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Himachal Pradesh

Profile


Updated as on October 2020

Profile


Overview
Name of the Scheme Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)
Date of roll-out 23-09-2018
Mode of Implemetation Trust
Number of PM-JAY eligible families as per SECC/RSBY data 4,78,985
Number of PM-JAY additional families covered by the State -
Number of Non-PM-JAY families covered by the State scheme 5,50,000
Insurance
Name of the insurance company (if applicable) Not Applicable
Name of the ISA/TPA Med Save Health Insurance TPA Ltd.
Health Packages
Number of Health Benefit Packages (HBP 2.0) 872
Number of packages reserved for government hospitals (HBP 2.0) 21
Description of the State Scheme
Himachal Health Care Scheme is being implemented since 1st January, 2019. The scheme provides for cashless treatment coverage up to Rs. 5.00 lakh per year per family is being provided on family floater basis. In case there are more than five members, the remaining members are enrolled as a separate unit subject to the capping of five members for each such additional unit. The following are the beneficiaries under the scheme:
  • Category I- BPL, Registered Street Vendors, MNREGA worker (worked minimum 50 days in previous or current FY)
  • Category II - Ekal Naaris, Disabled >40%, Sr. Citizens above 70, Anganwari Workers and Helpers, ASHA workers, Mid-Day meal workers, Outsource Employees.
    Daily Wage Workers, Part Time Workers, Contractual Employees (Govt., Autonomous Bodies, Societies, Boards & Corporations etc. under the control of State Government)
  • Category III - Beneficiaries not covered under category-I and category-II or who are not Govt. servants/pensioners or their dependent family members.
Contact Details of the State Team
Name of State Health Agency (SHA) Himachal Pradesh Swathya Bima Yojna Society
Address Himachal Pradesh Department of
Health and Family Welfare, Block 6 Swasthya Bhawan,
SDA Complex, Kasumpti, Shimla, Himachal Pradesh-171009
Contact No. 0177-2629840 / 0177-2629802
Email Id snoabnhpm.hp@gmail.com
Name of CEO Dr. Ashwani Kumar Sharma
Toll Free no NA
Note:   Data as on 07 January 2021

Himachal Pradesh Factsheet


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Note:
1. Map not to scale

2. Data as on 01st Jan 2020

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