Ayushman Bharat Scheme is a health insurance scheme, covering most of the states and UTs in India. An initiative by PM Modi, the scheme offers free healthcare services to eligible citizens of over 50 crores. For UT Jammu and Kashmir, the Prime Minister extends the benefits of the scheme, specifically to the residents of UT via the launch of yet another scheme called the J&K SEHAT Health Insurance Scheme. Under SEHAT yojana, a financial medical cover of Rs. 5 lacs will be granted to the beneficiaries annually. Continue reading the article to get a complete guide to the Jammu and Kashmir SEHAT Health Insurance Scheme and its benefits.
J&K SEHAT Health Insurance Scheme
On 26th December 2020, the Hon’ble Prime Minister of India, Sh. Narendra Modi announced the SEHAT Health Insurance Scheme. The entire event was conducted in the glorious presence of Home Minister, Amit Shah and J&K Lt. Governor, Manoj Sinha via video conferencing.
J&K SEHAT Health Insurance Scheme offers Rs. 5 lacs medical cover per family to all the residents of the UT regardless of their socio-economic statuses. Abbreviated for Social Endeavor for Health And Telemedicine, SEHAT is an expansion of the already existing AB-PMJAY, Ayushaman Bharat- Pradhan Mantri Jan Arogya Yojana.
जम्मू और कश्मीर सेहत स्वास्थ्य बीमा योजना एक स्वास्थ्य बीमा योजना है जो जम्मू और कश्मीर के सभी निवासियों को 5 लाख रुपये का मेडिकल कवर प्रदान करती है। यह आयुष्मान भारत योजना का विस्तार है। SEHAT गोल्डन कार्डधारक देश भर में किसी भी AB-PMJAY पंजीकृत अस्पताल में लाभ और मुफ्त स्वास्थ्य सेवा उपचार का उपयोग कर सकते हैं। लाभार्थियों के लिए आयुष्मान भारत साम्राज्यिक अस्पतालों में उपचार के समय अपने AB-PMJAY SEHAT गोल्डन कार्ड का उत्पादन करना अनिवार्य है, जिसमें विफलता आपको बीमा राशि का दावा नहीं करने देगी।
The SECC 2011 proposes the registration of only 6 lacs families of the entire population of the UT Jammu and Kashmir. Hence, the rest of the 21 lacs families were not eligible for the benefits of the AB-PMJAY Scheme. With the launch of the SEHAT Health Insurance Scheme, all the UT families will be covered for the healthcare services at zero cost.
The government aims to ensure Universal Health Coverage. Apart from this, one of the significant features of the scheme is that the SEHAT Golden cardholders can avail themselves of the benefits and access free healthcare treatments in any PMJAY registered hospital across the country.
An Overview of J&K SEHAT Health Insurance Yojana
|Article Category||J&K Govt Scheme|
|Name of the Scheme||SEHAT Health Insurance Scheme|
सेहत स्वास्थ्य बीमा योजना
|State||Jammu and Kashmir|
|Launched on||26th December 2020|
|Launched by||PM Sh. Narendra Modi|
|Higher Authority||Central Government|
|Beneficiaries||Residents of the UT Jammu and Kashmir|
|Objective||Universal Health Coverage|
|Benefits||Medical cover of Rs. 5 lakh per family|
|Mode of Registration||Offline/ Online (to be activated soon)|
|Official Website||to be released soon|
Ojectives of J&K SEHAT Health Insurance Scheme
Providing better and quality health services to the J&K public, PM Modi announced the SEHAT Health Scheme. Some of the key objectives and benefits of the scheme are as follows:
- Financial cover of Rs. 5 lacs per family per year on floater basis.
- Secondary and Tertiary healthcare services and treatments
- No cap on family size or age
- About 24,000+ empanelled hospitals all over the country
- To reach every resident of the UT
Implementation of J&K SEHAT Health Insurance Scheme
The central government will monitor the implementation process of the Jammu Kashmir SEHAT Health Scheme. As of now, only the SECC 2011 registered residents are considered eligible for the scheme. Soon, the govt will make provisions for the enrollmeent of the rest of the J&K population under the scheme.
Once registered, the applicants will be able to easily access the various medical facilities and procedures, such as cardiology, nephrology, oncology and others. Also, the beneficiaries can procure the medicines through the SEHAT Golden Card.
In Jammu and Kashmir, around 219 hospitals, including 34 private ones are registered to provide th cashless medical services to the cardholders under the SEHAT scheme. Furthermore, the govt has enlisted about 24,418 hospitals for the same all over India. The cardholders can avail of the scheme services in any of the empanelled SEHAT scheme hospitals.
The Financial Commissioner of Health and Medical Education, Atal Dulloo extended the scheme benefits to the govt employees and retirees.
How to use J&K Yellow Pages App Mobile Application
How to apply for SEHAT Health Insurance Scheme?
Currently, the government runs only offline application procedure to register for SEHAT Health Insurance Scheme. The approved beneficiaries are given a SEHAT Golden Card to avail the benefits of the scheme across the country. Follow the procedure described below in order to apply for the scheme and get your respective SEHAT Golden Card.
- Interested residents of J&K need to visit any nearest AB-PMJAY empanelled hospital or CSC Kendra.
- Obtain the SEHAT application form from the authorities.
- Write down your details in the form carefully.
- With the application form, attach the required list of documents.
- Submit the duly-filled SEHAT application form to the concerned department at the hospital or CSC Kendra.
- The concerned officials will verify the documents and the details thereafter.
- Upon successful verification and validation, you will be issued your SEHAT Golden Card.
Apply Online for SEHAT Health Insurance Scheme
Although, an online process has not been yet developed for the application of the Jammu Kashmir SEHAT Scheme, still we have provided an expected process for the same. The authorities are also planning to establish an online portal for the scheme to ease the registration and other processes.
Step I:- Visit the official website of PMJAY. Click on the tab “Am I eligible?” on the top right of the homepage.
Step II:- Enter the relevant details to check your eligibility. If eligible, an application form will appear on the screen.
Step III:- Feed in all the necessary details in the corresponding fields. Also, upload the scanned images of the documents needed, such as J&K Ration Card, Aadhaar Card, DOB proof etc.
Step IV:- At last, click on the “Submit” button to proceed. Note down the allotted application number for future use.
Your application for SEHAT Health Insurance Scheme is successfully submitted.
Note:- Bookmark this page for the updates on the online process for the SEHAT scheme registration.
Documents Required for the SEHAT Scheme
It is suggested to the applicants to prepare the following list of documents beforhand as they will be required while applying for the scheme.
|ii||J&K Ration Card|
|v||Voter ID Card|
SEHAT Golden Cards
SEHAT Golden Cards are sanctioned after the approval of your application. It serves a proof that you are registered under the scheme and are eligible to avail of its benefits. The card includes a unique registration number that will be your SEHAT Registration ID. It is obligatory for the beneficiaries to produce their AB-PMJAY SEHAT Golden Card at the time of treatment at Ayushmaan Bharat empanelled hospitals, failure to which will not let you claim the insurance amount.
Over 23 lacs SEHAT Golden Cards have been disbursed among the Jammu Kashmir residents. Also, more than 30 lacs of the residents have registered themselves for the scheme.
Key Features of the SEHAT Health Scheme
- SEHAT Health Insurance Scheme was launched by the Hon’ble PM Sh. Narendra Modi on the 26th Dec 2020 via video conferencing.
- All the citizens of the UT J&K are eligible to apply for the scheme.
- It will cover the entire population irrespective of one’s financial and socio-economic conditions.
- Under the scheme, Rs. 5 lacs will be granted to each registered family on a floater basis.
- SEHAT Golden Cards will be sanctioned to the approved list of beneficiaries.
- All the AB-PMJAY empanelled hospitals will accept the SEHAT Golden Cards.
- About 24,418 hospitals are registered under the schemes across the country.
- Cardiology, Nephrology, Oncology, etc. are some of the medical procedures that will be carried out through the scheme.
SEHAT Health Insurance Scheme Helpline Number
In case of any queries and questions regarding the J&K SEHAT Health Insurance Scheme, you can contact the concerned authorities through a designated helpline number established for this purpose. All your issues will be resolved and answered via helpline number 14555.
- 1800 233 5554
- 1800 111 565
- 14555 0194 290923
- 0191 2478585
|Official website of PMJAY||Click here|
|Official Website of J&K SEHAT Health Insurance Scheme||*Click here|
|Apply Online for the SEHAT Scheme||*Click here|
|Download SEHAT Golden Cards||*Click here|
Frequently Asked Questions
There is no particular eligibility criteria for the scheme. However, the applicant must possess the nativity of the Jammu and Kashmir UT.
SEHAT is the abbreviated form of Social Endeavor for Health And Telemedicine.
The no. of reciepents to be covered under the scheme is estimated to be around 2.1 million.
The SEHAT Golden Cards are applicable at over 24,000 hospitals across the country empanelled under the Ayushaman Bharat -PMJAY scheme
Every household is insured with a medical cover of Rs. 5 lacs regardless of age and the no. of family members.
You can call on the helpline number 14555 to seek answers of your queries and issues.
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