Medical Insurance for BPL card holders

Vajpayee Arogya Suvarna scheme

The above medical scheme for the staff who have BPL (ration) card. Incase your staff does not have a BPL card, please apply for one through Bangalore One (080 2295 5400/01| http://www.bangaloreone.gov.in/public/b1centres.aspx) or KarnatakaOne centres.

 Online application form available here http://ahara.kar.nic.in/Doc/newrc.pdf

 The details of the scheme are as below.

Families:
The Health Insurance Scheme will cover 5 members of a family as enumerated and photographed on the BPL card. The name/ photograph indicated in the BPL card will be taken as proof of identity of the beneficiary.

Enrolment:
Department of Food and Civil Supplies, Govt. of Karnataka will provide the details of each BPL family covered under the scheme through the BPL card. This BPL card will be a part of enrolment/ identification for availing the health insurance facility.

Payment of Premium:
Government of Karnataka/ Trust will pay the premium on behalf of the BPL beneficiaries for the insurance.

Benefit Package:
This will cover tertiary care for catastrophic diseases. Sum assured will be Rs.1,50,000/- on a family floater basis per year. Additional buffer of Rs.50,000/- per year for the entire family on a case to case basis (if the total expenditure exceeds more than Rs.1,50,000/-) will be provided. The benefit availed by the family will be on a floater basis for a total reimbursement of Rs.1, 50,000/- which can be availed individually or collectively by members of the family.

Cashless Transaction:
It is envisaged that during each hospitalization the transaction shall be cashless for procedures covered under this scheme. Enrolled BPL beneficiary can go to a network hospital and obtain treatment without making any payment to the hospital for procedures provided under the scheme.

Pre-Existing Diseases:
All diseases proposed under the scheme shall be covered under the scheme from day one. A person suffering from any of the identified diseases prior to the inception of the policy shall also be covered.

Types of Services:

•   Cardiovascular diseases
•   Cancer Treatment
a) Surgery
b) Chemotherapy
c) Radiotherapy
•    Neurological diseases
•    Renal diseases
•    Burns
•    Poly trauma cases (Not covered by Motor vehicle insurance)
•    Neo-natal cases (not mother)
Tests & medicines for ailments mentioned below are also covered under this scheme.

Services not included :
Kidney related problem, dialysis, transplant accidents excluding motor vehicle, ortho, opthomology, ENT, delivery.

For more information on the scheme, visit http://www.sast.gov.in/home/

For list of hospitals http://www.sast.gov.in/home/Details/Empanelled%20Private%20Hospital.pdf

Hospitals in Whitefield area