31,000 families in Chandigarh ‘do not exist’ for PM’s medical scheme cover
The National Health Protection Scheme aims to provide Rs 5 lakh health insurance cover to 10 crore of India’s poorest families for the treatment of serious illnesses.Updated: Aug 30, 2018 13:37 IST
Ahead of the launch of Prime Minister’s flagship medical scheme for the vulnerable families on September 25, the Chandigarh health department found 31,000 poor families out of 71,278 identified under Socio-Economic Caste Census of 2011 in Chandigarh ‘do not exist’.
The survey found only 23,000 families for the scheme.
The National Health Protection Scheme aims to provide Rs 5 lakh health insurance cover to 10 crore of India’s poorest families for the treatment of serious illnesses.
The beneficiaries of the scheme will be the poorest households as identified by the socio-economic caste census of 2011. They will get ‘cashless and paperless’ access to health services in all the empanelled hospitals across India.
The socio-economic caste census, 2011, pegged total number of households in Chandigarh at 2,14,233 and out of these SECC eligible households (poorest families) were 71,278.
The Chandigarh health department cross-checked these records and it could validate only 23,678 families.
“A total of 31,062 families do not exist, 14,028 families have migrated and 2,501 families could not be contacted. Only, 23,687 families out of 71,278 total number of households could be identified,” mentions the data shared by Chandigarh health department.
Out of the poorest 23,687 beneficiaries, 392 are rural beneficiaries and 23,295 urban.
State health agency set up for scheme
Dr G Dewan, director, health services, Chandigarh, said, “For 6 UTs, including Chandigarh, a National Health Fund has been set up at the central level. A state health agency (SHA) has been set up in Chandigarh, which will provide the entire financial support. It will also be responsible for carrying out the scheme including registering beneficiaries, empanelling hospitals, verifying claims, disbursing verified claims, monitoring hospitals and checking frauds.”
He informed that GMSH-16 has already been empanelled and remaining five government hospitals will be empanelled soon.
“We have received 42 draft applications from private health centres but paper work of only one hospital is complete. It will be inspected if it fulfils the criteria of empanelled hospitals,” Dr Dewan said.
Talking about the challenges in the implementation, he said, “Every scheme has teething problems. We will have to make people aware that the insurance cover is for indoor admissions only. Then e-cards of beneficiaries are to be made. The other issue is that the data of beneficiaries is freezed now and no new member can be added.”
First Published: Aug 30, 2018 13:37 IST