Settle 280 pending health insurance claims, submit report in 7 days: DC

Tribune News Service

Jalandhar, November 17

To ensure smooth operations of the Ayushman Bharat-Sarbat Sehat Bima Yojana (AB-SSBY) in empanelled hospitals for facilitating beneficiaries, Jalandhar Deputy Commissioner Ghanshyam Thori constituted a committee on Tuesday.

The Civil Surgeon would review 280 pending medical insurance claims and submit a report within a week to ensure that cases can be settled without any further delay.

Presiding over a meeting of the District Grievances Redressal Committee, the Deputy Commissioner said the state government provides cashless treatment to people upto Rs 5 lakh under which 2.91 lakh families of the district had been entitled.

He said under this scheme, e-cards were being issued to the beneficiaries for cashless treatment under 1,500 packages. He said treatment in OPDs would not be included under this scheme, but secondary and tertiary treatment would be fully covered under it.

The DC said there were around 60 private health institutions and all the government hospitals were empanelled under the scheme.

He asked the Civil Surgeon and the Deputy Medical Commissioner to submit a detailed report about mismatching, erroneous and late submission of claims and told the insurance company to give details of pending claims. Thori directed the panel to submit a report within a week so that these medical insurance claims could be settled at the earliest.

He said the Pradhan Mantri Jan Arogya Yojna (PMJAY) families as per Socio-Economic Caste Census (2011), Blue Cardholder families, farmers who have been issued J-Forms by the Punjab Mandi Board and their family members, traders registered with the Excise and Taxation Department and construction workers registered with the Construction Workers’ Welfare Board, besides all journalists accredited to the state government or yellow cardholders were eligible for the benefits.

He said eligible beneficiaries can get their e-cards generated through a network of 100 Common Service Centres across the district. The Deputy Commissioner said apart from it, they could get it generated through the government hospitals.