SWASTHYA SATHI
Swasthya Sathi
“Swasthya Sathi” was announced in Cabinet No – 2625 dated 17th February, 2016, and Finance Department notification no – 1104-F (P) dated 25th February, 2016.
A State level Implementation Committee (SLIC) under the chairmanship of the Chief Secretary formed to oversee the scheme and there is a registered society named “Swasthyasathi Samiti” (Registration no S/M/4377 OF 2016-2017 Dated 15.11.2016) for monitoring the scheme.
The scheme was officially launched by Hon’ble CM on 30th December 2016
Main Features of the Scheme:
Basic health cover for secondary and tertiary care up to Rs. 5 lakh per annum per family.
Up to Rs 1.5 Lakh through Insurance Mode and beyond 1.5 lakh to 5 Lakh through Assurance Mode
The scheme was rolled out from 01.02.2017.
Paperless, Cashless, Smart Card based.
There is no cap on the family size and Parents from both the Spouse are included. All dependent physically challenged persons in the family also covered.
All pre-existing diseases are covered.
The entire premium is borne by the State Government and no contribution from the beneficiary.
Online Swathyasathi Smart card is provided to each family on the day of Enrolment. Smart Card captures the details of the family members , Photographs, biometric, address, Mobile Number, SECC ID, ADHAAR No ( if available)
Management of the scheme is in paperless IT platform from day one.
Online empanelment & gradation of Hospitals based on the services and infrastructure available
100% online Pre-authorisation with turnaround time of 24 Hrs.
SMS triggers and instant alerts to the beneficiaries on blocking of card.
Real-time uploading of E-health record of the beneficiaries on discharge
Claim reimbursement to the hospital with TAT of 30 days else interest are being charged for delayed payment.
24 x 7 toll free Call Centre (18003455384) with feedback option
Online grievance monitoring Mechanism
The Swasthya Sathi approved web site is swasthyasathi.gov.in
To find beneficiary’s enrolment status, one may link to swasthyasathi.gov.in à Then click on “Find your name” à Put mobile number à type as requested or directly to
https://data.swasthyasathi.gov.in/SSDataSearchLogin.aspx
To find approved hospital list, please go swasthyasathi.gov.in “Active Hospital List”
Contact Details
Dy. Magistrate & Dy. Collector
& DNO-RSBY
RSBY Cell, 2nd Floor, DM Office, Suri, Birbhum
Tel- 03462-255222
E-mail – dmbirbhum[dot]rsby2012[at]gmail[dot]com