Sarkari Yojana
Goa Mediclaim Scheme
About Goa Mediclaim Scheme
The Health Services Department, Government of Goa, introduced the “Goa Mediclaim Scheme” for all permanent residents who have lived in Goa for 15 years. It gives financial help for super-speciality treatment that Goa’s Government Hospitals do not offer, including dialysis, plastic surgery, ICU care, angiography and angioplasty, open-heart surgery, kidney transplantation, neurosurgery, radiotherapy and chemotherapy for cancer, cochlear implants, and bone marrow transplants.
Scheme Overview
State Government
Individual
Scheme Details
Eligibility Requirements
To qualify for Goa Mediclaim Scheme, applicants must satisfy the following conditions:
Permanent residence in Goa is required
Permanent residence in Goa is required.
The applicant must have lived in Goa for…
The applicant must have lived in Goa for 15 years, appear on the voters' list and hold a permanent ration card.
Annual income has to be under ₹1,50,000/-, though…
Annual income has to be under ₹1,50,000/-, though retired state government employees qualify whatever their income.
The treatment needed must be unavailable at Goa's…
The treatment needed must be unavailable at Goa's Government Hospitals (including Goa Medical College, Bambolim and District Hospitals). For NICU, Ventilatory Support and Kidney Dialysis, however, any empanelled hospital may be chosen even when a Government hospital offers the facility.
The illness must call for one of these…
The illness must call for one of these treatments - Continuous Ambulatory Peritoneal Dialysis (CAPD), Dialysis, Plastic Surgery, Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NICU), Pediatric Intensive Care Unit (PICU), Trauma Care, Coronary Artery Bypass Grafting (CABG) / Percutaneous Transluminal Coronary Angioplasty (PTCA) (Angiography & Angioplasty), Open Heart Surgery (Valve Replacement, Mitral Valve Replacement (MVR), Ventricular Septal Defect (VSD), Atrial Septal Defect (ASD)), Kidney Transplantation, Neuro Surgery, Radiotherapy / Chemotherapy (Cancer), Cochlear Implant, Spastic Child, Cerebral Palsy, Skeletal Deformities, and Bone Marrow Transplant.
Benefits Provided
Goa Mediclaim Scheme provides the following benefits to eligible applicants:
The Nature of Sickness along with its Permitted Ceiling Limit for the Super-Specialty Treatment is given below -
Continuous Ambulatory Peritoneal Dialysis (CAPD) Treatment
Continuous Ambulatory Peritoneal Dialysis (CAPD) Treatment: up to ₹15,000/- per month
Dialysis
Dialysis: ₹15,600/- per month, worked out at ₹1,300/- per dialysis for 12 dialysis
Plastic Surgery
Plastic Surgery: up to ₹1,50,000/-
Intensive Care Unit (ICU), Neonatal Intensive Care Unit…
Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NICU), Pediatric Intensive Care Unit (PICU), Trauma Care: up to ₹1,50,000/-
Coronary Artery Bypass Grafting (CABG) / Percutaneous Transluminal…
Coronary Artery Bypass Grafting (CABG) / Percutaneous Transluminal Coronary Angioplasty (PTCA) (Angiography & Angioplasty) : up to ₹1,50,000/-
Open Heart Surgery (Valve replacement, Mitral Valve Replacement…
Open Heart Surgery (Valve replacement, Mitral Valve Replacement (MVR), Ventricular Septal Defect (VSD), Atrial Septal Defect (ASD): up to ₹3,00,000/-
Kidney Transplantation
Kidney Transplantation: up to ₹3,00,000/-
Neuro Surgery
Neuro Surgery: up to ₹3,00,000/-
Radiotherapy / Chemotherapy (Cancer)
Radiotherapy / Chemotherapy (Cancer): up to ₹5,00,000/-
Cochlear Implant
Cochlear Implant: up to ₹1,50,000/-
Spastic Child, Cerebral Palsy, Skeletal Deformities
Spastic Child, Cerebral Palsy, Skeletal Deformities: up to ₹1,50,000/-
Bone Marrow Transplant
Bone Marrow Transplant: up to ₹8,00,000/- The scheme guidelines list the recognised hospitals and the treatments covered at each of them. The amount allowed is the lower of the Permitted Ceiling Limit and the Actual Expense of Treatment.
Documents Required
Applicants should keep the following documents ready before starting the application:
A medical certificate from the treating doctor at…
A medical certificate from the treating doctor at Goa Medical College, Bambolim, Hospicio Hospital, Margao, or Asilo Hospital, Mapusa.
Either an original income certificate in the Prescribed…
Either an original income certificate in the Prescribed Form ‘B’ from the Mamlatdar concerned, or a certified copy of the Pension Payment Order (PPO) for a Retired State Government Employee
A certificate of residence
A certificate of residence
A Mediclaim Certificate issued by the Medical Superintendent,…
A Mediclaim Certificate issued by the Medical Superintendent, Goa Medical College, Bambolim, together with a photocopy.
A recent passport-size photograph of the patient
A recent passport-size photograph of the patient
The declaration form
The declaration form
A photocopy of the patient's Election Card /…
A photocopy of the patient's Election Card / Ration Card; for a minor patient, a photocopy of either parent's Election Card.
Deen Dayal Swasthya Seva Yojana (DDSSY)
Deen Dayal Swasthya Seva Yojana (DDSSY)
The Aadhaar card
The Aadhaar card
How to Apply
Offline Application
Applicants can apply for Goa Mediclaim Scheme through the offline application process outlined below.
Application Process
Applicants should send the prescribed form with the necessary documents to the Director of Health Services, Panaji, Goa.
Officer to Be Contacted: Joint Director of Accounts (Health), Directorate of Health Services, Campal, Panaji, Goa; Ph. No. 0832-2225646, Ext-214.
Detail of Office Where the Application to Be Submitted: Mediclaim Cell, S-37, Second Floor, Directorate of Health Services, Campal, Panaji-Goa.
Official Application & Website
Verify the latest eligibility, dates and instructions before applying.