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Help Line No: 18003455384 (Toll Free)

2.4 Crores +Families Covered

2200 +Hospital Empanelled

46 Lakhs + Hospitalization

Data updated Upto : 31/01/2023

Settled 96.32% of Claim Preferred Upto 20/12/2022

Swasthya Sathi at a Glance

Swasthya Sathi” was announced in Cabinet No – 2625 dated 17th February, 2016, and Finance Department notification no – 1104-F (P) dated 25th February, 2016.

The scheme was officially launched by Hon’ble Chief Minister of West Bengal on 30th December 2016.

Main Features of the Scheme:

Basic health cover for secondary and tertiary care up to Rs. 5 lakh per annum per family.
Paperless, Cashless, Smart Card based.
All pre-existing diseases are covered.
There is no cap on the family size and Parents from both the Spouse are included. All dependent physically challenged persons in the family are also covered.
The entire premium is borne by the State Government and no contribution from the beneficiary.
Online Swathya Sathi Smart card is provided to each family on the day of Enrolment. Smart Card captures the details of the family members , Photographs, biometric, address, Mobile Number, SECC ID.
Management of the scheme is in paperless IT platform from day one.
Online empanelment & gradation of Hospitals based on the services and infrastructure available
100% online Pre-authorisation with turn around time of 24 Hrs.
SMS triggers and instant alerts to the beneficiaries on blocking of card
Real-time uploading of E-health record of the beneficiaries on discharge
Claim reimbursement to the hospital with TAT of 30 days else interest are being charged for delayed payment.
24X7 toll free Call Centre (18003455384) with feedback option
Online grievance monitoring Mechanism
Online triggers and alerts to detect probable frauds with escalation matrix..
Android based Swasthya Sathi Mobile app for assistance to the beneficiaries

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Latest Blogs

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Paperless
Cashless
Zero Contribution
100% Online
Up to Rs. 5 lakh
Real-time uploading
SMS Alerts
24X7 Call Support
Women’s Empowerment
100% Pre-authorization
Machine Intelligence
e-Health Record

Latest News

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Health Secretory, Sr

On Monday, in Calcutta Press Club, our Health Secretary Sri Narayan Swaroop Nigam, IAS distribute

Eldest Members of Jo

On Monday, 12 September’2022 more than 400 Journalist family members collected Swasthya Sat

Swasthya Sathi Enrol

A 13 Years Old Girl

A 13 years old girl from Haripal, Hooghly was suffering from severe headache since last 1 year. R

Major Heart Ailment

Dakshin Dinajpur – Paschim Burdwan - The beneficiary is a Member of Self Help Group under P

Swasthya Sathi schem

This is case from the Alipurduar District . A 40 years old beneficiary who received ‘Swasthya Sath

Dakshin Dinajpur dis

On 30.06.2020, the ADM (D) & ADM (H) Sir of Dakshin Dinajpur district handed over an Urgent Swasthya

Urgent Card Distribu

In spite of Lock-down and State Holidays Our Swasthya Sathi Team are Constantly Working for The B

Updated Mobile APP f

Updated Swasthya Sathi Official Mobile App is available in Google Play Store with Swasthya Sathi

Urgent treatment of

An Urgent Swasthya Sathi Smart card has been issued to one beneficiary from a remote village of D

Swasthya Sathi Urgen

Dakshin Dinajpur - Urgent Swasthya Sathi Smart card issued to one beneficiary within 17 hours of

Republic Day Celebra

Republic Day Celebration in Differrent District

Swasthya Sathi Urgen

Saturday, 30th November, 2019 - PURBA BURDWAN - Team Swasthya Sathi with their continuing effort

Street Drama on Swas

Tuesday, 3rd December, 2019 - UTTER DINAJPUR - Special Swasthya Sathi Enrolment drive in various

Swasthya Sathi Enrol

Friday, 6th December, 2019 - Swasthya Sathi Enrolment going on in camps in various districts

Swasthya Sathi IEC A

Wednesday, 27th November, 2019 - SILIGURI - DARJEELING - Swasthya Sathi IEC Activity being carrie

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Govt. Order
Tenders
Reports
Software
IEC and Training Materials

28 Dec, 2022, Amendment Rate capping for Spinal fixation Package under Orthopaedic and Neurosurgery
22 Dec, 2022, Standard Operative Protocol (SOP) for blocking & payment of Swasthya Sathi packages in special situations/exceptional cases
19 Oct, 2022, Gazette Notification for WBRTPS - Swasthya Sathi
29 Sep, 2022, Restriction on blocking of Oncosurgery packages under Swasthya Sathi
09 Sep, 2022, Capturing of Swasthya Sathi card number during all IPD cases in Government Hospitals
08 Sep, 2022, Restriction on appendectomy procedures as an additional package under Swasthya Sathi
08 Sep, 2022, Gate Keeping of Hydrocele/Hernia Surgery Cases and Common Dental procedures
06 Sep, 2022, Notification: Swasthya Sathi RTPS
06 Sep, 2022, Notification: Swasthya Sathi EoDB
22 Aug, 2022, Advisory related to treating doctor under Swasthya Sathi scheme
30 Jul, 2022, Notification_revision_of_Swasthya_Sathi_Packages_30.07.2022
09 Jun, 2022, Swasthya Sathi Treatment at Christian Medical College (CMC), Vellore
07 Jun, 2022, Revision of Price Ceiling in respect of Coronary Stents Ref: S.O. 1502(E) dated 30"March, 2022
19 May, 2022, Advisory related penalty for gradation issue
10 Feb, 2021, State Surveillance Team
10 Feb, 2021, District Surveillance Team
25 Oct, 2021, Restriction on Unspecified Package
25 Oct, 2021, Mandatory production of Swasthya Sathi Card or any other Government issued Health card during IPD in Government Hospital.
25 Oct, 2021, Gate Keeping for LUCS and Fissurectomy
22 Jul, 2021, Advisory on District Surveillance Team (DST) and State Surveillance Team (SST)
13 Jul, 2021, Guideline related to utilization of Swasthya Sathi fund of Government Hospital
23 Feb, 2021, Notification Regarding the Hospital Empanelment Under Swasthya Sathi Scheme Dated 23.02.2021
17 Dec, 2020, Advisory on Universal Health Protection Scheme Maximization of enrollment kit 17-12-2020
10 Dec, 2020, Advisory on Universal Health Protection Scheme Utilization of enrollment kit 10-12-2020
04 Dec, 2020, Advisory on Universal Health Protection Scheme Swasthya Sathi Enrolement Duare Sarkar 04-12-2020
02 Dec, 2020, Notification on Universal Health Protection Scheme Swasthya Sathi Dated 02-12-2020
10 Jan, 2020, Order related to refusal of treatment to Swasthya Sathi Beneficiaries
08 Aug, 2019, Swasthya Sathi Eligible Category List Along with Order Number
31 Aug, 2016, Swasthya Sathi Clarified notification of Finance Department
15 Nov, 2016, Societies Registration Certificate of Swasthya Sathi Samity
20 Jun, 2016, Second SLIC meeting resolution
11 Sep, 2017, Resolution 1st Annual General Meeting
26 Jul, 2018, Order Related to Gate Keeping
23 Jun, 2016, Order of Technical Director
15 Nov, 2016, Order of Swasthya Sathi Hospital Empanelment Committee
21 Jun, 2016, Order of Swasthya Sathi Package selection committee member
20 Jan, 2017, Order of Swasthya Sathi for Government hospitals
17 Apr, 2017, Order of Expert Committee Formation under Assurance Mode of Swasthyasathi
07 May, 2018, Order Number 2899-F(P) for Cable Operator
25 Feb, 2016, NOTIFICATION0001 Swasthya Sathi
02 Mar, 2016, Notification of State Level Implementation Committee members
16 Sep, 2016, Model Swasthya Sathi Agreement between Insurance and SNA
16 Sep, 2016, Model Swasthya Sathi Agreement between Insurance and Hospital
15 Sep, 2016, Gadget Notification for Swasthya Sathi Samity
08 Mar, 2016, Fraud Control Mechanism in Swasthysathi
08 Mar, 2016, First SLIC meeting resolution
26 Dec, 2016, First governing body meeting resolution of Samity
02 Aug, 2017, Financial Bid Opening of ISA for Swasthya Sathi
06 Sep, 2017, Extension of Coverage of Swasthya Sathi Scheme
23 Aug, 2016, DO LETTER OF SECRETARY on DATA PREPARATION
02 Sep, 2016, DO letter of Principal Secretary for data preparation
19 Jul, 2016, DO letter for formation of District monitoring committee by CHIEF SECRETARY
11 May, 2017, Data preparation and Monotoring of Swasthya Sathi Scheme
15 Nov, 2016, CERTIFIED COPY OF SWASTHYA SATHI SAMITY
17 Feb, 2016, Cabinet decision for introduction of Swasthya Sathi no -2625

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09 Sep, 2021, NOTICE INVITING QUOTATION for SELECTION OF STATUTORY AUDITOR FOR SWASTHYA SATHI SAMITI FOR THE FY 2020-2021
22 Jul, 2021, Technical Evaluation of PMU Tender under Swasthya Sathi 22.07.2021
14 Jul, 2021, Extension of PMU Tender Bid Submission date and Time for Swasthya Sathi 14-07-2021
03 Jun, 2021, E-Tender for Project Management Unit through an External Agency for Swasthya Sathi- Universal Health Coverage for the State of West Bengal -03.06.2021
16 Mar, 2021, Pre-Bid Tender Resolution for ISA Selection 09.03.2021
26 Feb, 2021, e-Tender for engagement of Implementation Support Agency (ISA) for Swasthya Sathi at West Bengal - 2021
26 Jun, 2020, e-Tender for engagement of Implementation Support Agency (ISA) for Swasthya Sathi at West Bengal - 2020
29 Nov, 2019, Pre-Bid Tender Resolution for IC Selection 2019-2020
15 Nov, 2019, E-Tender for Providing Group Health Insurance to the beneficiaries under Swasthya Sathi 2019-2020
21 Dec, 2018, Quotation for engagement of agency for online subscription of Quarterly TDS return of IT
13 Dec, 2018, Proceeding of the tender Committee meeting held on 13.12.2018 for engagement of Auditor for Swasthya Sathi & RSBY
15 Nov, 2018, eTender Notice TPA Selection 15-11-2018
13 Sep, 2018, Invitation for Quotation of Supply the Accessories for Audio Visual Equipment
05 Sep, 2018, NIQ Wood Furniture
13 Aug, 2018, NIQ of Selection of AUDITOR CA FIRM for SWASTHYA SATHI AUDIT 2018-2019
11 Jul, 2018, NIQ Of Selection of AUDITOR CA FIRM For RSBY AUDIT_2018-2019
16 Jan, 2018, E-Tender for Providing Group Health Insurance to the beneficiaries under Swasthya Sathi 2018-2019
07 Mar, 2017, eTender Notice TPA Selection 03-07-2017
13 Sep, 2016, E-Tender for Providing Group Health Insurance to the beneficiaries under Swasthya Sathi 2017-2018

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04 Mar, 2021, SWASTHYA SATHI REPORT JANUARY 2021
03 Sep, 2020, SWASTHYA SATHI REPORT JULY 2020
27 Jul, 2020, SWASTHYA SATHI REPORT JUNE 2020
17 Jun, 2020, SWASTHYA SATHI REPORT MAY 2020
01 Jun, 2020, SWASTHYA SATHI REPORT APRIL 2020
13 May, 2020, SWASTHYA SATHI REPORT MARCH 2020
23 Mar, 2020, SWASTHYA SATHI REPORT FEBRUARY 2020
10 Feb, 2020, SWASTHYA SATHI REPORT JANUARY 2020
02 Sep, 2019, SWASTHYA SATHI REPORT SEPTEMBER 2019
01 Jul, 2019, SWASTHYA SATHI REPORT JULY 2019
01 Apr, 2019, SWASTHYA SATHI REPORT APRIL 2019
01 Mar, 2019, SWASTHYA SATHI REPORT MARCH 2019
01 Feb, 2019, SWASTHYA SATHI REPORT FEBRUARY 2019
01 Jan, 2019, SWASTHYA SATHI REPORT JANUARY 2019
03 Dec, 2018, SWASTHYA SATHI REPORT DECEMBER 2018
01 Nov, 2018, SWASTHYA SATHI REPORT NOVEMBER 2018
01 Oct, 2018, SWASTHYA SATHI REPORT OCTOBER 2018
01 Aug, 2018, SWASTHYA SATHI REPORT AUGUST 2018
02 Jul, 2018, SWASTHYA SATHI REPORT JULY 2018
01 Jun, 2018, SWASTHYA SATHI REPORT JUNE 2018
01 May, 2018, SWASTHYA SATHI REPORT MAY 2018
02 Apr, 2018, SWASTHYA SATHI REPORT APRIL 2018
30 Mar, 2018, Swasthya sathi Annual Report 2017-2018
01 Mar, 2018, SWASTHYA SATHI REPORT MARCH 2018
01 Feb, 2018, SWASTHYA SATHI REPORT FEBRUARY 2018
01 Dec, 2017, SWASTHYA SATHI REPORT DECEMBER 2017
01 Nov, 2017, SWASTHYA SATHI REPORT NOVEMBER 2017
01 Sep, 2017, SWASTHYA SATHI REPORT SEPTEMBER 2017
01 Aug, 2017, SWASTHYA SATHI REPORT AUGUST 2017
03 Jul, 2017, SWASTHYA SATHI REPORT JULY 2017
01 Jun, 2017, SWASTHYA SATHI REPORT JUNE 2017
01 May, 2017, SWASTHYA SATHI REPORT MAY 2017
03 Apr, 2017, SWASTHYA SATHI REPORT APRIL 2017
01 Mar, 2017, SWASTHYA SATHI REPORT MARCH 2017

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15 Sep, 2022, TMS PATCH 15092022 V6.7
23 Nov, 2021, TMS PATCH 23112021 V6.4
08 Nov, 2021, TMS PATCH 08112021 V6.3
02 Aug, 2021, Kiosk Patch 29072021 V3.9
30 Jul, 2021, TMS PATCH 30072021 V5.9
27 Jul, 2021, DOT NET Framework for ETK
27 Jul, 2021, WBDHFW ETK SETUP Version 6
27 May, 2020, FKO SETUP 14082017
06 Feb, 2017, SWS TMS Installer 06-02-2017
27 Apr, 2020, Kiosk Patch 22042020 V3.6
10 May, 2017, Guideline for RSBY to Swasthyasathi Conversion
27 May, 2020, KMS PATCH 14082017
14 Feb, 2017, ETK Guideline

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03 Jun, 2020, Ananda Dhara Vol-I
19 Mar, 2020, Steps For Getting Swasthya Sathi Card
19 Mar, 2020, Swasthya Sathi Smart Card Distribution Process
19 Mar, 2020, Process Flow for Change in Treatment Protocol for Already Admitted Patient
11 Feb, 2020, Claim Transaction Process Flow Under Swasthya Sathi
11 Feb, 2020, Unique Features of Swasthya Sathi Scheme
11 Feb, 2020, Enrollment Process of Eligible Beneficiary Required Immediate Hospitalization
11 Feb, 2020, Up-gradation Process of Hospital under Swasthya Sathi
04 Feb, 2020, Cashless Treatment Flow Under Swasthya Sathi
04 Feb, 2020, Actionable by Medical Officer (Advisory) Under Swasthya Sathi
04 Feb, 2020, Claim Performance Metrics Under Swasthya Sathi
04 Feb, 2020, Claim Settlement Process Flow Under Swasthya Sathi
04 Feb, 2020, HR Obligations of Insurance Company and TPA
04 Feb, 2020, Definition of Package Under Swasthya Sathi
04 Feb, 2020, Role of Third Party Administrator (TPA) Under Swasthya Sathi
27 Jan, 2020, Beneficiary Enrollment Procedure for Swasthya Sathi
27 Jan, 2020, Trigger Detection Mechanism for Swasthya Sathi
08 Jan, 2020, Hospital Empanelment Process Under Swasthya Sathi
08 Jan, 2020, Gradation Category of Health Care Providers Under Swasthya Sathi
26 Dec, 2019, Beneficiary categories under Swasthya Sathi - English
24 Dec, 2019, Beneficiary categories under Swasthya Sathi - Bengali

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