Sanjeevani Swasthya Bima Yojana Scheme

The Sanjeevani Swasthya Bima Yojana is a comprehensive health insurance programme created by the Union Territory Administration of Daman and Diu for its residents.

This scheme aims to provide financial protection to citizens against medical expenses. Under this scheme, individuals can avail themselves of cashless hospitalisation and treatment at empanelled hospitals across the country.

The Mukhyamantri Sanjivani Swasthya Bima Yojana aims to ensure affordable and accessible healthcare services to all, especially the economically vulnerable sections of society. It covers various medical expenses, including hospitalisation, surgeries, diagnostics, and pre-existing illnesses, thus relieving the financial burden on families during times of medical emergencies.

The beneficiaries of the Sanjeevani Swasthya Bima Yojana online Scheme primarily include:

• Families Below Poverty Line (BPL)

• Domicile families whose annual total income is below ₹1 lakh

• Families Above Poverty Line (APL) and other families

• The purpose of the cashless access service is to relieve beneficiaries of the financial burden both before and after using the services. The Comprehensive Health Insurance Scheme (CHIS) provides coverage for the same.

• Up to ₹2 lakh rupees in hospitalisation and surgical treatments are covered by the scheme for each family annually.

• Daycare coverage for pre-existing conditions and health services are covered.

• Family members may receive the entire annual reimbursement amount separately or jointly.

• The package fee includes the hospital stay from the day of admission to the 5 days following release, as well as a food allowance.

• Additionally, this policy is extended with a ₹1 lakh rupee disability benefit and accidental death insurance. The following will be covered by disability insurance:

• Total and permanent disability resulting from an accident: ₹1 for each person.

• Accidental loss of one eye or limb: ₹5,000 per person.

• Newborn care and maternal care are covered. The newborn will also be covered until the mother is released from the hospital if they are the sixth member of the plan.

This policy is valid for 1 year, after which it will be renewed under contract for an additional 3 years.

To take benefit of Sanjeevani Swasthya Bima Yojana, the beneficiaries must follow the below process:

• All the family members must visit the enrollment station set up at all major locations, including Talukas and villages. These locations shall be announced through local representatives and the local media.

• Members must carry their identification proof and other important documents to give their biometric images and photos.

• The authorised agency shall issue a Smart Card on the spot.

Once the Smart Card is issued, the beneficiary can avail of services at any of the network hospitals by producing the Smart Card and giving a thumb impression to verify identification. The hospital will file the details, and the medical expenses will be paid directly to the hospital according to the package cost.

It must be noted that the Union Territory Administration shall pay the premiums for BPL and Domiciliary families whose annual income is below ₹1 lakh. Other residential families must pay the premium amount to avail of the service

The comprehensive health Insurance plan offered by Tata AIG is a testament to our commitment to providing accessible and affordable healthcare solutions to individuals and families across India. This health insurance policy stands out for its low premium health insurance offerings without compromising on coverage.

With rising medical costs, having a robust health insurance plan is crucial, and Tata AIG understands this need. Our comprehensive health insurance plan not only covers hospitalisation expenses but also extends to critical illness insurance, providing financial security in times of critical medical emergencies.

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Are pre-existing conditions covered under the Sanjeevani Swasthya Bima Yojana Scheme?

The coverage for pre-existing conditions is provided on a daycare basis

What documents are required for enrollment in the Sanjeevani Swasthya Bima Yojana Scheme?

Commonly required documents include proof of identity, proof of address, income certificate, and any other documents specified by the implementing authority. These requirements may vary based on local guidelines.

How can I file a claim under the Sanjeevani Swasthya Bima Yojana Scheme?

You can avail benefits of the Sanjeevani Swasthya Bima Yojana Scheme only at network hospitals by producing your Smart Card and providing a thumb impression for identification purposes.