Medical insurance scheme launched for Tamil Nadu govt employees

The chief minister distributed medical insurance cards to five employees as part of the launch of the scheme.

The government is implementing the scheme through United India Insurance Company, between July 1 2016 and June 30, 2020.

All government employees will be covered if they pay Rs 180 per month. The employees and their family members will be covered for Rs 4 lakh. If an employee has cancer or needs an organ transplant, the cover will be increased to Rs 7.5 lakh.

More than 10.22 lakh employees will be covered. The state government will spend Rs 17.90 crore annually for the scheme

Tamilnadu Chief Minister's Comprehensive Health Insurance Scheme - SALIENT FEATURES OF THE SCHEME 2015

SALIENT FEATURES OF THE SCHEME

THE SCHEME

This is a lofty Insurance Scheme launched by the Tamil Nadu State Government through the United India Insurance Company Ltd (a Public Sector Insurer headquartered at Chennai) to provide free medical and surgical treatment in Government and Private hospitals to the members of any family whose annual family income is less than Rs.72,000/- (as certified by the Village Administrative Officers) .The Scheme provides coverage for meeting all expenses relating to hospitalization of beneficiary as defined in the Scope of the Scheme.

BENEFITS

The scheme seeks to provide cashless hospitalisation facility for certain specified ailments/ procedures. The scheme provides a coverage up to Rs.1,00,000/- per family per year on a floater basis for the ailments and procedures covered under the Annexure "C".
For certain specified ailments and procedures of critical nature, which are listed under Annexure "D" in the Scheme, the overall limit is increased from Rs.1,00,000/- to Rs.1,50,000/-

There are 2 other covers other than the hospitalisation benefits under Annexure "C" & "D" available under the Scheme. They are a) Follow-up Treatment as listed under Annexure "E"& b) Additional Diagnostic procedures listed under Annexure "F"

AVAILING THE BENEFITS

Free health camps / screening camps will be conducted by network hospitals as per the directions given by Project Director of Tamil Nadu Health Systems Society. Minimum of one camp per month per empanelled hospital will be held in the districts in each policy year. The persons who need treatment are identified in the Health camps. Such patients can approach the hospital in the network and follow the guidelines below:

1. A new Health Insurance identity card with biometrics is being issued to all those members who have been holding the smart cards in the earlier scheme. Till such time new cards are issued the public can use the earlier smart (Health) cards
2. This card should be shown at the Assistance Counter established at the empanelled hospital.
3. After due verification of the details and authenticating the identity of the patient by the Liaison Officer, the necessary Pre-authorisation request for cashless facility will be submitted by the DMO of the hospital.
4. The Project Office will approve the request on authentication of the identity and provided the procedure planned is within the Scheme

Even those patients who have the smart cards, though not identified through the Health Camps can also avail the benefit as above

HELPLINE

A 24 hour Call Centre has been set up at CMCHISTN Project Office with sufficient manpower with toll free help line. The Toll Free Number is 1800 425 3993. The Toll Free Line is competent to answer the query in Tamil.

திட்டத்தின் சிறப்பம்சங்கள்

Tamilnadu Chief Minister's Comprehensive Health Insurance Scheme Eligibility 2015

Eligibility 
இக்காப்பிட்டுத்திட்டம் ஏழை எளிய குடும்பங்களுக்கு ஆண்டு வருவாய் 72,000/க்கு கீழ் உள்ளவர்கள் பயன் பெரும் வகையில் செயல்படுத்தப்படுகிறது. இந்த வருமானத்திற்கு உரிய வருமானச் சான்று அருகில் உள்ள கிராம நிர்வாக அலுவலரிடமிருந்து உரிய பரிசீலனைக்குப்பிறகு பெற்றுக்கொள்ளலாம் இந்தத் திட்டத்தின்கீழ் தரமான அறுவை மற்றும் மருத்துவ சிகிச்சைப் பதிவு பெற்ற தனியார் மற்றும் அரசு மருத்துவமனைகளில் பெற்றுக் கொள்ள வழிவகை செய்யப்பட்டுள்ளது.

Tamilnadu Chief Minister's Comprehensive Health Insurance Scheme 2015

Every member of a family whose annual family income is less than Rs.72,000/- as certified by Village Administrative Officer and such other person who may be declared to be eligible for coverage under the "Chief Minister's Comprehensive Health Insurance Scheme" by the Government will be "Eligible Persons" under the Scheme.

CATEGORY / SPECIALITY SELECTION

CATEGORY / SPECIALITY SELECTION

CARDIOLOGY	CARDIOTHORACIC SURGERIES	CHEST SURGERY	DERMATOLOGY	DIAGNOSTIC	ENDOCRINOLOGY
ENT	NEUROLOGY	GASTROENTEROLOGY	GENERAL MEDICINE	GYNAECOLOGY & OBSTETRIC SURGERY	GENITOURINARY SURGERY
GENERAL SURGERY	MEDICAL ONCOLOGY	NEONATOLOGY	HEPATOLOGY	INTERVENTIONAL RADIOLOGY	ORTHOPEDIC TRAUMA
NEUROSURGERY	OPHTHALMOLOGY SURGERIES	NEPHROLOGY	PAEDIATRICS	PAEDIATRIC INTENSIVE CARE	PLASTIC SURGERY
PAEDIATRIC SURGERIES	POLYTRAUMA	RADIATION ONCOLOGY	REPLACEMENT	PULMONLOGY	RHEUMATOLOGY
SURGICAL ONCOLOGY	VASCULAR SURGERIES	SURGICAL GASTRO ENTEROLOGY	TRANSPLANTATION

Tags : Amma Kapitu Thitam, Category and Speciality Selection,  Insurance, insurance in India

List of Neurology under CMCHIS

List Neurology under Chief Minister's Comprehensive Health Insurance Scheme.

S.No.	SPECIALTY	PROCEDURE NAME
1	Neurology	TN0705 : ADEM or Relapse in Multiple Sclerosis
2	Neurology	TN0706 : Neuropathies (GBS)
3	Neurology	TN0707 : Optic Neuritis
4	Neurology	TN0708 : Immunoglobulin Therapy - IV
5	Neurology	TN0709 : Chronic Inflammatory Demyelinating Poly Neuropathy (CIDP)
6	Neurology	TN0710 : Hemorrhagic Stroke/Strokes
7	Neurology	TN0711 : Ischemic Strokes
8	Neurology	TN0712 : Myopathies - Acquired
9	Neurology	TN0713 : Neuromuscular (Myasthenia Gravis)
10	Neurology	TN0714 : Neuroinfections -Pyogenic Meningitis
11	Neurology	TN0715 : Tb Meningitis
12	Neurology	TN0716 : Neuroinfections -Viral Meningoencephalitis (Includingherpes Encephalitis)
13	Neurology	TN0717 : Fungal Meningitis (Min 20 Days In ICU)
14	Neurology	TN0718 : Management of Coma

Tags : Amma Kapitu Thitam, Category and Speciality Selection, Neurology , Insurance, insurance in India, List of Neurology under CMCHIS.