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Chhattisgarh

Profile


Overview
Name of the Scheme Ayushman Bharat PM-JAY Dr. Khubchand Baghel Swasthya Bima Yojana
Date of roll-out 16-09-2018
Mode of Implemetation Trust
Number of PM-JAY eligible families as per SECC/RSBY data 37,29,027
Number of PM-JAY additional families covered by the State 19,20,555
Number of Non-PM-JAY families covered by the State scheme 8,71,143
Insurance
Name of the insurance company (if applicable) Not applicable
Name of the ISA/TPA MediAssist - Claim Processing
MD India - Medical Audit
Vidal Health TPA - Medical Audit
Health Packages
Number of Health Benefit Packages (HBP 1.0) 1,730
Number of packages reserved for government hospitals 191
Description of the State Scheme
Chhattisgarh is providing Universal Health Coverage to people in the State. More than 19 lakh BPL and more than 9 lakh APL families get covered under the state scheme Dr. Khubchand Baghel Swasthya Bima Yojana. These families are other than those covered under PM-JAY.
Contact Details of the State Team
Name of State Health Agency (SHA) State Health Agency, Chhattisgarh
Address Directorate Health Services, Third Floor, Indrawati Bhawan,
Atal Nagar, Raipur, Chhattisgarh
Contact No. 0771-4225196
Email Id rsby.cg@gov.in
Name of CEO Shri. Neeraj Kumar Bansod
Toll free number 104
Note:   Data as on 14 April 2020

Chhattisgarh Factsheet


Name of the State CHHATTISGARH Mode of implementation Trust Date of data download 03-Feb-20
I. Demographic Details
1 Name of the scheme in the State Ayushman Bharat PM-JAY Dr. Khubchand Baghel Swasthya Bima Yojana
2 Number of PM-JAY eligible families as per SECC/RSBY data 37,29,027
3 Number of Additional PM-JAY families covered by the State 19,20,555
4 Number of non-PM-JAY families covered under the State scheme 8,71,143
5 Total families in state 65,20,725
6 Percentage of families covered under PM-JAY 87%
7 Percentage of non-PM-JAY families covered under the State scheme 13%
II. Hospital Emapanelment
Till Date
Public Private
8 Number of empaneled hospitals
715 626
III. Beneficary Identifcation
Till Date
9 E-cards generated 27,10,199
III. Transaction Management
Jan-20 Till Jan 2020
10 Hospital Admissions Authorized Numbers
43,976 7,94,065
Amount (In Rs.)
48,29,48,201 689,57,72,865
IV. Claims
Jan-20 Till Jan 2020
11 Claims submitted Numbers
41,230 7,58,221
Amount (In Rs.)
44,18,32,380 639,58,22,630
V.Portability
Total Outgoing
Jan-20 Till Jan 2020
Total Incoming
Jan-20 Till Jan 2020
12 No. of hospital admissions authorized
62 962
241 2,080
13 No. of claims submitted
55 854
161 1,567
Chhattisgarh Factsheet
Note:
1.     Additional families have been covered under State scheme-Dr. Khubchand Baghel Swasthya Bima Yojana with same cover amount and health benefit package as PM-JAY
2.   Non-PM-JAY families covered under State scheme-Mukhyamantri Swasthya Bima Yojana with healthcare cover of Rs. 50,000 per family
3.   Hospital admissions authorized and claims submitted include State scheme beneficiaries

District Profile


 
 
Note:
1. Map not to scale

2. Data as on 01st Jan 2020

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