Page 44 - Insurance Times May 2020

Top Health Insurance Schemes Offered

by the Central Govt.

The following are some of the best health insurance poli- Health Insurance Scheme, the insured individual and his/
cies offered by the Government of India: her family is eligible for a reimbursement of Rs.30,000 for
medical expenses incurred in case of hospitalisation. In case
Rashtriya Swasthiya Bima Yojana: The Minis- of the accidental demise of the breadwinner of the family,
this scheme offers Rs.25,000 to the family of the individual
try of Labour and Employment of the Indian Government
launched the Rashtriya Swasthiya Bima Yojana in an effort as compensation. In addition, the family of the individual,
to provide health insurance to those who are Below Pov- in such cases, will also receive Rs.50 on a daily basis for 15
erty Line. Individuals insured under the scheme receive days after the demise of the breadwinner. The scheme is
cover against medical expenses (mainly hospitalisation) to ideal for families that are Below Poverty Line. The fees for
this scheme are Rs.200 for an individual, Rs.300 for fami-
the extent of Rs.30,000. The registration fees for the
Rashtriya Swasthiya Bima Yojana are Rs.30 which the ben- lies with up to 5 members, and Rs.400 for families with 7
eficiaries will have to pay, and the Central and State gov- members.
ernments make the premium payment to the health insur-
ance provider. Generally, the state governments choose the Employment State Insurance Scheme: The
schemes via a process of bidding. Under the scheme, up to Employment State Insurance Scheme was designed to of-
5 members of the family can be covered, including the head fer multi-dimensional healthcare security to employees and
of the family and his/her spouse along with a maximum of their families. The scheme provides complete healthcare to
3 dependents. One of the biggest benefits of the Rashtriya the insured individual as well as his/her dependents. The
Swasthiya Bima Yojana is the cashless hospitalisation facil- scheme also provides financial advantages to the insured
ity, provided treatment is availed at one of the network and his/her family. A beneficiary is eligible for cash benefits
hospitals listed under the scheme. if there is temporary or permanent disablement of the in-
sured and he/she loses his/her earning capability. Usually,
Central Government Health Scheme: The Cen- an organisation or a factory with 10 or more employees can
tral Government Health Scheme offered by the Government choose the Employment State Insurance Scheme for its
of India provides medical insurance to Central Government employees. Employees who earn less than Rs.21,000 per
employees along with their dependents. Pensioners are also month will have to pay 1.75% of their wages towards the
eligible for this scheme. To avail this insurance, individuals scheme, while the employer will contribute 4.75%.
must reside in cities that are covered under the Central
Government Health Scheme. CHGS dispensaries, or wellness Ayushman Bharat Yojana or Pradhan Mantri
centres as they are also called, are present in a number of
cities across the country so that beneficiaries can access Jan Arogya Yojana: This National Health Protection
Unani, Homeopathic, Ayurveda, Allopathic, Sidha, and Yoga Scheme covers more than 10 crore poor families across
system medicines. India, offering a coverage of up to Rs.5 lakh per family per
annum. The scheme’s benefits extends to all parts of India
Universal Health Insurance Scheme: The aim and those covered under the Ayushman Bharat Yojana can
of the Universal Health Insurance Scheme is to offer avail cashless benefits at any of the empanelled hospitals
healthcare access to poor families in India. 4 public sector across India. This scheme offers cover to almost 40% of the
general insurance companies collaborated to make this Indian populace and covers all secondary as well as several
scheme available to Indian citizens. Under the Universal tertiary hospitalisations. T

44 The Insurance Times, May 2020