mohfw.gov.in Pradhan Mantri Garib Kalyan Package : Insurance Scheme For Health Workers Fighting

Organisation : Ministry of Health and Family Welfare
Scheme Name : Pradhan Mantri Garib Kalyan Package (Insurance Scheme for Health Workers Fighting)
Applicable For : Health Workers
Website : https://www.mohfw.gov.in/

MOHFW Pradhan Mantri Garib Kalyan Package

Ministry of Health and Family Welfare Pradhan Mantri Garib Kalyan Package (Insurance Scheme for Health Workers Fighting)

Eligibility

** Public healthcare providers including community health workers, who may have to be in direct contact and care of COVID-19 patients and who may be at risk of being impacted by this.

** Private hospital staff and retired /volunteer /local urban bodies/ contracted /daily wage /ad-hoc/outsourced staff requisitioned by States/ Central hospitals/ autonomous hospitals of Central/ States/UTs, AIIMS and INIs/ hospital of Central Ministries can also be drafted for COVID 19 related responsibilities.

How To Claim?

** The claimant needs to fill up claim form along with necessary documents as prescribed and submit the same to Healthcare Institution/ organization/ office where the deceased was an employee of /engaged by the institution.
** The respective institution will give necessary certification and forward it to competent authority.
** Competent authority for State/UT is Director General Health Services /Director Health Services/ Director Medical Education or any other Official specifically authorised by the State/UT Government for this purpose.
** Competent authority for Central Government, Central Autonomous / PSU Hospitals, AIIMS, INIs and Hospitals of other Central Ministries is Director or Medical Superintendent or Head of the concerned institution.
** Competent authority will forward and submit claim to the insurance company for approval.

Documents Required

a. In case of Loss of life due to COVID19 following documents are required:
I. Claim form duly filled and signed by the nominee/claimant.
II. Identity proof of Deceased (Certified copy)
III. Identity proof of the Claimant (Certified copy)
IV. Proof of relationship between the Deceased and the Claimant (Certified copy)
V. Laboratory Report certifying having tested Positive for COVID-19 (in Original or Certified copy)
VI. Death summary by the Hospital where death occurred (in case death occurred in hospital) (Certified copy).
VII. Death Certificate (in Original)
VIII. Certificate by the Healthcare Institution/ organization/ office that the deceased was an employee of /engaged by the institution and was deployed/drafted for care and may have come in direct contact of the COVID-19 patient. For community health care workers, the Certificate should be from Medical Officer of Primary Health Centre (PHC) that ASHA/ASHA Facilitator was drafted for work related to COVID-19.

b. In case of Accidental loss of life on account of COVID-19 related duty following documents are required:
I. Claim form duly filled and signed by the nominee/claimant.
II. Identity proof of Deceased (Certified copy)
III. Identity proof of the Claimant (Certified copy)
IV. Proof of relationship between the Deceased and the Claimant (Certified copy)
V. Death summary by the Hospital where death occurred (in case death occurred in hospital) (Certified copy).
VI. Death Certificate (in Original)
VII. Post-mortem Report (Certified copy)
VIII. Cancelled Cheque (desirable) (in Original)
IX. FIR (Certified copy)
X. Certificate by the Healthcare Institution/ organization/ office that the deceased was an employee of /engaged by the institution and had an accidental loss of life on account of COVID-19 related duty.

Download Scheme Details Here : https://www.statusin.in/uploads/pdf2021/54650-Schem.pdf

Contact

The institution/department the insured person was working for has to be informed. Insurance company also be intimated at email id nia.312000@newindia.co.in