Benefits of the Scheme
For convenience, the treatment package is given to the farmers under the two streams of BKKY Stream 1 and BKKY Stream 2.
BKKY Stream 1: This package will cover the treatment expenses of surgery and maternity including the newborn care up to Rs. 30,000 / – per annum. Moreover, it covers the treatment cost of the drugs, medicine, general ward bed, registration, doctors, surgeons, X-ray, blood test, food, specialists and transportation cost up to Rs. 1,000 per annum.
BKKY Stream 2: This package will cover the treatment cost up to Rs. 70,000/- per annum. The benefits are same as the package of stream 1 but it provides the features of ICU (Intensive Care Unit) for the emergency cases.
Note:- Beneficiaries of Rashtriya Swasthya Bima Yojana (RSBY) are not eligible to claim benefits under the BKKY Stream I.
Eligibility
- The referral will be done if the particular package/ procedure cannot be provided by a Government facility in the district.
- Cases will be referred if there is a long waiting time to undertake the procedure at a Government facility in the district.
- Where there is an emergency case that requires immediate referral.
- Referral process under BSKY is decentralized up to the Sub-Divisional Hospital level. The following authorities have been designated to issue referrals to beneficiaries under BSKY.
Implementation Process
- The hospital should maintain the diagnostic units, pharmacy, and cashless treatment.
- Fax facility and telephone service should have installed in the hospitals, nursing homes and medical centers.
- Treatment data of the beneficiary and the details of the insurer should be recorded in the concerned medical institutions.
- The hospital should have operation theatre for the surgical cases and reserved at least 10 beds in the general ward.
- Well-trained doctors and experienced nurses are mandatory.
- The concerned medical institution should file all the financial transaction in the Income Tax Department.
Enrolment Procedure
Step 1: The applicant should visit the nearby insurance company to register.
Step 2 : After the registration the Field Key Officers (FKO) will verify the details of the applicant.
Step 3 : After the verification the Smart Card will be issued to the applicant through the insurance company.
The applicant can use the smart card to obtain cashless treatment in the hospitals. The smart card can be renewed after the year by the concerned insurance company.
FAQs
What Are The Benefits Of The Biju Swasthya Kalyan Yojana Scheme?
A. All health services charges are borne by the State Government, including those for drugs, diagnostics, dialysis, Cancer chemotherapy, OT, I.C.U, in-patient admission blood bank services, etc., in all government health institutions up to Government Medical College Hospital level, for all persons. B. Families having BSKY Smart Health Card can avail of cashless treatment at any impaneled private hospital under BSKY within or outside the State. Cardholder families can help with facilities such as registration, consultation, medical tests, pathologies, treatment, IPD, and follow-up consultation under BSKY at any impaneled private hospital. State Government will bear the cost up to the annual coverage amount.
Who Is There To Facilitate At The Point Of Service?
Swasthya Mitras are deployed at each help desk of impaneled private hospitals to facilitate the beneficiaries.
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