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Kerala

Profile


Overview
Name of the Scheme Ayushman Bharat Pradhan Mantri Jan Arogya Yojana
(PM-JAY) and Karunya Arogya Suraksha Paddhati (KASP)
Date of roll-out 01-04-2019
Mode of Implemetation Trust
Number of PM-JAY eligible families as per SECC/RSBY data 21,57,077
Number of PM-JAY additional families covered by the State 19,40,393
Number of Non-PM-JAY families covered by the State scheme -
Insurance
Name of the insurance company (if applicable) Reliance General Insurance Company Ltd
Name of the ISA/TPA Not applicable
Health Packages
Number of Health Benefit Packages (HBP 1.0) 1,998
Number of packages reserved for government hospitals 236
Description of the State Scheme
Karunya Arogya Suraksha Paddhati is a healthcare scheme in the State of Kerala which covers an additional 19 lakh (approx.) families with the benefits of PM-JAY.
Contact Details of the State Team
Name of State Health Agency (SHA) Comprehensive Health Insurance Agency of Kerala (CHIAK)
Address of SHA Comprehensive Health Insurance Agency of Kerala
7th Floor, Trans Towers, Vazhuthacaud Thiruvananthapuram -14
Contact No. of SHA 0471-2334457
Email Id of SHA me.chiak@kerala.gov.in
Name of CEO of SHA Dr. Rathan Kelkar, IAS
Toll Free no of SHA 1800-200-2530
Note:   Data as on 14 April 2020

Kerala Factsheet


Name of the State KERALA Mode of implementation Trust Date of data download 03-Feb-20
I. Demographic Details
1 Name of the scheme in the State Pradhan Mantri Jan Arogya Yojana - Karunya Arogya Suraksha Paddhati (PMJAY-KASP)
2 Number of PM-JAY eligible families as per SECC/RSBY data 21,57,077
3 Number of Additional PM-JAY families covered by the State 19,40,393
4 Number of non-PM-JAY families covered under the State scheme 0
5 Percentage of families covered under PM-JAY 47%
6 Percentage of non-PM-JAY families covered under the State scheme 0%
II. Hospital Emapanelment
Till Date
Public Private Total
7 Number of empaneled hospitals
182 207 389
III. Beneficary Identifcation
Till Date
8 E-cards generated 62,80,933
III. Transaction Management
Jan-20 Till Jan 2020
9 Hospital Admissions Authorized Numbers
1,01,684 8,19,978
Amount (In Rs.)
74,78,73,831 589,47,92,916
IV. Claims
Jan-20 Till Jan 2020
10 Claims submitted Numbers
1,03,554 7,81,693
Amount (In Rs.)
72,84,51,585 533,06,39,684
V.Portability
Total Outgoing
Jan-20 Till Jan 2020
Total Incoming
Jan-20 Till Jan 2020
11 No. of hospital admissions authorized
20 76
7 25
12 No. of claims submitted
14 50
5 19
Kerala Factsheet
Note:
1.     Additional families have been covered under State scheme-Karunya Arogya Suraksha Paddhati with same cover amount and health benefit package as PM-JAY
2.   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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