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Chief Minister's Comprehensive Health Insurance Scheme

All you need to know about CMCHIS

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The number of health concerns are always rising in the age we live in. A serious medical emergency can leave a person with a huge financial hole and, most likely, costs more than their savings. The value of health insurance is now indisputable in such a circumstance.

 

Nobody wants to be forced to rely on others during a medical emergency to cover their medical expenditures. Therefore, it is becoming increasingly important to be financially ready for such situations as soon as feasible. It's crucial to comprehend the reasoning behind why health insurance is crucial before you make the necessary choice. The value of health insurance in India is influenced by many different factors and Niva Bupa makes it all simpler for you.

 

The Tamil Nadu Government has launched the Chief Minister's Comprehensive Health Insurance Scheme (CMCHIS online) through United India Insurance Company Ltd, a public sector insurer with its corporate headquarters in Chennai. The programme, which is also referred to as Amma Kapitu Thittam Health Insurance, is created to offer low-income families who are less fortunate access to high-quality healthcare services. Those who qualify for the scheme's insurance coverage can receive cashless care at accredited public and private hospitals, which lessens their financial burden in an emergency. By properly tying into the public health system, the programme will assist the enrolled families in their transition to universal health insurance coverage.

Features of Chief Minister's Comprehensive Health Insurance Scheme

There are several features of the Chief Minister's Comprehensive Health Insurance Scheme that can be useful at the time of a medical emergency. 

 

Pay-Online Claims

When receiving care in a hospital that has been accredited, this health insurance plan's participants are not required to pay a fee then and there. The beneficiary gains a lot from this as they don't have to worry about making arrangements for financing their care. They are able to concentrate on the patient's health.

 

24/7 Support

A functioning call centre has been established to address a variety of inquiries about Amma Health Insurance. A person can readily look for a remedy if they have any issues with the health insurance that is being provided.

 

Family-floater Plan

A family-floater health insurance plan is Amma health insurance. An eligible family's whole registered members may receive health insurance benefits under this plan. When insured by the CM Insurance Scheme, one does not need to worry about upcoming medical emergencies.

Benefits of CMCHIS

There are various benefits and perks you can enjoy when you enrol in CM Comprehensive Health Insurance Scheme, such as: 

 

Coverage for Medical Emergencies

The rising cost of medical procedures makes medical emergencies very expensive in India. Some families find it difficult to cover these expenses as a result. You may get your loved ones treated and cover such medical crises with the aid of the CM health insurance plan.

 

Network Hospitals

Owing to the CMCHIS program's extensive network of hospitals, patients may get to a medical institution promptly. This ensures that the patient receives timely care.

 

Multiple Therapies

A single insurance plan might assist in covering a number of treatments. As a result, consumers won't need to pay out of pocket as soon as they can receive the treatment for free.

 

Sum Insured

Each family is covered by the CMCHIS sum insured for a total of Rs. 5 lakhs every policy year. This enables them to receive simple medical care.

 

Additional Coverage

Additionally, Amma Health Insurance (CMCHIS) covers follow-up care and diagnostic tests. Any normal health insurance coverage often does not cover this.

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Coverage Under Chief Minister's Comprehensive Health Insurance Scheme

Amma Health Insurance provides financial assistance to low-income households in Tamil Nadu. The following coverage is available to programme beneficiaries:

 

Hospitalisation

The costs of hospitalisation and medical care for the conditions listed in the programme are reimbursed. At any of the hospitals with accreditation, beneficiaries may receive the care that is listed under the Amma Maruthuva Kapitu Thittam.

 

Diagnostic Techniques

Under the CMCHIS, the expense of diagnostic tests related to the above procedures is also reimbursed.

 

Follow-Up Care

Amma Health Insurance will pay for any doctor consultations or hospital follow-ups necessary during or after treatment.

Eligibility Criteria for CMCHIS

For families in need who might not have access to the necessary medical services, the Chief Minister's Comprehensive Health Insurance Scheme was developed. A person who wants to enrol in this plan must rigorously meet the requirements for eligibility. Here are the prerequisites:

 

  • The family should call Tamil Nadu home.
  • The annual income should be no more than Rs. 72,000.
  • The family's ration card must include the member's name.
  • The candidate can be a Sri Lankan refugee with citizenship documentation.
  • Those who have migration certificates from the appropriate authorities and are immigrants from other Indian states (should reside in Tamil Nadu for at least six months).
  • Girls who are orphans or have been rescued from any registered or unlicensed group.

Documents Required for the Chief Minister's Health Insurance Scheme

The following documents are needed to apply for the Chief Minister's Comprehensive Health Insurance Scheme:

 

  • Self-declaration from the head of the family
  • Income Certificate
  • Ration Card

 

Additionally, the following documents must be carried at the time of enrollment:

 

  • Identity and Address Verification
  • Pan Card
  • Aadhaar Card

Enrolment Process

The CMCHIS enrolment procedure is not difficult. If the applicant has all the necessary paperwork, it can be finished quickly. Furthermore, getting the paperwork is simple. The enrolling procedures are as follows:

 

  • Obtain a certificate of income from the village revenue officials or administrative officers.
  • Bring all necessary documentation to the enrolment centre.
  • Ask the operator to verify the documents.
  • Your biometric information, such as your fingerprints, picture, eye scan, etc., will then be taken.
  • Your e-card will be issued following biometric scanning and verification.

How to Claim your Health Insurance

  • Beneficiaries can use their smart cards to receive cashless medical care from hospitals. Your bills will be sent to a TPA, or Third-Party Administrator, for settlement by hospital management. They will deal directly with the hospital to settle fees and medical expenditures. You can successfully file a claim under the CMCHIS for the insured amount in this way.
  • By accessing the Chief Minister Comprehensive Health Insurance Scheme Tamil Nadu website and entering your member ID and password, you can also check the progress of a CMCHIS claim. Additionally, according to a government notification, an applicant's credibility is increased by attaching important documents to their Aadhaar identification. You can use these methods to link your URN number to your Aadhaar card, while it is not required.

Download the Chief minister Comprehensive Health Insurance Scheme Card

You will receive a smart card after you participate in this health programme. Identification of the beneficiaries registered under this programme requires this card. It contains information about the beneficiary, his family, and the quantity of coverage that is offered. One must show this card to the authority in order to make cashless claims while in the hospital.

 

You can download the CMCHIS card from the internet in order to preserve numerous copies of the same. The following are the methods for downloading the Amma Maruthuva Kapitu Thittam card:

 

  • Visit CMCHIS's official website.
  • Select the "Beneficiary" option that will appear.
  • Select "Instructions" after selecting "Member search/e-card."
  • Your CMCHIS member ID or URN number from the smart card must be entered in the field on the member search page. You can then verify the members who have signed up for this scheme and the available sum insured.
  • You can choose "Generate e-card" from here.

Steps to Link Your Aadhaar Card

You can link your Aadhaar card in very simple steps listed below: 

 

  • Visit the Amma Health Insurance Scheme's official website.
  • When you select "Beneficiary," the option to "Link Aadhaar with URN" will appear.
  • Please enter your URN number on this page.
  • Now choose the checkbox next to the option to associate your Aadhaar with a URN.
  • Select "Enrol Now" from the menu.
  • In this stage, you must provide the contact information found on your Aadhaar card.
  • Last but not least, input your Aadhaar number and submit the form.
  • You can verify that the linking was successful once you have an OTP.

Address and Toll-free Number for CMCHIS

The state-government initiative known as the Chief Minister's Comprehensive Health Insurance Scheme aims to always be accessible. Various contact information is made public in order to maintain transparency and minimal hassle. The people on this list can assist you in finding answers to your questions.

Frequently Asked Questions

Who created the comprehensive health insurance programme for the chief minister?

How do I get a CMCHIS card?

How do I verify the Maruthuva Kapittam card?

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