Govt expands beneficiaries under Himcare
Tribune News Service
Shimla, January 3
The state government on Thursday notified the Himachal Healthcare Scheme (HIMCARE) under which cashless treatment would be provided to the people of the state and included contractual, part time, daily wages and board and corporation employees.
The government has included all these categories, which were earlier not being covered under this scheme. A majority of these employees, who have been included, were not getting medical reimbursement facility.
The scheme will provide cashless treatment coverage of Rs 5 lakh per year per family to a maximum of five members per family unit. In case the family size exceeds five members, the remaining members can be enrolled as a separate unit, subject to the capping of five members for each such addition unit.
The treatment will be provided on the basis of pre-defined package rates in the empanelled hospitals for inpatient/ day care treatment. The premium will be collected from beneficiaries at the time of enrollment under the Himachal Healthcare Scheme based on various categories, including BPL, Asha workers, Ekal Nari, mid-day meal workers and disabled persons.
The scheme will be implemented through e-cards. The enrolment will be done in a simple way through a user-friendly web interface hosted on the website www.hpsbys.in capturing Aadhar, ration card, mobile number and the proof of the category. The beneficiary will apply through the online system directly or through the Lok Mitra Kendra/Common Service Centres. As per the notification, this scheme will subsume the Mukhya Mantri State Health Care Scheme (MMSHCS) and Himachal Pradesh Universal Health Protection Scheme (HPUHPS). The existing beneficiaries under these schemes will continue to avail benefits as per their applicable policy period and the data of the existing beneficiaries will be ported onto the new system (unique ID will remain the same) and they will automatically receive a link for downloading of the e-card on their registered mobile numbers.
The beneficiary will be informed through SMS on registered mobile along with the policy renewal link for the renewal of policy 15 days before the expiry of the policy period.
