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Goa

Profile


Overview
Name of the Scheme Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY);
Deen Dayal Swasthaya Seva Yojana
Date of roll-out 23-09-2018
Mode of Implemetation Trust
Number of PM-JAY eligible families as per SECC/RSBY data 36,974
Number of PM-JAY additional families covered by the State -
Number of Non-PM-JAY families covered by the State scheme 2,25,485
Insurance
Name of the insurance company (if applicable) Not applicable
Name of the ISA/TPA MD India Healthcare Service (TPA) Pvt. Ltd
Health Packages
Number of Health Benefit Packages (HBP 1.0) 1,634
Number of packages reserved for government hospitals 1,064
Description of the State Scheme
Deen Dayal Swasthya Seva Yojana is a scheme to provide health insurance coverage for the entire resident population of the State of Goa who are residing in Goa for five years or more. To take medical services to the next level, the State of Goa has envisaged the present scheme to provide the beneficiaries with quality medical care for treatment of diseases, hospitalization and surgery through Government and private hospitals.
Contact Details of the State Team
Name of State Health Agency (SHA) State Health Agency, Goa
Address Directorate of Health Services, Campal, Panaji, Goa
Contact No. 0832-2225646
Email Id secedu-sect.gov@nic.in,
pmjaygoa@gmail.com
Name of CEO Smt. Nila Mohanan (IAS)
Toll free number 1800-2332568
Note:   Data as on 14 April 2020

Goa Factsheet


Name of the State GOA Mode of implementation Trust Date of data download 03-Feb-20
I. Demographic Details
1 Name of the scheme in the State "Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) Deen Dayal Swasthaya Seva Yojana"
2 Number of PM-JAY eligible families as per SECC/RSBY data 36,974
3 Number of Additional PM-JAY families covered by the State 0
4 Number of non-PM-JAY families covered under the State scheme 2,25,485
5 Percentage of families covered under PM-JAY 14%
6 Percentage of non-PM-JAY families covered under the State scheme 86%
II. Hospital Emapanelment
Till Date
Public Private Total
7 Number of empaneled hospitals
10 13 23
III. Beneficary Identifcation
Till Date
8 E-cards generated 21,079
III. Transaction Management
Jan-20 Till Jan 2020
9 Hospital Admissions Authorized Numbers
11 10,084
Amount (In Rs.)
5,05,900 32,71,99,768
IV. Claims
Jan-20 Till Jan 2020
10 Claims submitted Numbers
5 8,892
Amount (In Rs.)
2,36,325 29,04,60,204
V.Portability
Total Outgoing
Jan-20 Till Jan 2020
Total Incoming
Jan-20 Till Jan 2020
11 No. of hospital admissions authorized
0 0
7 17
12 No. of claims submitted
0 0
1 9
Goa Factsheet
Note:
1.     Non-PM-JAY families have been covered under State scheme-Deen Dayal Swasthya Sewa Yojana with a benefit cover of Rs.2.5 lakhs per annum for family of 3 or less members; and upto Rs.4 lakhs for family of 4 or more members
2.   * There is a sudden change in hospital admissions authorized because of backend updation

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Note:
1. Map not to scale

2. Data as on 01st Jan 2020

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