Bhamashah Swasthya Bima Yojana is a cashless health insurance scheme developed by the State Government of Rajasthan. Under this scheme, every eligible member is provided treatment benefits of upto Rs. 30,000 for general illnesses and Rs. 3 lakhs for critical diseases. Individuals who are covered under National Food Security Act (NFSA) and Rashtriya Swasthya Bima Yojana (RSBY) are eligible for Bhamashah Swasthya Bima Yojana. Until September, 92.54 lakh families were covered under the scheme, according to news reports.
| Name Of the Scheme | Bhamashah Swasthya Bima Yojana |
| Launched In | Rajasthan |
| Launched By | Vasundhara Raje |
| Date Of Implementation | December 13, 2015 |
| Target Towards | BPL Patients |
Below are some of the salient features of Bhamashah Swasthya Bima Yojana:
This cashless health insurance scheme allows for cashless treatment, covering all the hospitalisation expenses incurred by the member.
The member can obtain medical treatment benefits up to Rs. 30,000 for general illnesses and Rs. 3 lakhs in case of critical illnesses.
Treatment is provided via government hospitals and private network hospitals.
Pre-hospitalisation medical expenses are covered for up to 7 days before being admitted in a hospital.
Post-hospitalisation medical expenses are covered for up to 15 days following discharge from the hospital
Coverage
Coverage for General Illness - Rs. 30,000
Coverage for Critical Illness - Rs. 3,00,000
Treatment Benefits
Government Package List - 67
Secondary Package List - 1148
Tertiary Package List - 500
Given that this is a cashless treatment scheme, the state government will bear all the medical expenses of the member (who is admitted in the network hospital) within the approved package limit. The individual will have to show the policy card and other personal identification proof at the time of admission in the hospital. The treatment will commence once the authorisation is obtained.
The documents required to file a claim are as follows:
Doctor's prescription
Indoor Slip
Valid Photo ID of patient
Valid ID of BSBY beneficiaries (copy of ration card or RSBY card)
Patient's photograph at the time of admission
Patient's photograph at the time of discharge
Discharge ticket
Copies of investigation reports
For Scheme Related Queries:
Sh. M.P Jain SNO(M), BSBY, Ph. 9414057269, Email Id: bsbyraj@yahoo.com
Ms. Priyanka Kapoor SNO(P), BSBY, Ph. 9414063905, Email Id: bsbyraj@yahoo.com
Dr. Vikram Singh Consultant -BSBY, Ph. 9529963867, Email Id: bsbyraj@yahoo.com
Sh. Buddhi Vardhan Programme Officer-BSBY, Ph. 8146545515, Email Id: bsbyraj@yahoo.com
Ms. Aachu Agrawal Programme Officer, BSBY, Ph. 8764848541, Email Id: bsbyraj@yahoo.com
For Claims Related Queries:
Helpline No.NIA Office (BSBY) Jaipur Regional Office, The New India Assurance Agency 0141-2609947
Ph. 0141-2609838,
Ph. 0141-2617965
Email Id: bsbynia@gmail.com
Source: health.rajasthan.gov.in/content/raj/medical/bhamashah-swasthya-bima-yojana/en/contact-us.html
The initiative by the government to promote affordable healthcare for the needy in Rajasthan through Bhamashah Swasthya Bima Yojana is a commendable move. This scheme is proving to be life-saving for many families across the state.
Under this scheme, every member is provided treatment benefits of Rs. 30,000 for general illnesses and Rs. 3 lakhs for critical diseases.
Bhamashah Swasthya Bima Yojana is a cashless health insurance scheme developed by the State Government of Rajasthan. When a member is admitted in a network hospital, all of his or her medical expenses will be covered by the government, within the approved package limit. The individual will have to show the policy card and other personal identification proof at the time of admission in the hospital.
Individuals who reside in Rajasthan and are covered under National Food Security Act (NFSA) and Rashtriya Swasthya Bima Yojana (RSBY) automatically become eligible for Bhamashah Swasthya Bima Yojana.
