Bhamashah Swasthya Bima Yojana - BSBY

Bhamashah Swasthya Bima Yojana is a cashless health insurance scheme developed by the State Government of Rajasthan. Under this scheme, every eligible member is provided treatment benefits of upto Rs. 30,000 for general illnesses and Rs. 3 lakhs for critical diseases. Individuals who are covered under National Food Security Act (NFSA) and Rashtriya Swasthya Bima Yojana (RSBY) are eligible for Bhamashah Swasthya Bima Yojana. Until September, 92.54 lakh families were covered under the scheme, according to news reports.

Information About Bhamashah Swasthya Bima Yojana (BSBY)

Name Of the SchemeBhamashah Swasthya Bima Yojana
Launched InRajasthan
Launched ByVasundhara Raje
Date Of ImplementationDecember 13, 2015
Target TowardsBPL Patients

Features & Benefits of Bhamashah Swasthya Bima Yojana (BSBY)

Below are some of the salient features of Bhamashah Swasthya Bima Yojana:

  • This scheme allows for cashless treatment, covering all the hospitalisation expenses incurred by the member.
  • The member can obtain medical treatment benefits up to Rs. 30,000 for general illnesses and Rs. 3 lakhs in case of critical illnesses.
  • Treatment is provided via government hospitals and private network hospitals.
  • Pre-hospitalisation medical expenses are covered for up to 7 days before being admitted in a hospital.
  • Post-hospitalisation medical expenses are covered for up to 15 days following discharge from the hospital

Coverage

  • Coverage for General Illness - Rs. 30,000
  • Coverage for Critical Illness - Rs. 3,00,000

Treatment Benefits

  • Government Package List - 67
  • Secondary Package List - 1148
  • Tertiary Package List - 500

Document Required For Claim Bhamashah Swasthya Bima Yojana (BSBY)

Claim Procedure of BSBY

Given that this is a cashless treatment scheme, the state government will bear all the medical expenses of the member (who is admitted in the network hospital) within the approved package limit. The individual will have to show the policy card and other personal identification proof at the time of admission in the hospital. The treatment will commence once the authorisation is obtained.

Documents Required for Claim

The documents required to file a claim are as follows:

  • Doctor's prescription
  • Indoor Slip
  • Valid Photo ID of patient
  • Valid ID of BSBY beneficiaries (copy of ration card or RSBY card)
  • Patient's photograph at the time of admission
  • Patient's photograph at the time of discharge
  • Discharge ticket
  • Copies of investigation reports

List of Hospitals That Cover Bhamashah Swasthya Bima Yojana (BSBY)

List of Hospitals BSBY

Customer Helpline Number & Contact Details

For Scheme Related Queries:

  • Sh. M.P Jain SNO(M), BSBY, Ph. 9414057269, Email Id: bsbyraj@yahoo.com
  • Ms. Priyanka Kapoor SNO(P), BSBY, Ph. 9414063905, Email Id: bsbyraj@yahoo.com
  • Dr. Vikram Singh Consultant -BSBY, Ph. 9529963867, Email Id: bsbyraj@yahoo.com
  • Sh. Buddhi Vardhan Programme Officer-BSBY, Ph. 8146545515, Email Id: bsbyraj@yahoo.com
  • Ms. Aachu Agrawal Programme Officer, BSBY, Ph. 8764848541, Email Id: bsbyraj@yahoo.com

For Claims Related Queries:

  • Manager, Jaipur Regional Office, The New India Assurance Agency, Ph.0141-2643842 Helpline No.NIA Office (BSBY) Jaipur Regional Office, The New India Assurance Agency 0141-2609947 Ph. 0141-2609838, Ph. 0141-2617965 Email Id: bsbynia@gmail.com
  • Lalit Kumar Jain Account Officer Ph. 9829123223 niait. Email Id: bsby@gmail.com

Source: health.rajasthan.gov.in/content/raj/medical/bhamashah-swasthya-bima-yojana/en/contact-us.html

Conclusion

The initiative by the government to promote affordable healthcare for the needy in Rajasthan through Bhamashah Swasthya Bima Yojana is a commendable move. This scheme is proving to be life-saving for many families across the state.

FAQ's On Bhamashah Swasthya Bima Yojana (BSBY)

What Is Maximum Insurance Cover Under Bhamashah Swasthya Bima Yojana (BSBY)?

Under this scheme, every member is provided treatment benefits of Rs. 30,000 for general illnesses and Rs. 3 lakhs for critical diseases.

How does Bhamashah Swasthya Bima Yojana (BSBY) work?

Bhamashah Swasthya Bima Yojana is a cashless health insurance scheme developed by the State Government of Rajasthan. When a member is admitted in a network hospital, all of his or her medical expenses will be covered by the government, within the approved package limit. The individual will have to show the policy card and other personal identification proof at the time of admission in the hospital.

How to check Bhamashah Swasthya Bima Yojana (BSBY)?

Individuals who reside in Rajasthan and are covered under National Food Security Act (NFSA) and Rashtriya Swasthya Bima Yojana (RSBY) automatically become eligible for Bhamashah Swasthya Bima Yojana.