biju swasthya kalyan yojana...numbers of families covered under biju swasthya kalyan yojana...

Biju Swasthya Kalyan Yojana

National Health Mission

Deptt. of Health & Family Welfare

Govt. of Odisha.


Free Health Care

• For all population in Odisha

• In all Public Health Institutions upto MCH level

Special Health Care

• BKKY Card holder families, BPL, AAY Card holder & families with low Income certificate.

• In 196 Empanelled Private Hospitals

Free Health Care For all (4.5 Cr.

population of Odisha)

Special Health Care For economically

vulnerable 70 Lakh families (3.5 Cr pop)

BKKY Card holder families, BPL & AAY Card holders families & families with income lower than Rs.50,000 in rural and Rs.60,000 in Urban area (Income Certificate)

Eligibility

BKKY Stream-I&II/ BPL/ AAY cards or Income certificate less than Rs.50,000 in rural and Rs.60,000 in Urban area.

Document required

At 196 Private Empanelled Hospitals within & outside State and all Govt. Hospitals & premier health institutes outside the State

Hospitals

Annual Cashless Health Coverage of Rs.5 Lakh per family and Rs.10 Lakh for Women members of the family.

Facilities

Free to all population of Odisha irrespective of income status,

residence.

Eligibility

No documents required Documents required

In all Public Health Institutions upto MCH Level

Hospitals

All health services are free of cost including free drugs, free

diagnostics, free cancer chemotherapy, free OT, free ICU,

free IPD admissions etc.

Facilities

BSKY Components


Component-I Component-II

Numbers of families covered under Biju Swasthya Kalyan Yojana

• 99,00,000 families (Whole population of Odisha

Component-I

• 25,61,602 BKKY (Stream- I families)

• 44,08,070 BKKY (Stream- II families)

• 2,00,000 approx. (OSTF)

• Total-71,69,672

Component-II

Coverage under Biju Swasthya Kalyan Yojana

Universal Free Healthcare at Public Health Facilities including MCHs

Period OPD IPD

15th August 2018 to 31st July 2019 6,11,43,947 48,88,288

Empanelled Private health institutions

Month-Year IPD Amount (In Rs.)

1st February 2019 to 31st August 2019 21,974 16,80,75,670


HOW TO AVAIL BENEFIT USING DIFFERENT CARDS AT PRIVATE

EMPANELLED HOSPITALS

I. BKKY (S-I & S-II)-

a. Up to Rs.1 Lakh under Insurance mode directly at empanelled Private

Hospitals.

b. Beyond Rs.1 Lakh up to Rs.5 Lakhs and Rs.10 Lakhs for family members

and women members of the family respectively through OSTF after

exhausting Rs. 1 Lakh Insurance.

c. The beneficiaries have to apply through prescribed OSTF format and the

said format is available in the website (www.dmetodisha.gov.in).

II. BPL, AAY & Income certificate –

a. These card holders can available cashless treatment at OSTF empanelled Hospital on referral by CDM & PHOs within the State and by DMET(O) to State & Central Hospital outside the State and to all Premier Health Institution across India.


BSKY facilitation at point of service level

Swasthya Mitras are deployed at BSKY

Helpdesk in each empaneled hospital to

facilitate the beneficiaries availing medical

assistance under BSKY.

Swasthya Mitras are provided with apron

having BSKY Logo. It is to be ensured that

all Swasthya Mitras should wear the same in

the duty hours.

District Coordinators are posted at DHHs

to coordinate smooth implementation of

BSKY in the concerned Districts.

Any person can raise any query or complaint regarding Biju Swasthya Kalyan Yojana with toll free number 155369 available from 6 AM to 10 PM.

Toll free No.155369

Instructions are

issued to

Districts in this

regard for posting

of BSKY FAQ in

official website of

the districts.

Official website of

all districts

Frequently Asked

Questions and list

of empaneled

hospitals have

been uploaded in

the official

website of NHM,

Odisha

www.nhmodisha.gov.in

Frequently Asked Questions and list of empaneled hospitals have been uploaded in the official website of H&FW Department, Odisha

www.health.odisha.gov.in

Call Centre District Website NHM Website H&FW Website

Availability of information on BSKY

Nidaan

Features of the Scheme:

• All types of essential diagnostic services are provided free of cost to all categories of

patients in all public health facilities as per its level from Sub-Centers to Medical Colleges

and Hospitals. The Diagnostic services under “Nidaan” include general pathology service

(through own system) up to Sub-Center level, 15 types of high-end pathology tests like at

all DHHs and Medical College & Hospitals, CT-Scan, MRI in 10 DHHs where new

Medical College and Hospitals are coming up and in SCB MCH, MKCH MECH &

VIMSAR and Tele-radiology of X-Rays (digitization and reporting) in all DHHs, SDHs

and selected CHCs through PPP mode.

Eligibility Criteria (Can I Avail?):

• Any patients requiring diagnostic services as prescribed by treating physicians can avail

services at the public health facilities’ as per its level of care and list assured diagnostic

services notified.

Benefits under the Scheme (What do I get?):

• Diagnostic services made available to patients as per the advice of the treating physicians.

• The services include general & high-end pathology, CT-Scan, MRI and Tele-radiology

services at designated public health facilities’.

Process to follow (How can I avail?):

• The services are free of all patients and accordingly required diagnostic services are

provided in all Government health facilities as per its level of care and list assured

diagnostic services notified which would be provided based on prescription of treating

physician at public health facilities.

• “Nirmal” launched for promotion of Healthy & Hygienic Hospitals

• All Institutions up to PHC-N level are covered

• Components :

• House Keeping & Cleanliness Services

• Linen & laundry Services

• Security Services

• Lift Services

• Financial Implications for 5 years- Rs.552 Crs

Action Points:

• Ensure adherence of frequency of cleaning, cleaning methods and use of

appropriate disinfectants as per the functional area risk category defined.

• Ensure maintenance of housekeeping items as per the deliverables

• Provisioning of manpower as per norm for all services

• Colour coded bed sheets as per the guideline

• Quarterly Performance Review as per checklist.

• Ensure timely payment after deduction of penalty as per RFP.

Nirmal: Strengthening Ancillary Services

Sahay


• In order to reduce the out of pocket expenditure towards Dialysis services, Free

Dialysis Services- Sahay has been launched. Patients requiring dialysis services

recommended by treating physicians are provided free dialysis services at all Medical

College Hospitals through own system. Steps are being taken to provide free dialysis

services in 25 District Health Quarter Hospitals and CHC, Narshingpur through PPP

mode to ensure easy access to dialysis services.

Eligibility Criteria (Can I Avail?):

• All patients requiring Dialysis services recommended by treating physicians of Public

health facilities.

Sahay


• Free Dialysis services which include all consumable and drugs required during the dialysis session, as advice by treating Physicians.


• The free dialysis services are available at all Govt. Medical Colleges & Hospitals, 25 DHHs (except City Hospital Cuttack, BERHMAPUR, DDH, Sambalpur, DHH, DeogarH and DHH, Sonepur) and CHC, Narsingpur. Hence patients can avail services at any locations as per its choice based on prescription of the treating physician at public health facilities.

Niramaya


About 593 types of essential drugs that include surgical items and other consumables are provided on free of cost to all categories of patients attending public health facilities, as per its level under Niramay. The high cost and long-term use medicine for diseases like cancer, diabetics, hypertension, psychiatric, blood disorders are also provided under Niramay. The quality of drugs is ensured through rigorous quality check at the different stages of procurement and before final distribution to the patients by NABL accredited Laboratories.

Eligibility Criteria ( Can I Avail):

• Any patients availing services from govt. health facilities

Niramaya

Benefits under the Scheme ( What do I get):

• Around 570 types of drugs provided free of cost to patients at various Government health facilities.

Process to follow (How can I avail):

• It is universal free services available to all patients at all Government

health facilities based on prescription of treating physician at public health facilities.

Free Blood Services


• Under strengthening of blood services, provision has been made to ensure quality blood to all patients requiring blood at public health facilities. Several incentives and welfare schemes have been introduced to provide free blood to pregnant women, sick infants, blood disorder patients like sickle cell anaemia, Hemophilia, Thalassemia, accident, destitute and poor patients without replacement and free Blood transfusion @Rs. 350/ - per unit of blood. Special provision has been made to provide monthly transport assistance @Rs. 500/- per month to all types of blood disorder patients attending blood bank for blood transfusion or treatment at public health facilities.

Eligibility criteria (Can I Avail?):

• Free Blood Services: All patients including blood disorder patients requiring blood and blood product are eligible avail the services on free of cost at all Govt. facilities.

• Reimbursement of Transportation cost for blood disorder patients: All Blood Disorder patients attending blood bank for blood transfusion or treatment at public health facilities are eligible to get the incentives.

Free Blood Services


• No user fees and service charges for transfusion of blood & blood products at all Government

Blood Banks and Blood Storage Units.

• Cash incentives of Rs. 500/- per month for all registered blood disorder patients.


• Free blood services are universal at all Government Blood Banks and Blood Storage Units, no

documents are required to submit.

• The confirmed blood disorder patients required to registered and submit A/c details in respective

Block Community Health Center to get the incentives on monthly basis till treatment continue and

shall have presence in every 6 months at registered Block CHC in-person to show live status and

further continuance of incentives. All incentives are paid through DBT.

Mahaprayan

Background

• It is generally observed that vehicle owners including commercial & Govt. vehicle are

averse to transport dead body as carrying of dead body in vehicle is considered inauspicious

& taboo.

• Few old damaged vehicle engaged in this business charge exorbitant rates leading to huge

out of pocket expenses for the family of the deceased.

The Scheme:

• It has been implemented in all the District Headquarter Hospitals, 03 Medical College &

Hospitals, Capital Hospital, BBSR ; RGH, Rourkela ; SishuBhawan, Cuttack & AHRCC,

Cuttack.

• Specially designed dead body carriers (DBC) were provided one each to the hospitals

• The District Red-Cross Society may decide the transportation cost (per kilometre) and

service charge from time to time keeping in mind that it is mandatory to run the DBCs on

no-loss no-profit basis.

Thank you