On this page today, we will share with you all the details of the new Swasthya Sathi scheme so that you can apply for it and get health benefits. We will also share with you all the eligibility criteria and age criteria required to apply for Swasthya Sathi Smart Card Scheme launched by West Bengal Chief Minister for the year 2023. We will share it with you. The step-by-step procedure through which you can apply for Swasthya Sathi for the upcoming year 2023 and you can acquire this smart card.

Swasthya Sathi Nursing Home list and Swasthya sathi hospital list In 2023

The health care system and the health of citizens are of great importance in the development of the country. This is why the state government and the central government are constantly working to improve the healthcare system and provide better health facilities and schemes to the citizens. Swasthya Sathi Scheme is one of the health insurance schemes launched in 2016 by the Government of West Bengal for the citizens of the state.

Swasthya Sathi (স্বাস্থ্য সাথী) is basically a group health insurance scheme that Mamta Banerjee launched on 30th December 2016. The scheme is completely funded by the state government. The scheme has been rolled out by the Government to extend health benefits to the people of the state in the form of health insurance. The beneficiaries of the scheme are provided with a health insurance cover of Rs 1.5 Lakh to Rs. 5.00 Lakh per year per family for secondary and tertiary medical care under Assurance Mode.

What is the West Bengal Swasthya Sathi Scheme?

• The Chief Minister of West Bengal State Mamta Banerjee launched a new Swasthya Sathi Health Scheme, aimed at helping the residents improve their livelihood and save them from the catastrophic aftermath of the coronavirus.
• It was applicable from 1st December 2020 as per the announcement of the Chief Minister.
• Under the scheme, the West Bengal govt funded the entire Cashless Health Scheme in the state.

West Bengal Swasthya Sathi Scheme 2023 – Details: Sastho sathi card

Name of the scheme	Swasthya Sathi Scheme/ স্বাস্থ্য সাথী
Category	Scheme
Concerned Department	Department of Health & Family Welfare, Govt. of WB
Scheme Type	State govt. funded Group Health Scheme
State Nodal Agency/Monitoring Society	Swasthya Sathi Samiti
State	West Bengal
Purpose	To provide basic health cover of up to 5 lakhs to the beneficiaries
Beneficiary	Citizens of the State
Registration Process	Active
Mobile Application	Available (Android)
Official Website	swasthyasathi.gov.in
To know more	Website

Swasthya Sathi scheme 2023:

In 2020, the West Bengal government launched a movement known as the “Duare Sarkar” campaign. The term means “government at your doorstep.” In this movement, the state government is now all set to provide the benefits of around 12 schemes to the residents of the state. The Swasthya Sathi scheme also falls under the criteria of this type of campaign by the West Bengal government. The scheme provides the people of West Bengal with a smart card that allows them to access healthcare coverage worth up to ₹500,000. Initially, in 2016, this Swasthya Sathi card scheme was launched. It is a cashless health scheme that provides benefits for all healthcare expenses.

Update on the Swasthya Sathi Scheme 2023:

The state government has provided the most recent update of the scheme, saying that all citizens of the state can now avail of its benefits. The project is expected to cost around ₹2000 crore annually. Apart from this, the scheme is fully funded by the West Bengal Government offering 100%. It does not share any relationship with the central government.

The objective of the Swasthya Sathi Scheme:

Health Saathi aims to provide cashless healthcare to residents of West Bengal, reducing the burden of high medical expenses. The state government is working to improve the healthcare system by setting up specialty hospitals, fair-price diagnostic centers, pharmacies, and critical care facilities within a radius of 50 km in rural and semi-urban areas. These initiatives will ensure affordable access to quality healthcare services.

Features of the West Bengal Sathi Card:

• The names of the insurance partners who will offer insurance coverage under this Swasthya Sathi Card Scheme are Oriental Insurance Company, National Insurance Company, and United India Insurance Company, which will cover six and eight districts, not individually in individual clusters.
• The sum assured is ₹150,000.
• The amount of basic health coverage to be provided to each family in the state of West Bengal is ₹500,000.
• The health coverage amount will be disbursed on an annual basis.
• It is a cashless system based on smart card facilities.
• This scheme covers pre-existing diseases as well.
• There is no restriction on family size. Benefits will not vary according to family size.
• The scheme involves parents and both spouses of the beneficiaries.
• The Government of West Bengal is responsible for disbursing funds under this scheme. The beneficiary of this scheme does not have to pay any amount.

Advantages of the Sathi Card Scheme:

The newly launched Swastha Sathi Card scheme will benefit around ₹7.5 crore people in West Bengal. Additionally, it aims to include all households in the state in the scheme. The scheme provides a smart card issued by the government in the name of a female member of the family. Without paying any money, a person can undergo any type of treatment through the card. Moreover, insurance coverage is also available to civilian volunteers.

Moreover, the scheme also provides individualized services and complete services are accessible through digital mediums. This aspect contributes to the project being paperless. The following services are provided by the scheme:

• Grading of hospitals on the basis of infrastructure and services.
• Real-time data.
• Cashless process.
• Empanelment of hospitals.
• On delay of payment, interest is levied.
• Card blocking message alert.
• Resolve complaints online or by phone 24 hours a day, seven days a week.
• Smaller Turnaround Time: 30 Days.
• Mobile application to support beneficiaries.

Eligibility Criteria of the Swasthya Sathi Scheme:

The West Bengal government has chosen to expand the reach of the scheme to include all residents of the state, excluding those already covered by any government-sponsored health insurance scheme. Further, persons who receive medical allowance as part of their salary will not be eligible for the coverage benefits provided by the scheme.

Coverage Benefits of the Swasthya Sathi Scheme:

• Coverage up to ₹5 Lakh: Each family receives basic health insurance coverage of up to ₹5 lakh for both tertiary and secondary medical care.
• Pre-existing Disease Cover: Swasthya Sathi Card scheme includes coverage for all pre-existing diseases of the beneficiaries.
• Family Cover: There is no limit on the family size, and coverage extends to in-laws and any dependent physically challenged family member.
• Premium: The State Government bears the cost of the premium, ensuring no financial burden for the beneficiaries.
• Cashless Hospitalization: The Swasthya Sathi Scheme covers expenses incurred on doctor’s consultations, diagnostic tests, and medicines one day prior to hospital admission. Post-treatment expenses for medicines are covered for up to five days for the same treatment or surgery.

The Admissible Person Under Swasthya Sathi Card Scheme:

To avail of the scheme, one needs to fulfill only a few eligibility criteria. Any person who wants to submit an application should check the overall conditions and apply for an application. The following conditions must be fulfilled to benefit from this scheme:

• A person must be a resident of West Bengal.
• They shall not be registered under any other healthcare scheme of the government of West Bengal.
• Family members of the family are the only ones eligible to get the smart cards.
• They must meet the criteria of being below the poverty line.
• They shall register under the RSBY.

Documents Required for Swasthya Sathi Scheme:

The following documents are required to get registration under Swasthya Sathi Scheme 2023:

• Aadhar Card.
• Certificate of Poverty Level (BPL).
• Identity proof of a person such as a ration card, voter card, and others.
• Proof of permanent residence.
• Registration certificate from the healthcare organization.

How to Apply for the Swasthya Sathi Health Scheme?

• Go to the official Swasthya Sathi website.
• Locate the ‘Apply Online‘ option on the top menu bar and click on it. From the drop-down menu, select ‘Form B for Registration under Sanstha Saathi’.
• Print out the registration form and fill in all the required details correctly.
• Submit the completed Swasthya Sathi registration form along with the required documents at the nearest government camp.

Swasthya Sathi Online Registration Process:

To register for Swasthya Saathi Scheme 2023 online, follow the steps below:

• Applicants need to visit the official website of the scheme, such as swasthyasathi.gov.in.
• After that, the home page will open.
• Also, click on the link to apply online given in the main menu.
• Now, look at the list of Apply Online options.
• Then, choose the eighth option from the list, which is Form B for registration under this scheme.
• Then, a PDF format will appear and the applicant has to fill in the required details and also attach the documents.
• Finally, click on the “Submit” button to complete the registration process.
• Later, the person will get a registration number, and this should be saved for further use.

Registration Fee:

It costs nothing at all to sign up for the Swasthya Sathi Scheme. There are no fees associated with the registration process for applicants.

Process for Swasthya Sathi Hospital Registration:

• Visit the official Swasthya Saathi Scheme online portal.
• Click on the ‘Apply Online’ button on the top menu bar and select ‘Hospital Registration’ from the drop-down menu.
• Provide the requested information including district name, hospital department, hospital name, address, contact number, and other necessary details.
• Attach the required documents and click on ‘Submit’ to finalize the Swasthya Sathi Hospital registration process.

How to Check Swasthya Sathi Hospital Registration Status?

• Go to the official Swasthya Sathi Scheme website.
• Click on the ‘Apply Online’ button located in the top menu bar and choose ‘Check Hospital Reg. Status from the drop-down menu.
• Enter your registered mobile number and click on ‘Search’ to retrieve the hospital registration status.

How to Register for Treatment Outside West Bengal?

• Visit the official Swasthya Saathi online portal.
• Click on ‘Apply Online’ in the top menu bar and select ‘Registration outside West Bengal’ from the drop-down menu.
• Provide your Swasthya Saathi URN (Card) number and mobile number to proceed.
• Fill in the required details on the page and submit the form.
• Attach required documents, like ID proof, investigation report, etc, and upload them.
• Check the registration status regularly to see if your case has been approved.
• In case of an approved registration, an acknowledgment receipt will be issued.

Steps to View Your Name in the Beneficiary List:

• Visit the official Swasthya Sathi website.
• Click on the ‘Find Your Name’ option in the top menu bar.
• Enter your mobile number and select the appropriate option if you are searching for your own name.
• Check the beneficiary list to see if your name is included.

Steps to Log In to the Swasthya Sathi Portal:

• Go to the official Swasthya Sathi Scheme website.
• Click on the ‘Login’ option located in the top right corner of the page.
• Enter your username and password to log in to the official portal.

How to Register for Vellore CMC:

• Visit the official Swasthya Sathi online portal.
• Choose ‘Registration for Vellore CMC’ and follow a similar process to registering for treatment outside West Bengal.
• Provide your Swasthya Sathi URN (Card) number and mobile number to proceed.
• Enter the required details on the page and submit the form.
• Attach the necessary documents and upload them.
• Check the registration status to determine if your case has been approved.
• In the case of an approved registration for Vellore CMC, an acknowledgement receipt will be provided.

How to Download the Swasthya Sathi App?

Here are the step-by-step instructions:

• Open the Google Play Store on your smartphone.
• In the search box, type “Swasthya Sathi” to find the application.
•  Look for the official Swasthya Sathi app with the official logo and click on it to download and install it on your device.

Process to Download Swasthya Sathi Reports:

• Go to the official Swasthya Sathi portal.
• Scroll down to locate the ‘Reports’ section.
• In the ‘Reports’ section, you will find monthly Swasthya Sathi reports.

Key Functionalities of the Swasthya Sathi Scheme:

Wide Network of Cashless Hospitals: 

More than 2290 listed hospitals are accessible for Swasthya Sathi beneficiaries to get medical care.

Quick Claim Settlement:

Health insurance claims are monitored online and settled within 30 days to ensure timely payment.

Real-Time Health Record Updation:

E-health records of beneficiaries are updated in real-time after discharge.

Disclosure of Monthly Analytical Report: 

Monthly analytical reports are publicly available for easy access and feedback.

Online Grievance Monitoring:

The scheme provides an online complaint monitoring system on the official portal.

Easy-to-Use Online Portal: 

The Swasthya Sathi Prokolpo website offers user-friendly features, including general query assistance and an FAQ section.

Pre-authorization for Treatment Facility: 

Medical procedures and treatments are pre-authorized within 24 hours.

Transparent Hospital Gradation System: 

Hospitals are graded based on evaluations by Third Party Administrators or insurers, and the empanelment committee approves them accordingly.

Cashless Hospitalisation Facility: 

Swasthya Sathi covers diagnostic, consultation, and medication expenses up to 1 day before hospitalisation and 5 days after discharge.

Transportation Allowance:

Patients receive a ₹200 transport allowance upon discharge, with additional allowances applicable for hospitalisation in State Government hospitals.

Outreach Via 24×7 Toll-Free Number & Social Media:

Beneficiaries can seek assistance through the 24×7 toll-free number and reach out via social media platforms.

Swasthya Sathi Mobile App:

 Beneficiaries can download the Swasthya Sathi mobile app for scheme information, grievance filing, and helpline connection.

SMS Alerts: 

Immediate SMS alerts notify beneficiaries if their health card gets blocked.

Swasthya Sathi Packages:

A total of 2092 packages are available under the scheme, with rates determined by the selection committee.

Pre-Existing Ailment Cover: 

Pre-existing illnesses are covered from day 1 under the scheme.

No Limit on Family Size: 

There is no restriction on family size, and parents of both spouses can be covered under Swasthya Sathi.

Zero Premium Burden:

The State Government bears the insurance premium, relieving beneficiaries of the financial burden.

Completely Online Platform:

 Swasthya Sathi Prokolpo operates on a paperless, cloud-based online platform.

Customer Care

• West Bengal Swasthya Sathi Scheme Helpline Number:- 18003455384.
• West Bengal Swasthya Sathi Scheme Whatsapp Helpline Number:-
  • 09073313211.
  • 09513108283.
  • 08334902900.
  • 09830164286.
• West Bengal Department of Health and Family Welfare Helpline Number:-
  • 033 23576000.
  • 033 23330100.

West Bengal Swasthya Sathi Scheme Guidelines

West Bengal Swasthya Sathi Scheme Standard Operating Procedure

FAQs of the Swasthya Sathi Scheme

Conclusion:

Overall, the West Bengal government has launched Swasthya Sathi Scheme 2023 to provide financial assistance to the residents of the state for health-related issues. To avail of the scheme, the application form has to be submitted online through the official website. Hope you understand everything about this and if you want to know more about this scheme or need help to apply for this scheme, then bookmark our page and we will try to help you.

Disclaimer

We are not associated with West Bengal Government by any means. This is a third-party website created to share information about the Swasthyasathicard.in, which is developed by a Third-party Developer. All content on this site is available in the public domain.