Ayushman Bharat: Govt fixes packages
Rajiv G | TNN | Jan 22, 2019, 23:53 IST
Thiruvananthapuram: The state government has fixed the treatment packages for implementing the Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana in the state. The scheme, which will be known as Karunya Arogya Suraksha Padhathi, will come into effect from April 1 and will offer insurance cover for secondary and tertiary care up to Rs 5 lakh. This scheme is intended to provide help for 21.5 lakh families in the state.
Comprehensive Health Insurance Agency of Kerala (Chiak) has been designated as the agency for the implementation of the scheme in the state. The state health agency will invite insurance tenders with three coverage limits of Rs 50,000, Rs 1 lakh and Rs 2 lakh. “The insurance coverage above this will be paid separately in the trust mode for approved procedures to be provided in approved empanelled hospitals,” said additional chief secretary (health) Rajeev Sadanandan.
The rates have been fixed by an expert committee appointed by the health department which has been approved by the government. As per the rates fixed, the government will empanel the hospitals which will offer treatment at these rates.
As per the package, the insurance amount for caesarean is pegged at Rs 12,000, brain surgery Rs 50,000, plastic surgery Rs 50,000, total body burns Rs 80,000 and angioplasty at Rs 60,000. For non-surgical treatment for adults and paediatrics Rs 750 per day has been fixed for a patient as the insurance cover. If admitted in ICU without ventilator, then the insurance cover will be Rs 1,500 per day and Rs 2,000 per day for with ventilator.
Under the general surgery category, the insurance cover ranges from Rs 11,000 for appendicectomy to Rs 60,000 for laparoscopic procedures. The NET packages ranges from Rs 8,550 to Rs 30,000.
Now, for a cataract surgery, the insurance amount will be Rs 15,000, for high-risk delivery Rs 10,000 and for other gynaecological procedures the treatment packages have been fixed between Rs 3,600 and Rs 35,000.
For poly trauma patients with multiple injuries, the treatment packages have been fixed between Rs 30,000 and Rs 75,000. For serious head injuries the maximum coverage will be Rs 55,000 and for spinal injuries the coverage will be Rs 60,000.
Comprehensive Health Insurance Agency of Kerala (Chiak) has been designated as the agency for the implementation of the scheme in the state. The state health agency will invite insurance tenders with three coverage limits of Rs 50,000, Rs 1 lakh and Rs 2 lakh. “The insurance coverage above this will be paid separately in the trust mode for approved procedures to be provided in approved empanelled hospitals,” said additional chief secretary (health) Rajeev Sadanandan.
The rates have been fixed by an expert committee appointed by the health department which has been approved by the government. As per the rates fixed, the government will empanel the hospitals which will offer treatment at these rates.
As per the package, the insurance amount for caesarean is pegged at Rs 12,000, brain surgery Rs 50,000, plastic surgery Rs 50,000, total body burns Rs 80,000 and angioplasty at Rs 60,000. For non-surgical treatment for adults and paediatrics Rs 750 per day has been fixed for a patient as the insurance cover. If admitted in ICU without ventilator, then the insurance cover will be Rs 1,500 per day and Rs 2,000 per day for with ventilator.
Under the general surgery category, the insurance cover ranges from Rs 11,000 for appendicectomy to Rs 60,000 for laparoscopic procedures. The NET packages ranges from Rs 8,550 to Rs 30,000.
Now, for a cataract surgery, the insurance amount will be Rs 15,000, for high-risk delivery Rs 10,000 and for other gynaecological procedures the treatment packages have been fixed between Rs 3,600 and Rs 35,000.
For poly trauma patients with multiple injuries, the treatment packages have been fixed between Rs 30,000 and Rs 75,000. For serious head injuries the maximum coverage will be Rs 55,000 and for spinal injuries the coverage will be Rs 60,000.
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