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Sarbat Sehat Bima Yojana (AB-SSBY): Benefits, Eligibility, Diseases Covered & How To Enrol

TeamAckoMar 14, 2024

For many in India, healthcare costs are very difficult to afford. Many families are pushed into poverty because of medical treatment. In such situations, having reasonable Insurance coverage can protect weak and poor families.

Keeping in mind this aspect, the Punjab government started the Ayushman Bharat - Sarbat Sehat Bima Yojna (AB-SSBY) for vulnerable people. Now, economically weak people can also afford medical treatment. In this blog, we will cover all the crucial details regarding this scheme and how it benefits the common people.

Sarbat Sehat Bima Yojana

Contents

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Sarbat Sehat Bima Yojana

The Punjab government launched the Sarbat Sehat Bima Yojna on 20 August 2019. It ensures health insurance coverage of up to Rs. 5 lakh per family per year for secondary and tertiary care hospitalisation (in-patient services).

It extends medical coverage to 65% of the population of Punjab. This means coverage of 39.66 lakh families. Private as well as public hospitals are empanelled under the scheme.

Benefits of Sarbat Sehat Bima Yojana

The benefits of the Sarbat Sehat Bima are as follows:

  • It provides coverage of up to Rs. 5 lakh per year per family.

  • It offers 1,579 secondary and tertiary medical care packages.

  • Coverage of pre-existing diseases from the very beginning of the scheme.

  • Some of the poorest families in Punjab are covered by this scheme.

  • Pre-hospitalisation coverage of up to three days and post-hospitalisation coverage of up to 15 days.

  • Daycare surgeries are included.

  • Medical expenses for newborn babies are covered.

Diseases Covered Under Sarbat Sehat Bima Yojana

Some of the diseases covered by the Sarbat Sehat Bima Yojana Card are listed below.

  • Cardiology

  • Mental disorder

  • General surgery 

  • Orthopaedics 

  • Paediatric surgery

  • Plastic surgery

  • Eye surgery

  • General medicine

  • Neurosurgery

  • Polytrauma

  • Radiation oncology

  • COVID-19

  • Cancer 

  • Other severe diseases 

  • MRI and CT scan

Number Of Beneficiaries Covered Under Sarbat Sehat Bima Yojana

Below, we have listed the number of beneficiaries covered under different categories.

Category

Number

NFSA ration card

18.49 lakh

SECC beneficiaries

16.65 lakh

Construction workers

3.12 lakh

Small traders

0.33 lakh

Journalists

3220

Who Is Eligible For Sarbat Sehat Bima Yojana?

As per the official website, 39.66 lakh families are currently covered by the Ayushman Bharat - Sarbat Sehat Bima Yojna (AB-SSBY). It includes the following categories.

  • Families covered as per data from SECC 2011.

  • Smart ration card holder families.

  • J-form holder farmers.

  • Small traders registered with the Excise & Taxation Department.

  • Small and marginal farmers.

  • Accredited journalists with yellow card.

  • Construction workers registered with Punjab Building and Other Construction Workers Welfare Board.

How To Enrol For Sarbat Sehat Bima Yojana?

As per the official website, there is no separate enrolment process for the Sarbat Sehat Bima Yojana. It is an entitlement-oriented scheme. 

The data for enrollment in the scheme is prepared as per information provided by the following entities.

  • Food and Civil Supply Department for Smart ration card holders

  • Excise & Taxation Department for traders

  • Punjab Mandi Board for J-form holder farmers, Small and Marginal Farmers

  • PUNMEDIA for Accredited and Yellow Card Journalists

  • Construction Workers Welfare Board for construction workers.

You can do the SHA Punjab eligibility check online and check if you have been enrolled for the Sehat Bima card.

Which Hospitals Are Empanelled Under Sarbat Sehat Bima Yojana?

You can go to the official website to find out which hospitals are empanelled under the scheme.

Fees For Sarbat Sehat Bima Yojana Card

Beneficiaries can go to Common Service Centers (CSC), market committees, and Sewa Kendras to get a printout of the Sehat Bima Card for Rs. 30.

Benefits of an Insurance Coverage

We would recommend that you buy insurance coverage to protect yourself against medical and financial hazards. Throughout India, many families are facing financial distress due to medical costs. In this section, we will cover some of the features of an insurance cover.

Financial Security

Many families fall into poverty because of healthcare expenses. It is impossible to predict when a disaster will strike. Thus, insurance can cover a significant amount of the treatment that a patient would need. Thus it can save your health as well as wealth.

Premium Linked To Risk Value

One of the key factors in deciding the premium for insurance coverage is the risk potential of the applicant. So a healthy applicant will have to pay a lower premium for insurance coverage.

Tax Benefits

Many of the insurance coverage packages are tax-free or come with tax incentives. So you can pick and choose your insurance coverage as per your needs.

Peace of Mind For Family

In case of untimely death of the head of the family, the family will stay protected form financial dangers if there is enrollment for insurance coverage. Thus it guarantees peace of mind.

You can explore the insurance options offered by Acko for more options. From 100% coverage of hospital bills to coverage for critical illnesses, there are many advantages to choosing Acko. So decide your priorities and see if insurance coverage meets your needs.

Frequently Asked Questions (FAQs)

Here are some commonly asked questions about the Sarbat Sehat Bima Yojana.

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1. What is the Sarbat Sehat Bima Yojana?

It is a health insurance scheme started by the Punjab government to protect economically vulnerable people. It provides coverage of up to Rs. 5 lakh per family per year.

2. How to enrol for Sarbat Sehat Bima Yojana?

The government hasn’t prescribed any separate procedure for enrollment. They have prepared a list of beneficiaries on the basis of the data they already have.

3. How much fees has to be paid for Sarbat Sehat Bima Yojana?

A fee of Rs. 30 has to be paid to get a printout of the Sehat Bima card.

4. Which diseases are covered by the Sarbat Sehat Bima Yojana?

Some of the diseases covered under Sarbat Sehat Bima Yojana Card are as follows.

  • Cardiology
  • Mental disorder
  • General surgery 
  • Orthopaedics 
  • Paediatric surgery
  • Plastic surgery
  • Eye surgery
  • General medicine
  • Neurosurgery
  • Polytrauma
  • Radiation oncology
  • COVID-19
  • Cancer 
  • Other severe diseases 
  • MRI and CT scan

 

5. Am I eligible for Sarbat Sehat Bima Yojana?

You can find out from the official website by entering your details.

6. What are the benefits of Sarbat Sehat Bima Yojana?

The benefits of Sarbat Sehat Bima are as follows.

  • Coverage of up to Rs. 5 lakh per year per family.
  • 1579 secondary and tertiary medical care packages.
  • Coverage of pre-existing diseases.
  • Pre-hospitalisation coverage of up to three days and post-hospitalisation coverage of up to 15 days.
  • Daycare surgeries included.
  • Medical expenses for newborn babies are covered.

 

7. When was the Sarbat Sehat Bima Yojana started?

It was started in August 2019.

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