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Meghalaya

Profile


Overview
Name of the Scheme Megha Health Insurance Scheme (MHIS)
Pradhan Mantri Jan Arogya Yojana (PM-JAY)
Date of roll-out 01-02-2019
Mode of Implemetation Insurance
Number of PM-JAY eligible families as per SECC/RSBY data 3,47,013
Number of PM-JAY additional families covered by the State 4,41,243
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 Paramount Health Services & Insurance TPA Pvt. Ltd.
Health Packages
Number of Health Benefit Packages (HBP 1.0) 2,886
Number of packages reserved for government hospitals 17
Description of the State Scheme
Megha Health Insurance Scheme (MHIS) is a Universal Health Insurance Scheme (UHIS) in the State of Meghalaya, using the RSBY framework to provide health insurance to all persons that are residents in the State excluding state and central government employees. The Megha Health Insurance Scheme (RSBY + UHIS) was launched on 15th December, 2012 with an objective to provide financial aid to all the citizens of the state at the time of hospitalization. The scheme progressed in phases and is now working in convergence with AB-PMJAY . It is called Megha Health Insurance Scheme (AB-PMJAY + Universal Health Insurance Scheme). Together, they cover all the families in the state and benefits provided are the same as those under PM-JAY.
Contact Details of the State Team
Name of State Health Agency (SHA) State Nodal Agency, Meghalaya
Address Office of the Chief Executive Officer, Mega Health Insurance Scheme,
Health Complex, Red Hill Road, Laitumkhrah, Shillong, Meghalaya- 793003
Contact No. 0364- 2507477
Email Id state.manager@mhis.org.in
info@mhis.org.in
Name of CEO Dr. Aman Warr
Toll Free no 1800 102 4762
Note:   Data as on 14 April 2020

Meghalaya Factsheet


Name of the State MEGHALAYA Mode of implementation Insurance Date of data download 03-Feb-20
I. Demographic Details
1 Name of the scheme in the State Pradhan Mantri Jan Arogya Yojana (PM-JAY)
Megha Health Insurance Scheme (MHIS)
2 Number of PM-JAY eligible families as per SECC/RSBY data 3,47,013
3 Number of Additional PM-JAY families covered by the State 4,41,243
4 Number of non-PM-JAY families covered under the State scheme 0
5 Percentage of families covered under PM-JAY 100%
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
154 14 168
III. Beneficary Identifcation
Till Date
8 E-cards generated 15,53,912
III. Transaction Management
Jan-20 Till Jan 2020
9 Hospital Admissions Authorized Numbers
11,003 1,04,962
Amount (In Rs.)
8,25,30,421 82,43,65,374
IV. Claims
Jan-20 Till Jan 2020
10 Claims submitted Numbers
10,595 1,02,824
Amount (In Rs.)
7,91,27,699 76,77,73,102
V.Portability
Total Outgoing
Jan-20 Till Jan 2020
Total Incoming
Jan-20 Till Jan 2020
11 No. of hospital admissions authorized
59 663
27 251
12 No. of claims submitted
56 533
04 169
Meghalaya Factsheet
Note:
1.     Additional families have been covered under State scheme-Meghalya Health Insurance 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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