Swasthya Sathi Status Check Online at data.swasthyasathi.gov.in by Family ID & Aadhar Card

This is a unique health coverage scheme started by the government named SWASTHYA SATHI for providing medical benefits to affordable families. Deadline to check your Swasthya Sathi Status Check online at swasthyasathi.gov.in. It provides them with an online portal where they can not only maintain and receive their health benefits but also manage their own health services. The system has been designed wherein too since they can check the status using only two identifiers: a) Family ID and b) Aadhar Card, which makes it very easy and convenient for healthcare to be more accessible and reachable for various families across regions.

Table of Contents

Overview of Swasthya Sathi

Swasthya Sathi Status Check
AspectDetails
Scheme NameSwasthya Sathi
Launched Year2016
Launched ByGovernment of West Bengal
ObjectiveTo provide universal health coverage to all families, with a special focus on women and disadvantaged groups.
CoverageComprehensive health insurance including hospitalization, surgeries, diagnostics, and critical care.
EligibilityAll residents of West Bengal, with special provisions for the economically disadvantaged.
Key FeaturesCashless treatment, paperless claims, no cap on family size, coverage for pre-existing conditions.
BenefitsFull coverage of medical expenses without any ceiling, free annual health check-ups.
Service ProvidersNetwork of public and private hospitals across West Bengal.
Technology UsedBiometric-enabled smart cards for verification and paperless service delivery.
ImpactIncreased accessibility to quality healthcare, reduced financial strain from medical costs, improved health outcomes for covered individuals.

Swasthya Sathi is a flagship health insurance scheme of the government to provide complete financial protection from all aspects in terms of health, especially for poor families as well as on women’s heads. With a completely paperless approach, this flagship initiative provides cashless treatment through its empaneled hospitals for tertiary and secondary care at pre-defined packages. Swasthya Sathi is intended to reduce the financial load of health expenditures and improve access to quality medical therapy from a vast network with no beneficiary disadvantaged or denied healthcare services due to high payments. Swasthya Sathi is committed to building a healthier, more secure population by providing quality healthcare and making it accessible.

Objectives and Goals

The objectives and goals of the Swasthya Sathi scheme are centered around providing comprehensive and quality healthcare to economically disadvantaged groups, while also addressing broader public health challenges. Here are the primary objectives and goals:

  • Universal Coverage: Every family, especially the vulnerable and low-income households, should have access to essential health services without any financial burden.
  • Financial Security: Reduce the financial impact of illness and death on families, with health expenses being a major cause of impoverishment.
  • Deepen healthcare access: To widen the coverage of healthcare facilities to the most backward areas so that all beneficiaries get medical care essential for residing, no matter in which geographical part they are.
  • Improve Women’s: Health also aims to reach out exclusively towards women as a fundamental group of stakeholders, intending the approach would help in bridging gender differences in healthcare access whilst spurring proactive and curative health care-oriented behavior amongst the target audience.
  • Enhance Quality of Care: To improve the quality of healthcare services to be provided on the scheme by empaneling a good mix of hospitals and monitoring service delivery mechanisms through enhanced guidelines and restructuring/provider pay systems.
  • Enable Paperless & Cashless Experience: Deliver a seamless service with a paperless and cashless system that lowers the administrative barriers and ultimately raises patient satisfaction.
  • Promote Preventive Healthcare: ensuring that the scheme covers preventive health screenings and care, hence reducing the burden of chronic diseases, thereby facilitating a healthier society.

By achieving these objectives, Swasthya Sathi wants to build a health-oriented society where everyone can readily access healthcare and contributes to the socio-economic development of the region.

Coverage Details

Coverage AspectDetails
Eligible BeneficiariesAll families, with a focus on women as primary beneficiaries, irrespective of income or status.
Type of CoverageComprehensive health insurance covering secondary and tertiary care.
Cashless TreatmentAvailable at all empaneled hospitals across the region.
Coverage LimitNo upper limit on the family size or age of the members, ensuring wide inclusivity.
Medical Services CoveredIncludes hospitalization, surgeries, diagnostics, and critical care.
Pre-existing DiseasesCovered from the first day of the policy, with no waiting period.
Annual Health Check-upsFree annual health check-ups for all beneficiaries to promote preventive healthcare.
PortabilityBenefits can be availed at any empaneled hospital in the region, ensuring flexibility.
Add-on BenefitsAdditional cover for critical illnesses and maternity benefits for women.

Eligibility Criteria

Eligibility FactorCriteria Details
ResidencyMust be a resident of the state implementing the Swasthya Sathi.
Income LevelNo income limit; primarily targets low-income and vulnerable groups.
AgeNo age restrictions; covers all age groups within eligible families.
GenderWomen are given priority as primary beneficiaries under the scheme.
Health StatusIncludes individuals with pre-existing medical conditions.
Family SizeNo limit on the number of family members covered under the scheme.
DocumentationRequires valid identification and residency proof, such as Aadhar Card or voter ID.

Required Documents

Document TypeDescription
Identity ProofAadhar Card, Voter ID Card, PAN Card, or any government-issued identity document with a photo.
Residence ProofUtility bills (electricity, water, etc.), rental agreement, ration card, or voter ID card.
Income Proof(If applicable) Income certificate or BPL card to establish eligibility for certain benefits.
Age ProofBirth certificate, school leaving certificate, or any government document indicating age.
Family Relationship ProofFamily ration card or government records that establish family relationships.
Medical Certificate(If applicable) For individuals with pre-existing conditions or disabilities.
PhotographsPassport-sized photographs of all family members covered by the scheme.

Healthcare Providers Network

The Swasthya Sathi scheme includes a comprehensive network of empaneled hospitals across various regions to ensure that beneficiaries have access to quality healthcare services. Here’s a list of hypothetical examples of the types of hospitals that might be included in such a network:

  1. State General Hospital
  2. City Medical Center
  3. Regional Healthcare Clinic
  4. Downtown Specialty Hospital
  5. Community Health Center
  6. Metro Hospital and Research Institute
  7. Northern District Hospital
  8. Southern Private Hospital
  9. Eastside Medical College and Hospital
  10. West End Children’s Hospital

These hospitals represent a mix of public and private institutions, providing a range of services from general care to specialized medical treatments. Each facility is equipped to handle different medical needs, ensuring comprehensive coverage for all Swasthya Sathi beneficiaries.

Check Swasthya Sathi Status Check Online at data.swasthyasathi.gov.in

Swasthya Sathi Status Check
  • Navigate to the ‘Status Check‘ section on the homepage.
  • Enter your Family ID or Aadhar Card number in the provided fields.
  • Fill in any additional required information such as the name of the head of the family or the registered mobile number.
  • Enter the captcha code as displayed on the screen for security verification.
  • Click on the ‘Submit‘ button to view your Swasthya Sathi status.
  • The status details will be displayed on the screen, indicating whether you are an active beneficiary and other relevant details about your coverage.

Also Check

Conclusion

Swasthya Sathi Status Check on the official website swasthyasathi.gov.in is a simple and hassle-free way to verify their enrollment and view all the details related to health coverage. The online tool also provides valuable transparency—it allows people to quickly and easily check their eligibility, enabling them to make informed decisions regarding purchasing healthcare coverage. Empowering users to proactively govern their health benefits, the Swasthya Sathi scheme plays a pivotal role in making families healthy and secure as it continues to ensure that no family member is left unprovided for when facing healthcare adversities, committing itself towards all-inclusive and efficient care.

Swasthya Sathi Status Contact Details

Contact TypeDetails
Phone Number1800-345-5384 (Toll-Free)
Email Address[email protected]
Official Websitedata.swasthyasathi.gov.in
AddressSwasthya Sathi Office, Health Department, Government of West Bengal, Kolkata, India