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Help Line No: 18003455384 (Toll Free)

75000000 +Population Covered

1570 +Hospital Empanelled

1092825 + Person Benefited

Data updated Upto : 30/04/2020

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.

A State level Implementation Committee (SLIC) under the chairmanship of the Chief Secretary formed to oversee the scheme and there is a registered society named “Swasthya Sathi Samiti” ( Registration no S/M/4377 OF 2016-2017 Dated 15.11.2016) for monitoring the scheme.

The scheme was officially launched by Hon’ble CM 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.
Up to Rs 1.5 Lakh through Insurance Mode and beyond 1.5 lakh to 5 Lakh through Assurance Mode.
The scheme was rolled out from 01.02.2017. National Insurance Company was insurance partner in 9 Districts and United India Insurance Company in 11 Districts up to 28.02.2018. The scheme was implemented under assurance mode for the month of march, 2018.

From 01.04.2018 to 15.01.2020, Bajaj Allianz selected as Insurance Partner in 18 Districts and from 01.04.2018 to 31.12.2019, IFFCO TOKYO selected as Insurance Partner in 5 Districts. The service of 5 districts has been extended by Swasthya Sathi Assurance Mode up to 15.01.2020.
The service is continued by new Insurance Company from 16.01.2020. National Insurance Company is selected as Insurance Partner in 6 Districts (Cluster-III), Oriental Insurance Company is selected as Insurance Partner in 9 Districts (Cluster-II), United India Insurance Company is selected as Insurance Partner in 8 Districts (Cluster-I).
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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Hon'ble Chief Minister & Minister-in-Charge

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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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

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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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 o Quarterly TDS return of IT
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
13 Dec, 2018, Proceeding of the tender Committee meeting held on 13.12.2018 for engagement of Auditor for Swasthya Sathi & RSBY
14 Nov, 2016, Request for Proposal from intending owner of light vehicle
15 Nov, 2018, eTender Notice TPA Selection 15-11-2018

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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 Jan, 2020, TMS PATCH 16012020 V4.4
20 Aug, 2019, TMS PATCH 20082019 V4.2.2
15 Jul, 2019, TMS PATCH 15072019 V4.2
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
14 Feb, 2017, ETK Guideline

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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
24 Dec, 2019, Steps for getting Swasthya Sathi Card

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