Rashtriya Swasthya Bima Yojana

A national health insurance programme run by the Indian government is the Rashtriya Swasthya Bima Yojana or RSBY scheme. This programme intends to give the BPL group cashless insurance for hospitalisation in public and private facilities. On April 1, 2008, the Rashtriya Swasthya Bima Yojana got underway as a Ministry of Labour and Employment-run initiative. It was included in the Ministry of Health and Family Welfare on April 1, 2015.

According to sources from February 2014, the RSBY scheme has enrolled 36 million families.

• Under this programme, beneficiaries are given insurance coverage up to Rs. 30,000 per year on a family floater basis, which covers a maximum of five family members, including the head of the household, their spouse, and up to three dependents.
• The recipients receive a smart card or swasthya card with biometric functionality.
• For J&K and the Northeastern states, the Central Government of India pays 90% of the expected annual contribution and 75% of the estimated annual premium.
• The state governments contribute 25% of the total annual premium and 10% in the cases of J&K and the Northeastern states.
• It offers cashless insurance protection for all medical procedures and hospital stays.
• They provide transportation allowances, one day's worth of pre-hospitalization, and five days' worth of post-hospitalisation expenses.

Rashtriya Swasthya Bima Yojana is launched to provide health services to the underprivileged population of the country. The beneficiaries will be BPL-eligible unorganised sector employees and their families (a family unit of five). The process involves verifying the eligibility of the unorganised sector workers and their family members. They are suggested to benefit from the plan and will fall under the purview of the implementing authorities. Smart cards will be given to the beneficiaries.

Most claims submitted under the RSBY are cashless. The RSBY card must be presented at the hospital by a beneficiary of this coverage. Only hospitals eligible to resolve cashless claims are hospitals. The hospital will transmit the required data to the insurance provider or the Third Party Administrator. After the verification process, the claim will be settled between the hospital and the insurance company/TPA. No paperwork is needed.

RSBY cards are utilised for a range of tasks, including patient information and beneficiary identification using a photograph and fingerprints. However, the smart card's most crucial feature is the capacity to conduct cashless transactions at the accredited hospital and transfer rewards across the nation. The beneficiary will receive the authenticated smart card right there at the enrolment booth.

This programme intends to give the BPL group cashless insurance for hospitalisation in public and private facilities. The Rashtriya Swasthya Bima Yojana provides benefits to close to one-third of all Indians. Nevertheless, two-thirds of Indians must also have access to health insurance. Therefore, if you are not qualified for government-sponsored programmes, you must choose a health insurance plan that provides the broadest coverage at a reasonable price. Niva Bupa allows you to customise the healthcare plan with rewarding add-ons and the advantages mentioned above.