A government health insurance scheme is a central or state government-backed policy designed to provide adequate medical insurance coverage at an affordable price. Every year, the Indian government strives to provide quality and affordable healthcare services to all of its citizens, particularly to those who are unable to afford the costly private healthcare services. To achieve these objectives, the central government and various state governments have introduced different government health insurance schemes that provide free or low-cost health insurance to the lower-income families, senior citizens, workers and other vulnerable groups.
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| Features | Regular Health Insurance Plans | Government Health Insurance Scheme |
| Eligibility | Available to all sections of society | Available to lower-income groups only |
| Sum Insured | Maximum sum insured of up to ₹6 crore | Maximum sum insured of up to ₹10 lakh |
| Premium | ₹200 per month onwards (depending on the plan) | ₹100 per month onwards or fully paid by the government (depending on the plan) |
| Coverage | Offers broader coverage | Offers narrow coverage |
| Private Hospital Room | Available (depending on the plan) | May or may not be available |
| Policy Purchase | Policy can be purchased instantly | Policy purchase may take time |
| Network Hospitals | Wide network of empanelled private hospitals | A large number of public and private network hospitals |
| Maternity Benefits | Available (depending on the plan) | Available (only for a single child under some cases) |
| Ambulance Charges | Available under most plans | Available under a few plans |
| Domiciliary Hospitalisation Cover | Available (depending on the plan) | Not available |
| Online Renewal | Can be renewed online | May or may not be renewed online |
| Tax Benefits | Available under Section 80D of the Income Tax Act 1961 | Not available |
Here's a quick look at all the central and state government health insurance schemes:
| No. | Central Government Schemes | State Government Schemes |
| 1 | Ayushman Bharat Yojana (PMJAY) | West Bengal Health Scheme (WBHS) |
| 2 | Pradhan Mantri Suraksha Bima Yojana (PMSBY) | Yeshasvini Health Insurance Scheme (Karnataka) |
| 3 | Aam Aadmi Bima Yojana (AABY) (Inactive) | Mahatma Jyotirao Phule Jan Arogya Yojana (Maharashtra) (Integrated With PMJAY) |
| 4 | Central Government Health Scheme (CGHS) | Mukhyamantri Amrutum (MA) Yojana (Gujarat) (Integrated with AB-PMJAY) |
| 5 | Employees' State Insurance Scheme (ESIC) | Karunya Arogya Suraksha Padhathi (Kerala) (Integrated With AB-PMJAY) |
| 6 | Universal Health Insurance Scheme (UHIS) (Inactive) | Employees and Journalists Health Scheme (Telangana) |
| 7 | Rashtriya Swasthya Bima Yojana (RSBY) (Inactive) | Dr YSR Aarogyasri Health Scheme (Andhra Pradesh) (Integrated with AB-PMJAY) |
| 8 | Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) | Awaz Health Insurance Scheme (Kerala) |
| 9 | Surakshit Matritva Aashwasan Yojana (SUMAN) | Bhamashah Swasthya Bima Yojana (Rajasthan) (Inactive) |
| 10 | Pradhan Mantri Matru Vandana Yojana (PMMVY) | Chirayu Ayushman Haryana (Haryana) (Integrated with AB-PMJAY) |
| 11 | Mission Vatsalya | Chief Minister's Comprehensive Health Insurance Scheme (Tamil Nadu) |
| 12 | Niramaya Health Insurance Scheme | Aarogyasri (Andhra Pradesh) |
| 13 | Janani Suraksha Yojana (JSY) | HIMCARE (Himachal Pradesh) |
| 14 | Rashtriya Arogya Nidhi (RAN) | Rajiv Aarogyasri Scheme Telangana |
| 15 | Scheme for Adolescent Girls (SAG) (Integrated With Saksham Anganwadi & Poshan 2.0) | Arogya Karnataka Scheme / AB-ArK (Karnataka) (Integrated with AB-PMJAY) |
| 16 | Nikshay Poshan Yojana (NPY) | Ayushman Bharat Yojana Uttar Pradesh |
| 17 | — | Atal Amrit Abhiyan (Assam) (Integrated with AB-PMJAY) |
| 18 | — | Gopabandhu Jan Arogya Yojana (Odisha) (Integrated with AB-PMJAY) |
| 19 | — | Mukh Mantri Sarbat Sehat Bima Yojana (Punjab) (Integrated with AB-PMJAY) |
Although this table gives an overview of the schemes, it is necessary to consider that each of them has different eligibility criteria, different coverages, and different benefits that should be considered. It is time to focus on each of them, starting from those initiated by the central government.
The Ayushman Bharat Yojana or PMJAY is a universal health insurance program managed by the Ministry of Health and Family Welfare in the government. The program gives health coverage of up to ₹5 lakh for hospitalisation under secondary and tertiary care treatments to economically weak and vulnerable families in India. The program includes medicine, diagnostic tests, and pre-hospitalisation expenses, and the beneficiaries can get connected through an ABHA ID card.
| Category | Details |
| Launched By | Ministry of Health and Family Welfare |
| Coverage Amount | Up to ₹5 lakh/family/year |
| Eligibility | Economically weaker families (SECC database) |
| Key Benefit | Cashless hospitalisation, PED covered from day 1 |
| Linked To | ABHA ID Card |
| Key Beneficiaries | Economically weaker families based on SECC database |
PMSBY is a government-sponsored insurance plan that gives individual accident coverage for all individuals between 18 to 70 years of age with savings accounts at banks and post offices. ₹2 lakh is payable in case of death or permanent disablement, while ₹1 lakh is payable for partial disablement. The premium is deducted automatically every year.
| Category | Details |
| Launched By | Ministry of Finance |
| Coverage Amount | ₹2 lakh (death/total disability), ₹1 lakh (partial) |
| Eligibility | Bank/post office account holders, 18–70 years |
| Key Benefit | Auto-debited low-cost annual premium |
| Type | Personal accident insurance |
| Key Beneficiaries | Bank/post office account holders aged 18-70 years |
The AABY, a governmental insurance scheme that was launched to give compensation to families in case of any accidental death and disability of the earning member who falls between the age group of 18 to 59 years. The government has largely subsumed the older social security benefits into newer schemes like the Pradhan Mantri Jeevan Jyoti Bima Yojana (PMJJBY).
| Category | Details |
| Launched | October 2007 |
| Coverage Amount | ₹30,000 (natural death), ₹75,000 (accidental death) |
| Eligibility | Rural/landless earning members, 18–59 years |
| Key Benefit | Scholarships for insured's children |
| Premium | ₹200/year, shared by centre and state |
The CGHS scheme is considered one of the earliest forms of health insurance offered by the Government, which offers full health care services to central government employees and retirees in 80+ cities. The scheme offers services like OPD services, hospitalization, reimbursement of Ayush medicines, and free diagnostic tests like X-ray and MRI.
| Category | Details |
| Started In | 1954 |
| Coverage Amount | Reimbursement-based, no fixed cap |
| Eligibility | Central govt employees and pensioners |
| Key Benefit | Free OPD, diagnostics, and AYUSH coverage |
| Cities Covered | 80+ cities |
| Key Beneficiaries | Central government employees, pensioners and their dependants |
ESIC is a multi-dimensional government healthcare insurance program that provides medical, maternity, sickness, and disability cover to organised sector workers. The ESIC scheme applies to units having at least 10 workers and also gives a monthly pension to the dependents in the event of occupational death.
| Category | Details |
| For | Factory and establishment workers |
| Coverage Amount | Full medical cover + cash benefits |
| Eligibility | Establishments with 10+ employees |
| Key Benefit | Dependent pension on occupational death |
| Extended To | Shops, restaurants, transport (20+ employees) |
| Key Beneficiaries | Factory and organised sector workers and their families |
UHIS was a mediclaim scheme implemented by the government for those living below the poverty line, but is now inactive for new applicants. The scheme was conducted by four insurers from the public sector. This included hospitalization up to ₹30,000 and accidental death/disability coverage for the earning member of the family.
| Category | Details |
| Run By | Four public sector general insurers |
| Coverage Amount | ₹30,000 (hospitalisation), ₹25,000 (accidental death) |
| Eligibility | Below Poverty Line (BPL) families |
| Key Benefit | Disability compensation of ₹50/day |
| Duration | Up to 15 days disability cover |
RSBY was an insurance initiative taken up by the Government of India’s Ministry of Labour and Employment for BPL families. It provided health insurance coverage for families, including a provision for travel expenses for reaching the hospital.
| Category | Details |
| Launched By | Ministry of Labour and Employment |
| Coverage Amount | ₹30,000 family floater |
| Eligibility | BPL families |
| Key Benefit | Travel allowance of ₹100/day (up to ₹1,000) |
| Type | In-patient treatment coverage |
PMSMA provides free and good-quality prenatal checks to all pregnant women every 9th of each month, which will help to detect any high-risk pregnancies early and decrease the mortality rate among pregnant women in India.
| Category | Details |
| Launched By | Ministry of Health and Family Welfare |
| Coverage Amount | Free antenatal services (no cap) |
| Eligibility | All pregnant women (2nd/3rd trimester) |
| Key Benefit | Monthly free check-up on the 9th |
| Includes | Blood tests, ultrasound, BP monitoring |
| Key Beneficiaries | All pregnant women in second and third trimester |
PMSMA provides free and good-quality prenatal checks to all pregnant women every 9th of each month, which will help to detect any high-risk pregnancies early and decrease the mortality rate among pregnant women in India.
| Category | Details |
| Launched | October 10, 2019 |
| Coverage Amount | Free services (no cap) |
| Eligibility | All women, no income restriction |
| Key Benefit | Free transport and newborn vaccination |
| Duration | Up to 6 months post-delivery |
| Key Beneficiaries | All pregnant women, mothers up to 6 months post-delivery and newborns |
PMMVY provides cash benefits to pregnant and breastfeeding women as compensation for lost income and proper nourishment, with a payment of ₹5,000 for the first child and an extra ₹6,000 if the second child is a girl.
| Category | Details |
| Launched | January 1, 2017 |
| Coverage Amount | ₹5,000 (1st child), ₹6,000 (2nd child, girl) |
| Eligibility | Pregnant/lactating women above 18 years |
| Key Benefit | Direct cash transfer in instalments |
| Launched By | Ministry of Women and Child Development |
| Key Beneficiaries | Pregnant and lactating women aged 18 years and above |
Mission Vatsalya caters to the care, rehabilitation, and protection of needy children by providing financial assistance to families adopting, sponsoring, and fostering children at the rate of ₹4,000 per month up to adulthood.
| Category | Details |
| Launched | 2021 |
| Coverage Amount | ₹4,000/month per child |
| Eligibility | Orphaned, abandoned, or vulnerable children |
| Key Benefit | Aftercare support beyond age 18 |
| Launched By | Ministry of Women and Child Development |
| Key Beneficiaries | Orphaned, abandoned, surrendered and vulnerable children |
Niramaya is an initiative that provides health insurance to citizens of India who suffer from Autism, Cerebral Palsy, Mental Retardation, and Multiple Disabilities, with a limit of ₹1 lakh without any age bar and without any pre-medical examination.
| Category | Details |
| Run By | National Trust, Ministry of Social Justice |
| Coverage Amount | Up to ₹1 lakh (reimbursement) |
| Eligibility | Persons with specified disabilities, any age |
| Key Benefit | Same premium across all age groups |
| Special Feature | No pre-medical check-up needed |
| Key Beneficiaries | Persons with Autism, Cerebral Palsy, Mental Retardation and Multiple Disabilities |
JSY aims to promote institutional delivery amongst poor pregnant mothers through cash incentives of up to ₹1,400 in rural areas and ₹1,000 in urban areas in order to minimise maternal and child mortality.
| Category | Details |
| Launched | 2005, under National Rural Health Mission |
| Coverage Amount | ₹1,400 (rural), ₹1,000 (urban) |
| Eligibility | BPL women, aged 19+, up to 2 live births |
| Key Benefit | Encourages institutional deliveries |
| Limit | Up to two live births |
| Key Beneficiaries | BPL pregnant women aged 19 and above, up to two live births |
RAN is a financial assistance program for BPL patients suffering from terminal illnesses such as cancer and kidney failure being treated in super-speciality government hospitals, with financial support of up to ₹20 lakh for each individual.
| Category | Details |
| Launched | 1997 |
| Coverage Amount | Up to ₹20 lakh per patient |
| Eligibility | BPL patients with life-threatening diseases |
| Key Benefit | Direct hospital-level fund approval up to ₹2 lakh |
| Fund per Hospital | ₹50 lakh (₹90 lakh for AIIMS Delhi) |
| Key Beneficiaries | BPL patients with life-threatening diseases at government super-specialty hospitals |
Nutrition and Life Skills Programme is being provided to girls aged 11-14 years who are not enrolled in schools through Anganwadi Centres by SAG for providing nutrition support, health care and menstrual hygiene awareness. But, this earlier scheme has been stopped from 31st March, 2022 and this new scheme has been brought into existence as part of Saksham Anganwadi & Poshan 2.0.
| Category | Details |
| Launched | 2010 |
| Coverage Amount | 600 calories, 18-20g protein daily |
| Eligibility | Out-of-school girls, 11–14 years |
| Key Benefit | 300 days of nutritional support annually |
| Earlier Known As | SABLA / RGSEAG |
Nutritional support for the Treatment (NPT) program is provided to TB patients on a monthly basis through financial assistance for fulfilling their nutritional requirements.
| Category | Details |
| Launched | 2018, under NTEP |
| Coverage Amount | ₹1,000/month |
| Eligibility | Registered TB patients |
| Key Benefit | Direct benefit transfer throughout treatment |
| Goal | Improve nutrition and treatment success |
| Key Beneficiaries | All registered TB patients throughout treatment |
The WBHS scheme offers individuals and their families up to ₹2 lakh per indoor treatment for government employees and pensioners of the West Bengal state government, with cashless treatment being provided since 2014.
| Category | Details |
| State | West Bengal |
| Launched | 2008 |
| Coverage Amount | Up to ₹2 lakh/indoor treatment |
| Eligibility | State employees and pensioners |
| Key Benefit | OPD cover for 18 diseases |
| Key Beneficiaries | State government employees, pensioners and their dependants |
The Yeshasvini scheme covers 2,128 procedures performed in hospitals in the network hospitals for heart, orthopedic, and women's ailments of farmers and co-operative societies of Karnataka.
| Category | Details |
| State | Karnataka |
| Procedures Covered | 2,128 |
| Coverage Amount | 1,650 medical + 478 ICU procedures |
| Eligibility | Farmers and co-op society members |
| Key Benefit | Extendable to family members |
The MJP JAY scheme offers family health insurance of up to ₹5 lakh to BPL families and farmers in Maharashtra without any waiting period for pre-existing conditions. It has now been integrated with Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (PMJAY).
| Category | Details |
| State | Maharashtra |
| Coverage Amount | Up to ₹5 lakh/family |
| Eligibility | BPL families and farmers |
| Key Benefit | 1,209 treatments, PED covered from day 1 |
| Waiting Period | None for pre-existing diseases |
| Key Beneficiaries | BPL families and farmers in Maharashtra |
The MA Yojana scheme covers the health of poor families in Gujarat through floater insurance of up to ₹3 lakh per annum for major ailments, including heart ailments, cancer, and kidney problems, along with organ transplant costs up to ₹5 lakh.
| Category | Details |
| State | Gujarat |
| Launched | 2012 |
| Coverage Amount | Up to ₹3 lakh/year (₹5 lakh for transplants) |
| Eligibility | Below poverty line families |
| Key Benefit | 698 procedures including transplants |
| Key Beneficiaries | BPL families in Gujarat |
This scheme offers cashless treatment for government employees, journalists, and pensioners of the Telangana government in the Rajiv Aarogyasri Trust hospitals for chronic ailments in OPD and inpatient settings.
| Category | Details |
| State | Telangana |
| Coverage Amount | Cashless, no fixed cap |
| Eligibility | Govt employees, journalists, pensioners |
| Key Benefit | OPD cover for chronic illnesses |
| Network | Rajiv Aarogyasri Health Care Trust hospitals |
| Key Beneficiaries | State government employees, journalists and pensioners in Telangana |
The insurance scheme has been completely operationalized through AB-PMJAY in the state of Andhra Pradesh. The name of the insurance scheme had been changed in 2024, in which end-to-end cashless insurance had been made available for the BPL families in Andhra Pradesh costing ₹5 lakh for 31 headings and 3,257 treatments.
| Category | Details |
| State | Andhra Pradesh |
| Launched | 2007 |
| Coverage Amount | Up to ₹5 lakh |
| Eligibility | BPL families |
| Key Benefit | Free screening and OPD consultations |
| Key Beneficiaries | BPL families with white ration card in Andhra Pradesh |
Awaz insures migrant workers in Kerala between 18 and 60 years of age against their medical and accident needs, offering them ₹25,000 towards medical assistance and ₹2 lakh in case of an accident.
| Category | Details |
| State | Kerala |
| Launched | 2017 |
| Coverage Amount | ₹25,000 (medical), ₹2 lakh (accidental death) |
| Eligibility | Migrant workers, 18–60 years |
| Key Benefit | Disability compensation up to ₹1 lakh |
| Key Beneficiaries | Migrant workers aged 18-60 years in Kerala |
Ayushman Bharat: Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) and Bhamashah Swasthya Bima Yojana (BSBY) were integrated to form the AB-MGRSBY. BSBY provided the general and critical health insurance cover for NFSA and RSBY families in Rajasthan with pre-hospitalisation cover of 7 days and post-hospitalisation cover of 15 days.
| Category | Details |
| State | Rajasthan |
| Coverage Amount | ₹30,000 (general), ₹3 lakh (critical illness) |
| Eligibility | NFSA and RSBY-listed families |
| Key Benefit | 1,715 treatment packages |
| Pre/Post Hospitalisation | 7 days / 15 days |
The Chirayu Ayushman Haryana Scheme is completely integrated with the national scheme known as Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY). Under this scheme in Haryana, Chirayu Scheme is offering additional features of Ayushman Bharat to offer cashless hospitalization cover of ₹5 lakh to families earning up to ₹1.8 lakh for free and to those earning ₹6 lakh at nominal premium rates.
| Category | Details |
| State | Haryana |
| Launched | 2022 |
| Coverage Amount | Up to ₹5 lakh |
| Eligibility | Families earning up to ₹6 lakh/year |
| Key Benefit | Free for income up to ₹1.8 lakh |
| Key Beneficiaries | Families with annual income up to ₹6 lakh in Haryana |
CMCHIS provides cashless medical cover up to ₹5 lakh along with neo-natal and maternity benefits, without any waiting period to claim the benefits, for poor families in Tamil Nadu.
| Category | Details |
| State | Tamil Nadu |
| Launched | 2009 |
| Coverage Amount | Up to ₹5 lakh |
| Eligibility | Income below ₹1,20,000/year |
| Key Benefit | 1,090+ procedures, maternity cover included |
| Key Beneficiaries | Families with annual income below ₹1,20,000 in Tamil Nadu |
Aarogyasri provides Rs. 5,00,000/- per year for medical expenditure, such as day care, out-of-door and in-patient benefits to BPL families in Andhra Pradesh from day one.
| Category | Details |
| State | Andhra Pradesh |
| Launched | 2007 |
| Coverage Amount | ₹5 lakh/family/year |
| Eligibility | White ration card holders, land under 35 acres |
| Key Benefit | PED covered from day 1 |
| Key Beneficiaries | BPL families with white ration card in Andhra Pradesh |
The scheme of HIMCARE offers a benefit of ₹5 lakhs to the BPL families of Himachal Pradesh, which is not covered under the Ayushman Bharat scheme, who can avail cashless hospitalization within and outside HP at the empanelled hospital without any hassle.
| Category | Details |
| State | Himachal Pradesh |
| Launched | 2019 |
| Coverage Amount | ₹5 lakh/family |
| Eligibility | Non-BPL families needing financial support |
| Key Benefit | Coverage extends to a few hospitals outside HP |
| Key Beneficiaries | Himachal Pradesh residents not covered under Ayushman Bharat |
The scheme provides free cashless treatment for up to ₹10 lakhs per BPL family in Telangana State for critical illnesses, with a specific cover of ₹6.5 lakhs for cochlear implants.
| Category | Details |
| State | Telangana |
| Launched | 2007 |
| Coverage Amount | Up to ₹10 lakh/family/year |
| Eligibility | BPL families, resident 18+ months |
| Key Benefit | 1,835 treatments, cochlear implant cover |
| Key Beneficiaries | BPL families resident in Telangana for 18+ months |
The KASP scheme was introduced by the Government of Kerala, providing health insurance cover for critical illnesses to poor families with cashless treatment cover in empanelled hospitals, whether private or government. It has now been integrated with the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY).
| Category | Details |
| State | Kerala |
| Launched | 2019 |
| Coverage Amount | Up to ₹5 lakh/family |
| Eligibility | Economically vulnerable families |
| Key Benefit | Secondary and tertiary medical care covered |
This scheme of the state of Karnataka, now it has been officially merged with the central government’s Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY). The integrated scheme is referred to as Ayushman Bharat - Arogya Karnataka (AB-ArK). AB-ArK, covers all BPL families with a ₹5 lakh cover and 30% cover (up to ₹1.5 lakhs) for APL families.
| Category | Details |
| State | Karnataka |
| Launched | 2018 |
| Coverage Amount | ₹5 lakh (BPL), 30% subsidy (APL) |
| Eligibility | All Karnataka residents |
| Key Benefit | Now integrated with Ayushman Bharat |
| Key Beneficiaries | BPL families and APL families in Karnataka |
It is the UP-specific version of the Ayushman Bharat, providing ₹5 lakhs cashless cover for 1,900+ treatment packages which can be used at any empanelled hospital in India.
| Category | Details |
| State | Uttar Pradesh |
| Coverage Amount | ₹5 lakh |
| Eligibility | Low-income households |
| Key Benefit | Pan-India hospital portability |
| PED Cover | From day 1 |
| Key Beneficiaries | Low-income households in Uttar Pradesh |
Atal Amrit Abhiyan helps the poorer families in Assam by providing coverage of ₹2 lakh per person for six costly disease categories, including cardiovascular and renal diseases.
| Category | Details |
| State | Assam |
| Launched | 2016 |
| Coverage Amount | ₹2 lakh/individual |
| Eligibility | BPL and low-income APL families |
| Key Benefit | Covers 6 high-cost disease categories |
| Key Beneficiaries | BPL and low-income APL families in Assam |
Under the GJAY program, the citizens of Odisha will get free cashless treatment with ₹5 lakh insurance coverage in the rural area and ₹6 lakh insurance coverage in urban areas along with additional ₹5 lakh coverage for female beneficiaries. The Odisha Government Scheme GJAY is completely operational and integrated with the central government’s scheme AB PM-JAY.
| Category | Details |
| State | Odisha |
| Coverage Amount | ₹5–6 lakh/family |
| Eligibility | All Odisha residents |
| Key Benefit | Extra ₹5 lakh cover for women |
| Treatment | Free, cashless |
| Key Beneficiaries | All Odisha residents including rural and urban poor families |
The Mukh Mantri Sarbat Sehat Bima Yojana (earlier known as AB-PMJAY MMSBY) is updated and included in the Mukh Mantri Sehat Yojana (MMSY). It continues to be a very active scheme and is very much linked with AB-PMJAY. The MMSSBY scheme offers cashless treatments for 2,000 packages to economically weaker sections of Punjab. The scheme is combined with the Mukh Matri Sehat Yojna scheme in 2026 with coverage of ₹10 lakhs for each household.
| Category | Details |
| State | Punjab |
| Launched | 2019 (upgraded 2026) |
| Coverage Amount | Up to ₹10 lakh |
| Eligibility | All bonafide Punjab households |
| Key Benefit | PED covered from day 1 |
| Key Beneficiaries | All bonafide Punjab households |
Although there may be slight differences in each state, government health insurance schemes follow an almost identical procedure across the country.
Depending on the income (BPL/APL), Occupation, residence in the state or Category (senior citizen, pregnant women, migrant laborers, etc.) This can normally be done using the SECC database or ration cards.
Aadhaar Card, Ration Card/Income certificate, Family information, photo, bank details, state domicile certificate (specific to the state).
Online through the official website (pmjay.gov.in) and offline via the CSCs, empanelled hospitals and enrolment camps, etc., post-Aadhaar/OTP verification.
Application is digitally or manually verified, beneficiaries receive a health card and unique ID, typically 2–14 days later.
Present the health card and ID at the help-desk of an empanelled hospital, and the treatment is given without having to pay anything upfront.
In these schemes, such as CGHS, submit bills, prescription details and discharge reports for reimbursement and it takes 30-45 days.
Note: Ensure empanelment with hospitals before admission, update all information like Aadhaar/bank details and keep all original bills/papers.
The primary benefit of government health insurance schemes is financial safety in case of emergency situations. Admission to hospitalisation, surgeries, and other critical procedures can easily cost lakhs of rupees, which no poor family can afford. This scheme covers such expenses, thereby preventing families from going into debt.
Many of the government health insurance schemes give patients access not only to hospitals in their home state but also throughout the country via an entire network of government and private hospitals.
It often happens that senior citizens, migrants, differently abled people, and poor families face difficulties when trying to get insured through private health insurance. Govt health insurance schemes are specially tailored to accommodate such people.
In addition, some health insurance schemes pay particular attention to preventive healthcare – screening, diagnostic tests, and timely detection of diseases.
Most health insurance schemes can be registered online, using Aadhar and mobile authentication as well as offline at CSCs, hospitals, and government enrollment camps.
With the cost of healthcare services in India on the rise, government health insurance becomes even more significant. It is believed that in the future, through the development of hospital networks, improved IT infrastructure, and regular improvements to the scheme, existing coverage shortcomings will be addressed. Provided that the appropriate government health insurance scheme is in place, citizens can enjoy adequate healthcare regardless of their financial condition in the future.
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**All savings and online discounts are provided by insurers as per IRDAI approved insurance plans. #Tax Benefits are subject to changes in tax laws.
*₹1748/month is the starting price for a 1 crore health insurance for an 18-year-old male, with no pre-existing diseases. Discount on renewal premium is subject to the number of wellness points earned in the health insurance policy. For more details about the plans, please read the sale brochure carefully to get upto 100% discount on renewal premium.
*₹400/month is the starting price for ₹ 5 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases
*₹541/month is the starting price for ₹ 10 lakh Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases
*₹762/month is the starting price for ₹ 1 Crore Health insurance for a 30 year old male & 29 years old female, living in Delhi with no pre-existing diseases
*₹243/month(₹ 8/day) is the starting price for a 5 lakh health insurance for a 20-year-old male, non-smoker, living in Bengaluru with no pre-existing diseases
*₹2020/month is the starting price for ₹ 1 Cr Health insurance for a 50 year old male & 50 years old female, living in Bangalore with no pre-existing diseases rounded off to nearest 10.
*₹390/month (₹13 per day) is starting price for 1 cr. Health insurance for 25 years old male, with pre-existing diseases, residing from tier 1 city rounded off to the nearest 10.
*No medical tests are required unless requested by the insurer’s underwriter. In-case of pre-existing diseases relevant medical proof would be required as per the terms and condition of the policy opted.
*The values taken for effective cost calculation are indicative values and may change as per the selected plan.
*Coverage upto double the amount of Sum Insured is available on certain covers for a minimum plan of Rs. 5 Lakh on the first claim only to an individual of upto 45 years of age with no pre-existing diseases. The benefit is available with or without extra cost depending on the plan chosen.
*Coverage of pre-existing diseases is provided by insurer as per their underwriting policy.
*The scope of coverage may vary from plan to plan.
~Source: Google Review Rating available on:- http://bit.ly/3J20bXZ
##On ground claim assistance is available in 114 cities
Tax Benefits are subject to changes in tax laws. For more details on risk factors, terms and conditions, please read the sales brochure and applicable rules and regulation carefully before concluding a sale.
STANDARD TERMS AND CONDITIONS APPLY. For more details on risk factors, terms and conditions, please read the sales brochure carefully before concluding a sale.
Policybazaar is a registered Composite Broker |Registration No. 742, Valid till 09/06/2027, License category- Composite Broker| Visitors are hereby informed that their information submitted on the website may be shared with insurers.
Policybazaar Insurance Brokers Private Limited | CIN: U74999HR2014PTC053454 | Registered Office - Plot No.119, Sector - 44, Gurgaon, Haryana - 122001 Contact Us | Legal and Admin Policies
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Policybazaar Insurance Brokers Private Limited CIN: U74999HR2014PTC053454 Registered Office - Plot No.119, Sector - 44, Gurugram - 122001, Haryana Tel no. : 0124-4218302 Email ID: care@policybazaar.com
Policybazaar is registered as a Composite Broker | Registration No. 742, Registration Code No. IRDA/ DB 797/ 19, Valid till 09/06/2027, License category- Composite Broker
Visitors are hereby informed that their information submitted on the website may be shared with insurers.Product information is authentic and solely based on the information received from the insurers.
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