Biju Swasthya Kalyan Yojana

Biju Swasthya Kalyan Yojana 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. Biju Swasthya Kalyan Yojana 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 Features of the Scheme: • 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 Benefits under the Scheme (What do I get?): • Free Dialysis services which include all consumable and drugs required during the dialysis session, as advice by treating Physicians. Process to follow (How can I avail?): • 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 Features of the Scheme: 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 Features of the Scheme: • 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 Benefits under the Scheme (What do I get?): • 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. Process to follow (How can I avail?): • 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 yo