Swasthya Sathi Scheme 2022: Apply Online, Beneficiary List, Smart Card

WB Swasthya Sathi Scheme || West Bengal Swasthya Sathi Smart Card Apply Online || West New Cashless Health Scheme Online Registration & Eligibility

West Bengal Swasthya Sathi Scheme 2022

The Chief Minister of West Bengal State Mamta Banerjee on Thursday announced a new Swasthya Sathi Health Scheme 2022 so that it can cover the entire population of the West Bengal State.

A lot of new schemes are launched by the Chief Minister of the West Bengal State to help the residents improve their livelihood and save them from the catastrophic aftermath of the coronavirus.

The new scheme will be applicable from 1st December 2020 as per the announcement of the Chief Minister. She also announced that the entire Cashless Health Scheme was funded by the government of West Bengal State.

Benefits Of Swasthya Sathi Cashless Health Scheme 2022

It is said that at least 7.5 crore people will enroll under the Cashless Health Scheme of the West Bengal State. As per the announcement made by the Chief Minister of the state, each and every family in the West Bengal State will be covered under this Swasthya Sathi scheme.

The Chief Minister also further said that the Central Government only gives 60% for Ayushman Bharat Yojana but this Swasthya Sathi Cashless Health Scheme will be covered 100% by the State Government.

The main benefit which will be provided through this scheme is through the smart card. A smart card will be given to each family will which will be applicable in all government and private hospitals of West Bengal.

 

Swasthya Sathi Scheme Benefits

Under West Bengal Swasthya Sathi scheme Health Insurance up to Rs 5 lakh is given by the government of West Bengal to all the beneficiaries. On 27 December 2020, a meeting was held between health officials and private hospitals. The representatives of private hospitals have discussed the rates of treatment under the swasthya sathi scheme. They have the opinion that the rates under the Swasthya Sathi scheme are very low. The president association of hospitals of eastern India Roopak Barua has told the media that the meeting was fruitful and positive. The government and private healthcare service providers have discussed the importance of Health Insurance schemes.

  • The private hospital raised some concerns. The first concern was regarding the rate of treatment under the Swasthya Sathi scheme.
  • The private hospitals have requested the government to revise the rates under this scheme as the rates are very low. In the meeting reimbursement of treatment cost and category of treatment, patient were also discussed.
  • Private hospitals have also requested the government that no payment should be outstanding for months.
  • In this meeting, it was also decided to upgrade infrastructure and equipment. The rates of surgeries under swasthya Sathi scheme are as follows:-
SurgeryRate of Surgery
Common SurgeryRs 19,500
Replacement SurgeryRs 85,000
Open Heart SurgeryRs 80,000

 

Eligibility Criteria of Swasthya Sathi Scheme

To apply for the Cashless Health Scheme the applicant will have to follow the following eligibility criteria:-

  • The applicant must be a permanent resident of West Bengal state
  • The smart card will issue to the women candidates of the family
  • An applicant must not be enrolled under any other health care scheme of the Government

Features Of Swasthya Sathi Scheme

  • Health cover of Rs 5 lakh per annum per family will be offered under basic health cover for secondary and tertiary care in the Swasthya Sathi Scheme 2022
  • All the treatments will be paperless, cashless, and smart card-based
  • Under the scheme, all the pre-existing diseases has covered.
  • There is no boundation on the family size
  • Under Swasthya Sathi Scheme parents from both the spouses are included and other than that all the dependent physically challenged person within the family are also covered under the scheme
  • The entire premium amount under Swasthya Sathi scheme will be borne by the West Bengal government
  • The beneficiaries are not required to pay any amount of premium
  • Each enrolled family will get an online swasthya Sathi smart card which will include the details of family members, photograph, biometric, address, mobile number, etc
  • Under swasthya Sathi scheme 24×7 call support is available.

Raw Benefits of Swasthya Sathi Scheme(CM-Mamata Banerjee)

Large Network Of Hospitals

There are more than 1500 empanelled hospitals under this scheme. The beneficiaries can opt for any Hospital of their choice. The details of these hospitals are available in the public domain with each passing day the number of hospitals increases spontaneously

Claim Settlement

The claims under this scheme are settled within 30 days. Otherwise, interest would be paid as per the agreement.

Health records of patients

The e-health records of the patients will be stored and can be accessed through login credentials

Monthly Analytical Report

The proactive disclosure of monthly analytical support with be available in the public domain

Grievance

The online grievance monitoring mechanism is available under this scheme. Stakeholders can post their grievances.

Website

There is also an interactive website that has been launched by the department so that the common people can check their eligibility, enrollment details, etc. There is also an how can I help you opt for general queries of the viewer

Compulsory pre-authorization

All the medical treatment and procedures under this scheme are pre-authorized within 24 hours

Hospital Gradation

The hospitals under this scheme are graded in a transparent manner on the basis of marks obtained on the facilities and services available which are verified by the Insurance Company and third party administrator

Complete Cashless hospitalization

All the expenses which are occurred in tertiary treatment will be covered under this scheme

Transport Allowance

After the patient is discharged Rs 200 is payable to the patient as transport allowance. If the patient is admitted to a state government hospital then additional allowance over and above Rs 200 is provided

Toll-free call centre and social media

At the back of smart cards, a toll-free number is displayed. Beneficiaries can contact this number in case he or she requires any type of assistance. Other than that social media platforms like Facebook, Twitter and WhatsApp are also available

Mobile App

Swasthya Sathi mobile app is also available on Google Play Store. Beneficiaries can download this app and raise queries for information, grievance, etc

SMS Alert

An SMS facility is also available for the beneficiaries during hospitalization and after discharge

Package Rates

Around 2092 Swasthya Sathi packages are available under this scheme. The rates of these packages are dynamic. There is also a package selection committee that rationalizes the rates of the package as and when required

Coverage of pre-existing Diseases

Under this scheme, all the pre-existing diseases and conditions are covered from day one

No Cap on Family Size

The Swasthya Sathi card is issued in the name of the eldest woman family member as head of the family. There is also no cap on the size of the family under this scheme. Other than that parents from both the covered are covered under this scheme

No Contribution

Beneficiaries are not required to make any kind of contribution in order to get the benefit of this scheme. All the costs under this scheme will be borne by the government of West Bengal

IT Platform

The entire system is based on a hassle-free cloud-based IT platform

How to Download Swasthya Sathi Mobile App?

  • First of all, you have to open Google Play Store on your mobile phone
  • Now you have to enter swasthya Sathi app into the search box
  • After that, Now to click on the search button.
  • A list will display on your mobile or computer screen
  • You have to click on the topmost option
  • After that, you have to click on install
  • Swasthya Sathi app will download in your mobile phone

Procedure To Apply Online Under Swasthya Sathi Scheme 2022

  • First of all, you have to go to the official website of the Swasthya Sathi scheme

  • The home page will open in front of you
  • On the homepage, you have to click on apply online
  • After that, a new page will open before you where you have to enter the required details
  • Now you have to attach all the important documents
  • After that you have to click on submit
  • By following this procedure you can apply online under the Swastha Sathi scheme

Procedure To Do Hospital Registration

Swasthya Sathi Scheme Registration
  • Now a form will open in front of you where you have to enter all the required information like state name, District name, NABH accredited, hospital type, category of the hospital, specialty name, hospital name, etc
  • After that click on the submit button.
  • By following this procedure you can do hospital registration

Procedure To Check Hospital Registration Status

Hospital Registration Status
  • A new page will display before you where you have to enter a registered mobile number
  • After that, you have to click on the search
  • Hospital registration status will be on your computer screen

Procedure To Do Registration For Treatment Outside Of West Bengal

Treatment Outside Of West Bengal
  • Now a new page will display before you where you have to enter your Swasthya Sathi URN, mobile number and OTP
  • After that you have to click on submit
  • By following this procedure you can register for treatment in the hospital located outside of West Bengal

Procedure To View Name In Beneficiary List

Beneficiary List
  • After that, you have to enter your mobile number and OTP
  • Now you have to click on submit
  • required details will be on your computer screen

Contact Information

Through this article, we have provided you with all the important information regarding the Swasthya Sathi scheme. If you are still facing any kind of problem then you can contact the helpline number and solve your problem. The helpline number is 18003455384.

 

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