Swasthya Sathi Scheme in West Bengal

Swasthya Sathi at a Glance

Swasthya Sathi” was announced in Cabinet No – 2625 dated 17th February, 2016, and Finance Department notification no – 1104-F (P) dated 25th February, 2016.

The scheme was officially launched by Hon’ble Chief Minister of West Bengal on 30th December 2016.

Main Features of the Scheme:
Basic health cover for secondary and tertiary care up to Rs. 5 lakh per annum per family.
Paperless, Cashless, Smart Card based.
All pre-existing diseases are covered.
There is no cap on the family size and Parents from both the Spouse are included. All dependent physically challenged persons in the family are also covered.
The entire premium is borne by the State Government and no contribution from the beneficiary.
Online Swathya Sathi Smart card is provided to each family on the day of Enrolment. Smart Card captures the details of the family members , Photographs, biometric, address, Mobile Number, SECC ID.
Management of the scheme is in paperless IT platform from day one.
Online empanelment & gradation of Hospitals based on the services and infrastructure available
100% online Pre-authorisation with turn around time of 24 Hrs.
SMS triggers and instant alerts to the beneficiaries on blocking of card
Real-time uploading of E-health record of the beneficiaries on discharge
Claim reimbursement to the hospital with TAT of 30 days else interest are being charged for delayed payment.
24X7 toll free Call Centre (18003455384) with feedback option
Online grievance monitoring Mechanism
Online triggers and alerts to detect probable frauds with escalation matrix..
Android based Swasthya Sathi Mobile app for assistance to the beneficiaries