The Swasthya Sathi Status Check Online provides a convenient and efficient way for beneficiaries of West Bengal’s flagship health insurance scheme to manage and review their coverage details. Accessible through the official portal, this online feature allows users to quickly check their enrollment status, claim updates, and eligibility for various health services. Whether you’re at home or on the go, the Swasthya Sathi Status Check Online ensures that all pertinent health coverage information is just a few clicks away, keeping you informed and prepared for your healthcare needs.
About Swasthya Sathi
| Aspect | Details |
|---|---|
| Launched By | Government of West Bengal |
| Objective | To provide universal health coverage to all residents of West Bengal, especially the underprivileged |
| Coverage Amount | Up to INR 5,00,000 per family per year for secondary and tertiary care |
| Family Size | No limit on the number of members, including parents of both spouses |
| Age Limit | No age restrictions |
| Type of Coverage | Cashless treatment for secondary and tertiary care |
| Pre-existing Diseases | Covered from the day of policy inception |
| Beneficiary Identification | Through biometric-enabled smart card linked to Aadhaar |
| Empanelled Hospitals | Includes a wide network of public and private hospitals |
| Special Features | Transport allowance, coverage for critical illnesses, maternity benefits, and annual health check-ups |
| Website | swasthyasathi.gov.in |
Swasthya Sathi is a health insurance scheme of the Government of West Bengal, India. It was designed to cover everyone in the state free of charge, regardless of financial need. It also provides an annual limit per family for both secondary and tertiary care. A unique benefit of Swasthya Sathi is that it ensures full family coverage, which entails covering all dependent family members without any ceiling on the number of dependents or age and also includes parents from both the husband and wife sides. Best known for its approach of being transparent and inclusive, the scheme issues a biometric-enabled smart card to enable beneficiaries to have access to cashless medical services at network hospitals across India.
Objectives of the Scheme
The principle goal of the Swasthya Sathi scheme started by the Government of West Bengal is to improve the health and well-being of citizens. Read on to know the objectives of the scheme.
- Instituting Universal Health Coverage: To ensure that all the residents of West Bengal are brought under health insurance, more so the poor residing in the margins seeking to establish a new form of health protection even if they fall within an existing scheme.
- Family for comprehensive cover: with parents of both spouses and no restriction on family size/age, thus all members of the family are covered under one scheme.
- Cashless Health Services: To provide cashless treatment in empaneled hospitals to ensure beneficiaries are not forced to face expenditure at the time of any medical emergency.
- Better Healthcare Access: It will lead to better healthcare services by deploying a large network of public and private hospitals in the state as well as outside the state.
- Financial Protection: Supporting families in their toughest moments with cover against high medical costs through full support from secondary to tertiary care.
- Information Empowerment: Educate beneficiaries with information by issuing a biometric smart card linked to their Aadhaar number for better transparency and accessibility.
- Build Healthcare Infrastructure: Building an incremental healthcare infrastructure accessible to the masses by encouraging all hospitals and giving them better infrastructure with excellent services under the scheme.
The aim of these goals is to promote a strong health system in West Bengal and provide everyone with access to good-quality healthcare that is affordable and inclusive.
Coverage Details
| Coverage Feature | Details |
|---|---|
| Annual Coverage Limit | Up to INR 5,00,000 per family per year for secondary and tertiary care. |
| Family Size | No limit on the number of members in a family, covering all dependent family members. |
| Age Limit | No age restrictions; includes coverage for elderly family members. |
| Cashless Treatment | Available at all empanelled hospitals within the network, both public and private. |
| Pre-existing Diseases | Covered from the day of policy inception with no waiting period. |
| Critical Illness Coverage | Includes treatment for critical illnesses under the specified limit. |
| Maternity Benefits | Coverage for maternity and newborn care. |
| Health Check-up | Provision for annual health check-up for each member covered under the scheme. |
| Smart Card | Issuance of biometric smart cards linked to Aadhaar for hassle-free verification. |
| Hospital Network | Wide network of hospitals across West Bengal and in other states for tertiary care. |
| Transport Allowance | One-time transport allowance of INR 200 per hospitalization for non-empanelled hospitals. |
| Critical Care Facilities | Coverage includes ICU, NICU, PICU charges without any sub-limit within the overall cap. |
Eligibility Criteria
| Eligibility Criterion | Details |
|---|---|
| Residency | Must be a resident of West Bengal. Non-residents, even if citizens of India, are not eligible. |
| Income Level | No income limit is specified, aimed at providing coverage to the economically weaker sections primarily. |
| Existing Health Coverage | Primarily for those without any form of health insurance. However, individuals with limited private coverage may also apply to enhance their benefits. |
| Employment Status | Includes all types of employment statuses including informal workers, self-employed individuals, and unemployed persons. |
| Family Size and Composition | All dependent family members, including parents from both the spouse’s sides, without any restrictions on the number of members. |
| Age | No age limit. Coverage includes all ages from newborns to elderly family members. |
| Special Groups | Priority may be given to vulnerable groups including women, children, the elderly, and differently-abled individuals. |
Required Documents
| Document Type | Purpose | Details |
|---|---|---|
| Proof of Identity | To verify the identity of the applicant | Aadhaar Card, Voter ID, PAN Card, Driving License |
| Proof of Residence | To confirm residency in West Bengal | Aadhaar Card, Voter ID, Utility Bills, Ration Card |
| Family Details | To document all family members covered | Family Ration Card, Details of Family Members |
| Income Proof | Although not strictly necessary, it may be requested to determine priority in some cases | Salary Slips, Income Certificate, BPL Card (if applicable) |
| Medical History | For pre-existing conditions if applicable | Medical records, Doctor’s notes (if applicable) |
| Photographs | For biometric identification | Recent passport-size photographs of all beneficiaries |
| Bank Account Details | For transaction of any reimbursable expenses | Bank passbook, Cancelled cheque |
Check Swasthya Sathi Status Check Online at swasthyasathi.gov.in
- Visit the official Swasthya Sathi portal at swasthyasathi.gov.in.
- On the homepage, locate and click on the ‘Beneficiary’ section, typically found in the main menu or as a prominent button.
- In the drop-down menu or new page, select ‘Check Status’ or a similarly titled option.
- Enter your Swasthya Sathi URN (Unique Registration Number) or any other requested details such as Aadhaar number or mobile number in the designated field.
- Fill in any other necessary details or verification codes, if prompted.
- Click on the ‘Submit’ or ‘Check Status’ button to proceed.
- Your current Swasthya Sathi status, including details about your coverage, active benefits, and any pending actions, will be displayed on the screen.
- If necessary, you can also download or print the status information for your records.
By following these steps, you can easily check your Swasthya Sathi scheme status online.
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Conclusion
Checking Swasthya Sathi status online comes as a great facility for the beneficiaries, providing them with an easy, smooth process to keep a check on their health insurance coverage under the scheme. This allows for a level of transparency and also puts the power in the users hands to have immediate access to information about their health insurance benefits, claims status, etc. These are central functionalities to also support the impact of Swasthya Sathi and respond to healthcare sharers with robust, timely, and geographically responsive capabilities for the population in West Bengal. This online service component, with the evolution of the scheme, would be a significant instrument to augment the level of beneficiary satisfaction and trust in the state healthcare system.
Swasthya Sathi Status Contact Details
| Contact Type | Details | Purpose |
|---|---|---|
| Helpline Number | 1800-345-5384 | For general inquiries and status checks |
| Email Address | [email protected] | For detailed queries and support issues |
| Official Website | swasthyasathi.gov.in | To access online services, status checks, and information updates |
| Office Address | Swasthya Bhawan, Kolkata, West Bengal | For in-person inquiries and official matters |
Vikas Gupta is an insightful content creator and financial analyst, educated in economics and public administration. At yojanastatuschecktoday.in, he specializes in simplifying complex government schemes, aiming to empower readers with vital information. His expertise helps citizens navigate and utilize government initiatives effectively, ensuring access to essential updates and developments.