Status Check, Procedures, Facilities

Organization :Government Of Tamil Nadu
Facility : Chief Minister Comprehensive Health Insurance Scheme

Home Page : http://www.cmchistn.com/
Apply here : http://cmchisonline.cmchistn.com/

CM Comprehensive Health Insurance 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) .

Related : TN CMPRF 2015 Contribution To Chief Minister’s Public Relief Fund Tamil Nadu : www.statusin.in/12834.html

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 :
** 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
** This card should be shown at the Assistance Counter established at the empanelled hospital.
** 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.

Eligibility :
The Eligibility to avail Chief Minister’s Comprehensive Health Insurance Scheme, is as indicated for the resident of tamilnadu by the presence of his/her name in the Family card and whose annual income is less than Rs.72, 000/ per annum.

For being eligible for benefits underthe scheme, it is sufficient to produce family card and Incomecertificate by the VAO/Revenue authorities along with the selfdeclaration of the head of the concerned family.

“Family” includes the eligible member, and the members of his or her Family as detailed below :
(i) Legal spouse of the eligible person
(ii) Children of the eligible person

(iii) Dependent parents of the eligible person Provided that if any person, in any of the categories at (i), (ii) or (iii) above, finds place in the family card then it shall be presumed that the person is member of the Family and no further confirmation would be required.