Sarkari Yojana

Biju Swasthya Kalyan Yojana

Direct Benefit Transfer (DBT)

Odisha

Quick Summary: Biju Swasthya Kalyan Yojana is Odisha's health protection scheme that makes treatment free at State Government facilities and offers cashless cover at empaneled private hospitals. Eligible families get ₹5,00,000 a year, with an extra ₹5,00,000 for women members.

About Biju Swasthya Kalyan Yojana

Run by the Department of Health and Family Welfare, Government of Odisha, Biju Swasthya Kalyan Yojana (BSKY) works towards universal health coverage, giving particular attention to protecting the health of vulnerable families and women. Its main aim is to offer financial protection and better access to healthcare for the people of Odisha, especially economically disadvantaged families. The BSKY has two components to deliver on this:-

1. The State Government pays the entire cost of every health service provided to all patients (regardless of income, status or residence) in all State Government health care facilities, from the Sub center level up to the District Head Quarter and Government Medical College Hospital and Blood Bank level. 1. For more than 96.5 lakh economically vulnerable families in the State, the State Government covers healthcare costs in empaneled private hospitals, providing Annual Health coverage of Rs. 5 lakh per family plus an additional Rs. 5lakh for the family’s women members once the initial limit is used up.

Families holding a BSKY Smart Health Card can get cashless treatment at any empaneled private hospital under BSKY, inside or outside the State. Card holder families can use services like registration, consultation, medical tests, pathologies, treatment, IPD and follow-up consultation under BSKY at any empaneled private hospital, with the State Government meeting the cost up to the annual coverage amount. The State Government gathers direct Feedback on the scheme from beneficiaries and Hospitals. Citizens may give their feedback on 14545. For grievances, the Redressal Helpline Number is 155369 (6 AM to 10 PM) & 104 (24 x 7).

Scheme Overview

Government Level

State Government

Implementing Agency

State Health Assurance Society (SHAS)

Eligible Entity

Individual

Launch / Open Date

15 Aug 2018

Scheme Details

Eligibility

Eligibility Requirements

To qualify for Biju Swasthya Kalyan Yojana, applicants must satisfy the following conditions:

Every holder of a BSKY Smart Health Card/ National Food Security Act (NFSA)/ State Food Security Scheme (SFSS) card qualifies. For the referral of the patient to the empaneled private hospital for treatment:

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A referral is made when the required package/…

A referral is made when the required package/ procedure is not available at a Government facility in the district.

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Patients are referred when the waiting period for…

Patients are referred when the waiting period for the procedure at a Government facility in the district is long.

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Emergency cases needing immediate referral will be referred

Emergency cases needing immediate referral will be referred.

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Under BSKY, the referral process is decentralised down…

Under BSKY, the referral process is decentralised down to the Sub-Divisional Hospital level, and the authorities below are designated to issue referrals to beneficiaries.
District Headquarter Hospital: CDM & PHO/ District Medical Officer-cum Superintendent & the relevant Specialist.
Sub-divisional Hospital: Superintendent & the relevant Specialist.
All Govt. Medical College & Hospitals: Superintendent & HoDs of the relevant Department of the Medical College & Hospitals

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

Benefits

Benefits Provided

Biju Swasthya Kalyan Yojana provides the following benefits to eligible applicants:

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Families that hold a BSKY Smart Health Card/…

Families that hold a BSKY Smart Health Card/ NFSA/ SFSS card can receive cashless IPD and Day care treatment, within or outside the State, for procedures for which the hospital is empaneled under BSKY, up to the annual covered amount. At empaneled private hospitals within and outside Odisha, the scheme offers cashless health cover of ₹5,00,000 per annum per family, with a further ₹5,00,000 for the family's women members once the initial limit is used.

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PACKAGES

PACKAGES

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The latest BSKY package list, as revised from…

The latest BSKY package list, as revised from time to time, can be found on www.bsky.odisha.gov.in. Roughly 3% of all packages are set aside for Government health institutions, while about 10% fall in the referral category and can be availed only after referral by the appropriate authority. 1. Reserved Packages These packages can be availed only at Govt. healthcare facilities. They cover treatment of minor ailments and diseases under National Health Programs, such as Management of superficial burns, minor injuries, Malaria, Typhoid fever, Gastroenteritis, Diarrhea, Dysentery, Tuberculosis, Urinary Tract Infection, Heat stroke, surgeries for hydrocele, Abscess drainage, Lipoma and cyst excision, and procedures like Dilatation and Curettage and MTP. 2. Referral Package The current list of referral packages is published on www.bsky.odisha.gov.in. 3. Open Packages For this category, any beneficiary can go straight to an empaneled private hospital and receive treatment, provided the treating doctor there finds him suitable for the package.

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:

For Cashless IPD and Day Care Treatment

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Any one of

Any one of: a BSKY Smart Health Card, a National Food Security Act (NFSA) Card, or a State Food Security Scheme (SFSS) Card For getting ₹5,00,000 health coverage per annum per family and ₹10,00,000 health coverage per annum for women members of the family

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Any one of

Any one of: a Biju Krushak Kalyan Yojana (BKKY) Card, a Below Poverty Line (BPL) Card, or an Antyodaya Anna Yojana (AAY) Card NOTE: Low-income families lacking the above cards must present a valid income certificate (showing annual income under ₹ 50,000/- in rural areas and under ₹ 60,000/- in urban areas) at the Empaneled Hospital.

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

Important Dates

2018-08-15

How to Apply

Offline Application

Applicants can apply for Biju Swasthya Kalyan Yojana through the offline application process outlined below.

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