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icon Health Insurance icon Swasthya Sathi
  • Highlights
  • Top Government Scheme
  • Eligibility Criteria
  • Features
  • How to Apply
  • Process Registration
  • Process Check Registration
  • Process Apply
  • Explore
  • Frequently Asked Questions

Swasthya Sathi

Swasthya Sathi is a group health insurance scheme launched by Chief Minister of West Bengal, Mamta Banerjee. The scheme which provides coverage to every family and citizen, irrespective of their age group was launched in the year 2016. Over 2, 13, 638 families have been enrolled in this scheme which offers cashless hospitalization service and is smart card based. The scheme aims to benefit 7.5 crore people. The scheme was launched by the government as a part of its ‘Duare Sarkar’ campaign which means ‘government at your doorstep’. Read more about Swasthya Sathi scheme and the smart card in detail below.

Highlights of Swasthya Sathi Scheme

Scheme Name
Swasthya Sathi
Level
State level
Launched by
West Bengal Government
Objective
Health coverage
Beneficiary
Citizens of West Bengal
Coverage amount
Rs. 5 lakh
Launch date
30th December 2016
Toll free number
18003455384
Official Website
https://swasthyasathi.gov.in/#
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Eligibility Criteria for Swasthya Sathi Scheme

  • The benefits of this scheme can be availed by all the residents of West Bengal apart from those who are already covered under any other government sponsored scheme
  • Individuals who receive medical allowance in their salary are not eligible to receive coverage under this scheme
  • The individual looking to avail coverage should be a citizen of West Bengal
  • Smart card is issued only to the female members of the family

Features of Swasthya Sathi Scheme

Given below are the features of the Swasthya Sathi Scheme

  • Basic health cover for secondary and tertiary care up to Rs. 5 lakh p.a./family
  • Coverage for pre-existing diseases
  • Dependent physically challenged family members are covered
  • Entire premium is borne by the government
  • No cap on family size for coverage
  • Smart card is provided to the family. The card captures details of the family member, their photograph, biometric, mobile number and other details
  • Paperless process
  • Transparent hospital gradation as the empanelment committee approves the grade and empanels under the hospital
  • All medical treatment and procedures of the beneficiaries are pre authorized within 24 hours
  • Real-time updation of beneficiaries e-health record on discharge from hospital
  • Assistance is provided to beneficiaries through the Swasthya Sathi app
  • In case if the card gets blocked, SMS alerts are sent to the beneficiaries
  • Beneficiaries can share their concerns through the Swasthya Sathi Gov In website
  • Claims are reimbursed within 30 days
  • 1 day pre hospitalization expenses and 5 days post hospitalization expenses are covered
  • Cashless hospitalization for expenses incurred towards diagnostic tests, doctor consultation, medicines, etc.

How to apply for the Swasthya Sathi Scheme?

Applying for the Swasthya Sathi scheme is easy. Simply follow the given below process.

  • Visit the official website
  • Click on apply online
  • Click on Form B for new registration under Swasthya Sathi Scheme
  • Attach all the required documents and click on submit

Process to do hospital registration under Swasthya Sathi Scheme

  • Visit the official website
  • Click on apply online
  • Select hospital registration
  • You will be directed to https://helpline.swasthyasathi.gov.in/Registration.aspx
  • Enter the required details and click on submit

Process to check hospital registration status under Swasthya Sathi Scheme

  • Visit the official website
  • Click on apply online
  • Select check hospital registration status
  • You will be directed to https://helpline.swasthyasathi.gov.in/HospitalRegStatus.aspx
  • Enter your mobile number and search
  • The status will then be displayed

Process to apply for Swasthya Sathi Scheme Smart Card

The smart card can be availed offline by filling out an Swasthya Sathi Scheme application form. The form can be downloaded online through the official website swasthyasathi or can be taken from the nearest medical center. Required documents like Aadhar card, official domicile, BPL certificate, etc. have to be provided. A SMS alert with district code and serial number is sent to the registered mobile number. A unique registration number is generated post which the smart card is delivered to the applicant within a week.

The smart card can also be verified online through the official website of Swasthya Sathi i.e.

  • Click on card verification
  • You will be directed to https://helpline.swasthyasathi.gov.in/SearchURN.aspx
  • Enter state and district name
  • Enter URN and click on submit
  • You will then be able to view the details

Swasthya Sathi Login

  • Click on swasthyasathi.gov.in
  • Click on Login at the top right corner
  • Enter username and password
  • Click on login and you will be able to access your account

Swasthya Sathi App

The Swasthya Sathi app is available for download on Google Playstore. The app has the following features

  • Hospital facility details
  • Hospital services
  • URN verification
  • Video and photo gallery
  • Doctor information
  • Swasthya Sathi Packages
  • Empanelled private and public hospitals
  • Other facilities

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Frequently Asked Questions

  • Q. Does Swasthya Sathi Scheme cover OPD & IPD?
    • Yes, both OPD & IPD are covered under Swasthya Sathi Scheme

  • Q. What is the coverage offered under Swasthya Sathi Scheme?
    • Swasthya Sathi Scheme offers coverage of 5 lakh

  • Q. Where can I find the Swasthya Sathi hospital list?
    • The Swasthya Sathi hospital list can be found online through its official website

  • Q. Who is eligible for Swasthya Sathi Scheme?
    • All the residents of West Bengal are eligible for coverage under the Swasthya Sathi Scheme

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