Rsby expterience in cg

13.04.2023 Seite 1www.cghealth.nic.in www.rsby.in

Rashtriya Swasthya Bima Yojna – Introduction and experiences

State Nodal Agency DH&FW ,GOCG2nd Floor Directorate of Health Services

Old Nursing Hostel, Raipur-492001Tel: 0771-4255948 email: [email protected]

http://www.cghealth.nic.in/

http://www.rsby.in/

mailto:[email protected]

13.04.2023 Seite 2www.rsby.in

Current Status of RSBY Implementation in India

Cards issued – App. 17 Million People enrolled – App. 62

million No. of States which have started

the RSBY process – Twenty Six No. of States which have signed

MoU with Central Govt.-Twenty five

No. of States where enrolment has started – Twenty three

No. of States where Service delivery has started – Twenty three


RSBY in CG

All 18 district covered in two phases

318 network hospitals

Total 10.7 lakhs enrolled during 1st Round

21500 beneficiaries have availed treatment under this

scheme worth 10.5 crs.

Second round started in phase 1 districts

Premium for Second round Rs 437.89 per family

Insurance company- OIC Ltd.


Main features

Business Model for all Stakeholders Empowering the beneficiary Insurers Hospitals Government IT based


-Empanelment of Hospitals

-Setting up of Support Services

-Utilization of Services

Implementation

BPL Data as per GOI Guidelines

Selection of Insurance CompanyEnrollment of Beneficiaries


Insurance Company

State Nodal Agency

Health Care Providers

7. E

nroll

men

t of B

enef

iciar

ies

FKO

7. Verification

of Smart Card

BPLBeneficiaries

Government of India

BPL Data

www.rsby.in

5. Empanelment

District Kiosk

DKM

Call Centre

5. Setting-up

Setting-up

1. Prepare in

given format

2. Send for

verification

3. Upload on website

after verification 4. Selection through tendering

6. I

ssua

nce

of

FK

O C

ard

8. D

ownl

oad

of

FK

O

Dat

a a

t D

KM

ser

ver

9. Submission of data and bill

10. Payment to Insurer

11. Utilisation of Services

12. Claim Process

AwarenessHealth Camps

13. Submission of Data to State and Central Govt.


Going Beyond BPL RSBY is being extended to other categories of

Unorganized sector workers who are non-BPL NREGA beneficiaries Building and Construction Workers Postman ASHA Workers/ Mitanin Anganwadi Workers Non-Government sectors

In many of these categories people have agreed to pay part or full premium by themselves

Some other ministries are also contemplating to extend it to their targeted beneficiaries


Moral hazards

At the time of enrollment

At the time of empanelment

For utilization of services


What RSBY will you do in District plan?

Plan for quality services Making your block/district cataract free Increasing Institutional deliveries Increasing utilization of family planning

services.

Rsby expterience in cg

Health & Medicine

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