Health Insurance Scheme In Odisha: Benefits, Coverage, and Eligibility

What is the health insurance scheme in Odisha?

The health insurance scheme in Odisha is called Biju Swasthya Kalyan Yojana (BSKY). It was launched by the Government of Odisha in 2018 with the aim of providing affordable and accessible healthcare to the people of Odisha. The scheme provides health insurance coverage for medical expenses incurred for treatment in hospitals and health centers across the state.

Benefits of Biju Swasthya Kalyan Yojana (BSKY)

BSKY offers several benefits to the residents of Odisha. Some of the key benefits of the scheme are:

• Health insurance coverage for medical expenses up to Rs. 5 lakhs for families and up to Rs. 10 lakhs for women.
• Coverage for around 4,036 medical treatments and 255 surgical procedures.
• Access to treatment in hospitals and health centers across the state of Odisha.
• Affordable and accessible healthcare for the residents of Odisha.

Treatments covered under BSKY

BSKY provides coverage for a wide range of medical treatments and surgical procedures. Some of the treatments covered under the scheme are:

1. Inpatient treatment: This includes hospitalization expenses for medical treatments and surgical procedures.
2. Outpatient treatment: This includes expenses for consultations, diagnostics, and medications for non-hospitalized patients.
3. Maternity expenses: This includes coverage for pre and post-natal care, delivery, and related medical expenses.
4. Ayurvedic and homoeopathic treatment: BSKY also covers expenses for alternative treatments like Ayurveda and homoeopathy.
5. Organ transplant: The scheme provides coverage for organ transplant surgeries and related medical expenses.

Biju Swasthya Kalyan Yojana (BSKY) card & registration process

To avail the benefits of BSKY, individuals need to obtain a BSKY card. The registration process for the scheme is as follows:

1. Visit the official website of BSKY.
2. Click on the 'Register' button and fill in the required details.
3. Submit the registration form along with the necessary documents.
4. Once the registration is complete, a BSKY card will be issued to the individual.

Eligibility criteria of Biju Swasthya Kalyan Yojana (BSKY)

To be eligible for BSKY, individuals need to fulfill the following criteria:

1. The individual must be a resident of Odisha.
2. The individual must belong to a specified income category.
3. The individual must not have any other health insurance coverage.

Documents required for Biju Swasthya Kalyan Yojana (BSKY)

The following documents are required for the registration process of BSKY:

• Proof of identity (Aadhaar card, voter ID, etc.)
• Proof of residence (ration card, electricity bill, etc.)
• Income certificate
• Passport size photographs

Claims settlement process of BSKY

In case of a medical emergency, individuals can file a claim under BSKY. The claims settlement process is as follows:

1. Contact the BSKY helpline or visit the nearest empanelled hospital.
2. Submit the necessary documents to the hospital for verification.
3. The hospital will verify the documents and submit the claim to the insurance provider.
4. The insurance provider will process the claim and reimburse the eligible amount to the hospital.

Documents required for making a claim against BSKY

The following documents are required for making a claim against BSKY:

• BSKY card
• Prescription from the treating doctor
• Medical bills and receipts
• Discharge summary
• Any other relevant medical documents

BSKY Contact Address

For any queries or assistance regarding Biju Swasthya Kalyan Yojana, individuals can contact the following:

Contact Number: 1800-266-2256

Email: [email protected]

Frequently asked questions

1. What is Biju Swasthya Kalyan Yojana?

Biju Swasthya Kalyan Yojana (BSKY) is a health insurance scheme launched by the Government of Odisha to provide affordable and accessible healthcare to the residents of Odisha.

2. What is the coverage amount under BSKY?

BSKY provides health insurance coverage up to Rs. 5 lakhs for families and up to Rs. 10 lakhs for women.

3. How many medical treatments and surgical procedures are covered under BSKY?

Around 4,036 medical treatments and 255 surgical procedures are covered under BSKY.

4. How can I register for Biju Swasthya Kalyan Yojana?

To register for BSKY, individuals need to visit the official website of BSKY and fill in the required details. Once the registration is complete, a BSKY card will be issued.

5. What documents are required for BSKY registration?

The documents required for BSKY registration include proof of identity, proof of residence, income certificate, and passport size photographs.