dhsgoa.gov.in Goa Mediclaim Scheme : Directorate of Health Services
Name of the organisation : Directorate of Health Services
Type Of Facility : Goa Mediclaim Scheme
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Home Page :http://dhsgoa.gov.in/
Dowmload here :Form-A :https://www.statusin.in/uploads/529-form-A.pdf
Form-B :https://www.statusin.in/uploads/529-form-B.pdf
Form-C :https://www.statusin.in/uploads/529-form-C.pdf
Form-D :https://www.statusin.in/uploads/529-form-D.pdf
Form-E :https://www.statusin.in/uploads/529-form-E.pdf
Goa Mediclaim Scheme :
An unique scheme of “Mediclaim” has been introduced in Goa since 1989. Under this scheme, financial assistance to the maximum extent of Rs. 1.50 lakhs per illness is provided for availing super specialties which are not available under the State Government hospitals, to residents of Goa, who have been staying in Goa for a minimum period of 15 years, and whose annual house hold income is less than Rs. 1,50,000/- per annum.
Related : Education Development Corporation Interest Free Education Loan Scheme Goa : www.statusin.in/2904.html
Kinds of Medical treatment covered are
** Neurological Disorders;
** Cardio-Thoracic Surgery;
** Kidney transplantation;
** Plastic Surgery;
** Radiotherapy ;
** total Replacement of Joints ;
** ny other major diseases/illness.
Documents needed :
** Passport size recent photograph of the patient on Form ‘C’ or ‘D’ ;
** Photo copy of election card of the patient. If the patient is a minor, photo copy of election card of either of the parent ;
** Medical Certificate in Form -A (Annexure V) from the Medical Superintendent, Goa Medical College, Bambolim, indicating that the patient is referred to some other recognized Hospital since the facilities are not available at Goa Medical College ;
** Income certificate in Form-B (Annexure VI) from the concerned Mamlatdar.
Other Information :
Mediclaim Certificate will be issued by the Medical Superintendent, Goa Medical College (GMC), Bambolim on the recommendation of the concerned Unit Head of the Department of GMC or the Sr. Consultant of District Hospitals either at Mapusa or Margao attached to the Directorate of Health Services after ascertaining that the particular case cannot be treated at the Government Hospital in the State of Goa including GMC. Based on this certificate, Director of Health Services, Panaji-Goa will issue a letter authorising the concerned Hospital to render required Medical treatment to the said patient for the relevant procedure within the monetary limit specified in the said authority letter under Goa Mediclaim Scheme.
In case any patient has gone to recognized institute outside Goa for treatment which is not available in Government Hospitals in Goa, without Mediclaim Certificate, he shall apply directly to the Director of Health Services, Panaji, Goa along with relevant documents/papers. The amount of Mediclaim facility is up to Rs.3.00 lakhs in case of open Heart Surgery; Kidney transplants, Nuero Surgery including medicines for post operative care. However maximum limit for Cancer is up to Rs. 5.00 lakh and Rs. 8.00 lakh for Bone Marrow transplant disease.
The patients can avail the super speciality Medical treatment under this scheme in any of the following recognized hospitals in Goa State or outside Goa State.
For the patient taking treatment in Goa Medical College for Cancer / Total Hip / Knee replacement, the cost of drugs/medicines, chemotherapy is reimbursable to the patient up to the maximum extent of 60 per cent of the amount admissible, for the relevant procedure, under the Goa Mediclaim Scheme.