coverage for secondary and tertiary care, including a Rs. 1.5 lakh basic coverage for secondary and tertiary care and an additional Rs. 5 lakh for critical illnesses.Key benefits include cashless and paperless treatment, premium-free coverage paid by the state government , and a no cap on family size , which includes parents and physically challenged dependent family members. The scheme also covers pre-existing diseases from day one
Key benefits of the Swasthya Sathi scheme
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Health coverage: Provides up to Rs. 5 lakh in health coverage per family per year.
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Cashless and paperless: The scheme is cashless and paperless, with treatments facilitated through a smart card.
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No premium: The state government bears the entire premium, so there is no cost to the beneficiary.
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Family coverage: There is no cap on the number of family members, and the scheme includes parents (both spouses') and dependent physically challenged family members.
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Pre-existing conditions: Pre-existing diseases are covered from the start of enrollment.
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Included costs: Hospitalization, diagnostic tests, and medicines are covered. Costs for medicines are also covered for up to 5 days after treatment.
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Online and real-time system: The scheme is managed through a paperless IT platform with online pre-authorization and real-time uploading of e-health records.
Key benefits of the Swasthya Sathi scheme
Health offers cashless treatment for secondary and tertiary care up to ₹5 lakh per family per year, covers pre- and post-hospitalization, includes a wide range of treatments, and has no restriction on family size.The scheme is free, paperless, and zero-contribution, with a smart card provided to each family on the day of enrollment, notes Swasthya Sathi and Swasthya Sathi .
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Cashless and paperless: Beneficiaries can receive treatment by presenting their smart health card, making payments at the hospital unnecessary.
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Financial coverage: Provides health coverage up to ₹5 lakh per family per year for secondary and tertiary care.
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Includes critical illness: Covers critical illnesses such as cancer, neuro surgeries, and cardiothoracic surgeries.
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Covers pre- and post-hospitalization: Benefits extend to both pre- and post-hospitalization expenses.
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No restriction on family size: The scheme covers parents of both spouses and all dependent physically challenged family members.
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Zero-contribution: The entire cost of the premium is borne by the West Bengal state government.
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Smart card-based: Each family receives an online smart card with their details, photos, and biometric information.
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Covers pre-existing diseases: The scheme also covers pre-existing diseases.
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Wide network of hospitals: The scheme has an online empanelment process for hospitals based on services and infrastructure.
