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Tamil Nadu

Profile


Overview
Name of the Scheme Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY)
and Chief Minister's Comprehensive Health Insurance Scheme (CMCHIS)
Date of roll-out 23-09-2018
Mode of Implemetation Hybrid
Number of PM-JAY eligible families as per SECC/RSBY data 77,70,928
Number of PM-JAY additional families covered by the State 69,29,072
Number of Non-PM-JAY families covered by the State scheme -
Insurance
Name of the insurance company (if applicable) United India Insurance Ltd.
Name of the ISA/TPA MD India, Medi Assist and Vidal Health TPA Ltd.
Health Packages
Number of Health Benefit Packages (HBP 1.0) 3,707
Number of packages reserved for government hospitals 681
Description of the State Scheme
Chief Minister's Comprehensive Health Insurance Scheme was launched by the Government of Tamil Nadu. The Scheme provides quality health care to the eligible persons through empaneled Government and Private hospitals. The scheme seeks to provide cashless hospitalization facility for certain specified ailments/procedures by giving coverage of up to Rs.5,00,000 per family per year on a floater basis. Under the scheme, those who are resident of Tamil Nadu by the presence of his/her name in the Family card and whose annual income is less than Rs.72,000 per annum are eligible for the benefits.
Contact Details of the State Team
Name of State Health Agency (SHA) "Tamil Nadu Health Systems Project (TNHSP)
Address of SHA 3rd Floor, DMS Annex New Building 259 Anna Salai,
Teynampet, Chennai 600 006, Tamil Nadu
Contact No. of SHA 91-44 -2434-5992
Email Id of SHA tnhealthinsurance@gmail.com
Name of CEO of SHA Thiru S Nagarajan, I.A.S PD TNHSP
Toll Free no of SHA 1800-425-3993
Note:   Data as on 14 April 2020

Tamil Nadu Factsheet


Name of the State TAMIL NADU Mode of implementation Mixed (Cover of Rs. 1 lakh and upto 2 lakh for certain packages through insurance) Date of data download 03-Feb-20
I. Demographic Details
1 Name of the scheme in the State Pradhan Mantri Jan Arogya Yojana-Chief Minister's Comprehensive Health Insurance Scheme (PMJAY-CMCHIS)
2 Number of PM-JAY eligible families as per SECC/RSBY data 77,70,928
3 Number of Additional PM-JAY families covered by the State 69,29,072
4 Number of non-PM-JAY families covered under the State scheme 0
5 Percentage of families covered under PM-JAY 71%
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
1,170 1,099 2,269
III. Beneficary Identifcation
Till Date
8 E-cards generated 1,47,00,000
III. Transaction Management
Jan-20 Till Jan 2020
9 Hospital Admissions Authorized Numbers
70,630 9,91,775
Amount (In Rs.)
134,75,06,610 2079,86,02,617
IV. Claims
Jan-20 Till Jan 2020
10 Claims submitted Numbers
66,105 7,60,583
Amount (In Rs.)
104,06,32,410 1487,20,52,378
V.Portability
Total Outgoing
Jan-20 Till Jan 2020
Total Incoming
Jan-20 Till Jan 2020
11 No. of hospital admissions authorized
8 40
20 71
12 No. of claims submitted
11 29
16 43
Goa Factsheet
Note:
1.     Additional families have been covered under State scheme-Chief Minister's Comprehensive Health Insurance Scheme with same cover amount and health benefit package as PM-JAY
2.   State cards have been generated using State own IT system

District Profile


 
 
Note:
1. Map not to scale

2. Data as on 01st Jan 2020

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