Punjab discontinues health insurance scheme for poor

  • Jatinder Kohli, Hindustan Times, Jalandhar
  • Updated: Mar 09, 2015 08:34 IST

The health department on Sunday discontinued the state government’s ambitious Bhagat Puran Singh Sehat Bima Yojna, a scheme aimed at providing cashless healthcare to blue card holders due to non-renewal of its contract with insurance companies.

As many as 25,000 beneficiaries in Jalandhar and around 200,000 the remaining 22 districts will not able to get treatment from the empanelled 354 private hospitals of state.

Health department officials had last month showed anger over performance of companies in a meeting at Chandigarh.

The department had one-year contract upto February 28, 2015 with two companies, that were allotted separate districts to run the scheme.

While National Insurance Company (NIC) along with MD India as the third party administrator (TPA) were managing Ropar, Nawanshahr, Kapurthala, Fatehgarh Sahib, Pathankot, Jalandhar, Amritsar, Gurdaspur, Ludhiana, Hoshiarpur and Tarn Taran, United India Insurance Company (UIC) along with Genins India as TPA was handed over work in Barnala, Bathinda, Moga, Faridkot, Muktsar, Fazilka, Ferozepur, Mohali, Patiala, Sangrur and Mansa.

The TPAs were responsible for issuance of smart cards, swiping machines, online softwares, claims verification and other works.

Speaking to Hindustan Times, Hussan Lal, managing director of Punjab Health Systems Corporation (PHSC) said that the scheme will be collaborated with Rashtriya Sehat Bima Yojna (RSBY) as per new instructions of central government that no private players should be involved in running the scheme.

He also added that before March 31, the department will get the latest data from food supply department about blue card holders and all beneficiaries will be involved in RSBY’s new version and they will be able to get cashless treatment again.

As per health department, the scheme, which was launched in 2013, had expected to cover all 1.54 million families’ state.

The beneficiaries of scheme are provided free treatment up to Rs 30,000 annually, including the expenses of hospitalisation along with medical or surgical procedures.The surgical treatment, including the maternity benefits and health services related to surgical nature, are also provided. Under the scheme, Haemo dialysis, parenteral cameotherapy, radiotherapy, eye surgery, lithotripsy (kidney stone removal), tonsillectomy, dental surgery following accident etc is covered. jatinder.kohli2@hindustantimes.com

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