Sarkari Yojana

Support for Marginalized Individuals for Livelihood and Enterprise (SMILE): Composite Medical Health for Transgender Persons

Quick Summary: Composite Medical Health for Transgender Persons, part of the SMILE scheme under the Ministry of Social Justice and Empowerment, gives transgender individuals in India a ₹5,00,000/year cashless health cover through Ayushman Bharat Plus. It fully funds gender reaffirmation surgery, hormone therapy and post-operative care at empanelled hospitals nationwide.

About Support for Marginalized Individuals for Livelihood and Enterprise (SMILE): Composite Medical Health for Transgender Persons

Rolled out on 12th February 2022, Composite Medical Health for Transgender Persons forms part of the “Comprehensive Rehabilitation for Welfare of Transgender Persons” sub-scheme under the Ministry of Social Justice and Empowerment’s “Support for Marginalized Individuals for Livelihood and Enterprise (SMILE)” scheme. It aims to give every transgender person living in India health insurance coverage so they can access proper treatment, including sex reassignment surgery, and other medical support to improve their health. The health cover comes as Ayushman Bharat Plus, encompassing gender reaffirmation surgery and comprehensive transition-related healthcare — including hormone therapy and post-operative care — redeemable at both private and government healthcare facilities.

Scheme Overview

Government Level

Central Government

Ministry

Ministry Of Social Justice and Empowerment

Scheme Details

Eligibility

Eligibility Requirements

To qualify for Support for Marginalized Individuals for Livelihood and Enterprise (SMILE): Composite Medical Health for Transgender Persons, applicants must satisfy the following conditions:

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The applicant must be a transgender person

The applicant must be a transgender person.

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The applicant must not already be availing a…

The applicant must not already be availing a similar benefit under any other Central or State Government scheme.

Applicants must meet all of the above conditions to be considered eligible for this scheme.
Benefits

Benefits Provided

Support for Marginalized Individuals for Livelihood and Enterprise (SMILE): Composite Medical Health for Transgender Persons provides the following benefits to eligible applicants:

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A health insurance cover of ₹5,00,000/- (Five Lakh…

A health insurance cover of ₹5,00,000/- (Five Lakh Rupees) per year is provided.

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Coverage comes in the form of Ayushman Bharat…

Coverage comes in the form of Ayushman Bharat Plus health insurance.

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The cover includes gender reaffirmation surgery under the…

The cover includes gender reaffirmation surgery under the Ayushman Bharat Yojana's health benefit package.

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The package comprehensively covers every aspect of transition-related…

The package comprehensively covers every aspect of transition-related healthcare for transgender persons.

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It specifically covers hormone therapy and Sex Reassignment…

It specifically covers hormone therapy and Sex Reassignment surgery, including post-operative formalities.

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Treatment for beneficiaries is entirely cashless, with the…

Treatment for beneficiaries is entirely cashless, with the Government of India bearing 100% of the approved expenditure.

Benefit amounts and conditions may vary by category — refer to the official scheme guidelines for exact figures applicable to your case.
Documents Required

Documents Required

Applicants should keep the following documents ready before starting the application:

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The Transgender Certificate and Identity Card issued by…

The Transgender Certificate and Identity Card issued by the National Portal for Transgender Persons (mandatory to avail the health insurance package).

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The Registration Identification/Transgender Person's Certificate serial number from…

The Registration Identification/Transgender Person's Certificate serial number from the National Portal for Transgender Persons (needed to access benefits).

Ensure all documents are valid and, where required, duly attested before submitting your application.

How to Apply

Online Application

Applicants can apply for Support for Marginalized Individuals for Livelihood and Enterprise (SMILE): Composite Medical Health for Transgender Persons through the online application process outlined below.

1️⃣

Ensure Possession of Mandatory Identification - The applicant…

Ensure Possession of Mandatory Identification
The applicant must hold the Transgender Certificate issued by the "National Portal for Transgender Persons", as this is mandatory to avail the health insurance package.
Beneficiaries who already have their certificate from the National Portal are automatically eligible for the insurance.

2️⃣

Access the Benefits at an Empanelled Facility or…

Access the Benefits at an Empanelled Facility or Service Centre
The transgender beneficiary/applicant holding the Transgender Certificate should visit an empanelled hospital or a Common Service Centre (CSE).
These empanelled hospitals are drawn from the list of institutions already approved under the Ayushman Bharat Scheme.

3️⃣

Verification of Certificate Details on the System -…

Verification of Certificate Details on the System
The applicant must present their registration Identification/Transgender person's certificate serial number from the National Portal to the facility/centre staff.
The beneficiary's details are then entered and verified in real time, following the Beneficiary Identification System procedure used for Pradhan Mantri Jan Arogya Yojana beneficiaries.

4️⃣

Obtain the Ayushman Transgender Health Card - Anyone…

Obtain the Ayushman Transgender Health Card
Anyone without the mandatory Transgender Certificate is redirected to the National Portal website to obtain it.
Once the Transgender Certificate is verified successfully, the eligible applicant is issued the specific Ayushman Transgender Health card. Contact Us
For General Queries: 011-20893988, mahimanisd@gmail.com
For Technical Queries: +91 79 23268279, tghelp@mail.inflibnet.ac.in
Working Hours: 10:00 AM to 17:00 PM, Monday to Friday

Ensure all required documents are ready before starting the application process.

Official Application & Website

Verify the latest eligibility, dates and instructions before applying.

Official Sources & References