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Swasthya Sathi Form PDF Details
Swasthya Sathi Form PDF 2020-2021 Free Download
PDF Name
Swasthya Sathi Form
No. of Pages 01
PDF Size 1.0MB
Language  English
Category Government
Source swasthyasathi.gov.in

Swasthya Sathi

This is an application form for enrolment under the New Swasthya Sathi for all residents of West Bengal, save those who are currently covered under any government-sponsored health insurance or assurance scheme. Families that get Medical Allowance from the government as part of their income are likewise excluded. This form can be downloaded through Swasthya Sathi’s official website, https://swasthyasathi.gov.in/, or directly from the link below.

Details to be Mentioned in Swasthya Sathi Form 2020-2021 West Bengal

  • Applicant Details
  • Permanent Address
  • Details of the Family Members
  • And any other details

The Swasthya Sathi Scheme’s Features

Basic health coverage for secondary and tertiary treatment, up to a maximum of Rs. 5 lakh per family per year.

Insurance Mode is available up to Rs 1.5 lakh, and Assurance Mode is available from Rs 1.5 lakh to Rs 5 lakh.

The programme began on February 1, 2017. Up till February 28, 2018, National Insurance Company was an insurance partner in 9 districts and United India Insurance Company in 11 districts. For the month of March 2018, the scheme was executed in an assurance mode.

Bajaj Allianz was chosen as an insurance partner in 18 districts from April 1, 2018 to January 15, 2020, and IFFCO TOKYO was chosen as an insurance partner in 5 districts from April 1, 2018 to December 31, 2019. Swasthya Sathi Assurance Mode has extended its service to 5 districts until January 15, 2020.

From January 16, 2020, the service will be continued by the new Insurance Company. National Insurance Company has been chosen as an insurance partner in six districts (Cluster-I), Oriental Insurance Company has been chosen as an insurance partner in nine districts (Cluster-II), and United India Insurance Company has been chosen as an insurance partner in eight districts (Cluster-III) (Cluster-III).

Paperless, cashless, and based on a smart card.

There is no limit on the size of the family, and both spouses’ parents are included. All family members who are physically handicapped are likewise covered.

Pre-existing conditions are covered.

The state government pays the entire premium, with no contribution from the beneficiary.

Swathya Sathi Online On the day of enrollment, each family receives a smart card. The family members’ information, photographs, biometrics, address, mobile number, and SECC ID are all stored on the smart card.
From the beginning, the plan has been managed through a paperless IT platform.

Hospitals are enrolled and rated online depending on the services and infrastructure they provide.

Pre-authorization is completed entirely online, with a 24-hour turnaround time.

When the card is blocked, SMS triggers and instant alerts are sent to the beneficiaries.
Beneficiaries’ E-health records are uploaded in real time when they are discharged.
If you don’t claim reimbursement to the hospital within 30 days, you’ll be charged interest for late payment.

18003455384, a toll-free call centre available 24 hours a day, 7 days a week, with a feedback option
Monitoring Mechanism for Online Complaints
With an escalation matrix, online triggers and warnings can be used to detect possible frauds.
Android-based Swasthya Sathi is a mobile app that provides support to beneficiaries.
Phone Number

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