1. Beneficiary Transaction Details
2. Transport Cost Calculator
1. District Wise Gender and Claim Count
2. District and Insurance wise Claim
3. IC Receivable & Payable Claims
4. Inter District wise Claim Received
5. Inter State wise Claim Received
All districts are covered including Kolkata Municipal Corporation.
Total no of smart card issued till 31st Dec 2014 is 60, 18,951 (57 %) out of total 1, 06, 10,939 targeted BPL families and MGNREGS Workers.
Total number of empanelled active hospitals is 787 under the scheme (both private and public) out of which 130 are government hospitals.
Total 10,32,074 persons were hospitalized in last 6 years( 2088-09 to Dec 2014) using RSBY Cards and cumulative claim for the period is Rs. 640,79,98,150.
Total claims settled by the Insurance Companies as 31.12.14 is Rs. 5,91,72,66,388 (92.3% of the total claim).
Total cumulative claims raised were Rs. 3,73,07,82,613/- in last 4 years.
Total claims settled were Rs. 3,38,39,17,246./- (90.70% till Jan 2014).
Website for the scheme was launched in May 2012. (
Toll free number -1800-345-5384.
Quality of Enrolment data is appreciated by GOI for creating dummy covering all five members, 100% clean data. RHS Id is used for proper identification of BPL families at field. MGNREGA job card ID is used for identification of MGNREGA worker. First time in the country, Smart Card is being issued in the name of FEMALE member from 2013-14 which is appreciated for gender empowerment.
E-tender was introduced (since 2013-14) for engagement of Insurance companies.
State Level Implementation Committee (SLIC) was reconstituted.
State (SGRC) and District Grievance Redressal Committee (DGRC) were reconstituted.
New District Level Implementation Committee was notified.
Empanelment of all Government hospitals up to BPHC/RH is in process and expected to be completed by March 2016..
Additional transport cost is being given to the RSBY beneficiaries during discharge from Government Hospitals.
Periodic review the packages are being done by a high level expert group of doctors from various disciplines from the Government Medical colleges under the chairman ship Special secretary (MERT).
Dedicated Medical Audit team constituted and made into operation in each district.
Regional Level Workshops with all stake holders, Monthly Claim Monitoring Meeting with IC/TPA are being done regularly.
Rogi Shayata Kendra (RSK) support extended in the Government Hospitals for RSBY beneficiaries.
***** Rashtriya Swasthya Bima Yojona (RSBY) has been launched by Ministry of Labour and Employment, Government of India Year in 2008. It is a Central. * State co-sponsored social assistance scheme which provides health insurance coverage for Below Poverty Line (BPL) families by providing Biometric RSBY Smart Card through which they can get health benefit in Empanelled Hospitals through pre fixed/decided Package Rate. * Beneficiaries are registered based on list provided by district based on RHS data. * MGNREGA job card holder worked for minimum 15 days. * Only inpatient coverage of Rs. 30,000/- per family of 5 members per annum. * Cashless health insurance to beneficiaries at empanelled hospitals * Use of biometric smart card for hospitalization. * Usage of IT platform to ensure delivery of service. * Benefits can be availed across the country and across insurance providers. * Total of 1516 package out of which 822 are surgical package. * Cover of day care surgeries also included. * All pre existing diseases covered and age is no bar. * 1 day pre and 5 day post hospitalization expenses included. * Transportation cost of Rs. 100 per visit with overall limit of Rs. 1000 per year. * ICCU charges @ Rs. 1000/- per day per patient. * Rs. 30 per family per year from beneficiaries towards registration fee. * Public and private hospitals are eligible to be part of this scheme. * Policy period is of one year, can be renewed after 1 year. * One family of five members are entitled for coverage up to Rs. 30,000 per year only.
Website Last Update Date: Friday, July 15, 2016
RSBY POLICY EXTENDED UP TO 31.3.2017. ALL EXISTING RSBY CARD HOLDER WILL GET UNINTERRUPTED SERVICE. THANK YOU.