Biju Swasthya Kalyan Yojana - Cashless Health Care In State Government Hospitals

Biju Swasthya Kalyan Yojana (BSKY) was launched by the Hon'ble Chief Minister of Odisha on 15th August 2018, as a path-breaking program to provide universal health coverage, with special emphasis on the health protection of vulnerable families and women. The objective of this scheme is to protect economically vulnerable families from falling into this poverty trap by catastrophic health expenditure.

In the "Cashless Health Care in Impaneled Private Hospitals" component, the State Government will bear the cost of healthcare provided in empanelled private hospitals for identified economically vulnerable families in the State, for annual health coverage of ₹ 5,00,000 per family and an additional ₹ 5,00,000 for the women members of the family after exhaustion of the initial limit.

Since its inception, the BSKY has launched a new era in Universal Health Coverage, with over 45,00,000 instances of cashless treatment being provided each month.

Grievance Redressal

Helpline Number for BSKY: 155369 (6 AM to 10 PM) & 104 (24 x 7)

Mo Sarkar Feedback System

Hon’ble Chief Minister Always Directs The Administration To Ensure The Dignity Of The Citizens While Availing Government Program Benefits. With This Vision, The Mo Sarkar Feedback System Has Been Launched To Directly Get Feedback From The Beneficiaries And The Stakeholders.

In BSKY Also, The State Government Will Take Direct Feedback From The Beneficiaries And The Hospitals Regarding The Implementation Of The Program. The Citizens Can Also Provide Feedback On The Mo Sarkar Call Center No 14545.

 

Benefits

Families having BSKY Smart Health Card/ NFSA/ SFSS card can avail of cashless IPD and Day care treatment for the procedures for which the hospital is empanelled under BSKY within or outside the State up to the annual amount covered. The scheme provides cashless health coverage of ₹ 5,00,000 per annum per family and an additional ₹ 5,00,000 for women members of the family after exhaustion of the initial limit at empanelled private hospitals within and outside Odisha.



PACKAGES

The updated package list under BSKY, as modified from time to time is available on the website www.bsky.odisha.gov.in. About 3% of the total packages are reserved for Government health institutions. About 10% of the packages are under the referral category, which can be availed only on referral by the appropriate authority.



1. Reserved Packages

Treatment under these packages is only available in Govt. healthcare facilities. Treatment for minor ailments, and diseases under National Health Programs such as Management of superficial burns, minor injuries, Malaria, Typhoid fever, Gastroenteritis, Diarrhea, Dysentery, Tuberculosis, Urinary Tract Infection, Heat stroke, and surgeries for hydrocele, Abscess drainage, Lipoma and cyst excision and procedures like Dilatation and Curettage and MTP are reserved for Government facilities.



2. Referral Package

The updated list of referral packages is available on the website www.bsky.odisha.gov.in.



3. Open Packages

Any beneficiary can directly walk into any empanelled private hospital and avail of the treatment under this category of packages if he is found suitable for that package by the treating doctor of the empanelled hospital.

Eligibility

All BSKY Smart Health Card/ National Food Security Act (NFSA)/ State Food Security Scheme (SFSS) card holders are eligible.



For the referral of the patient to the empanelled private hospital for treatment

1. The referral will be done if the particular package/ procedure cannot be provided by a Government facility in the district.
2. Cases will be referred if there is a long waiting time to undertake the procedure at a Government facility in the district.
3. Where there is an emergency case that requires immediate referral.
4. Referral process under BSKY is decentralized up to the Sub-Divisional Hospital level. The following authorities have been designated to issue referrals to beneficiaries under BSKY.

a) District Headquarter Hospital: CDM & PHO/ District Medical Officer-cumSuperintendent & concerned Specialist

b) Sub-divisional Hospital: Superintendent & concerned Specialist

c) All Govt. Medical College & Hospitals: Superintendent & HoDs of concerned Department of the Medical College & Hospitals

Application Process

Offline

1. There is no direct enrolment process under Biju Swasthya Kalyan Yojana.

1. All families covered under NFSA / SFSS within Odisha are eligible beneficiaries under this scheme.



For BSKY Smart Health Cards

1. BSKY Smart Health Cards are distributed by the Government to each family.
2. The beneficiary can also collect her/his BSKY Smart Health Card at designated Mo Seva Kendra by producing her/his valid NFSA/ SFSS Card.

Documents Required

For Cashless IPD and Day Care Treatment

1. BSKY Smart Health Card / National Food Security Act (NFSA) Card / State Food Security Scheme (SFSS) Card

For getting ₹5,00,000 health coverage per annum per family and ₹10,00,000 health coverage per annum for women members of the family

1. Biju Krushak Kalyan Yojana (BKKY) Card, or Below Poverty Line (BPL) Card, or Antyodaya Anna Yojana (AAY) Card

NOTE: For low-income families who do not have these cards, a valid income certificate (annual income below ₹ 50,000/- in rural areas and below ₹ 60,000/- in urban areas) will be required to be produced at the Empanelled Hospital.