RSBY : Apply For Smart Card & Check Status Online

Organization : Rashtriya Swasthya Bima Yojana Scheme Portal
Facility : How to Get RSBY Smart Card & Check Status Online?
Home Page : https://www.healthindiatpa.com/rsby/index.aspx

What is RSBY Scheme?

Ministry of Labour and Employment, Government of India has launched a health insurance scheme for BPL families which is called Rashtriya Swasthya Bima Yojana (RSBY).

Related / Similar Service : RSBY Central Grievance Redressal Management System

Eligibility Criteria :
The beneficiary is any Below Poverty Line (BPL) family, whose information is included in the district BPL list prepared by the State government. The eligible family needs to come to the enrollment station, and the identity of the household head needs to be confirmed by the authorized official.

Age Limit :
There is no age limit in RSBY and anybody can be enrolled if they are in the BPL list.

Insurance Coverage in RSBY :
Rashtriya Swasthya Bima Yojana provides cover for hospitalization expenses upto Rs. 30,000/- for a family of five on a floater basis. Transportation charges are also covered upto a maximum of Rs. 1,000/- with Rs. 100/- per visit.

Premium for RSBY :
The premium for RSBY is different in different set of districts. State Governments select insurance companies through open tendering process and technically qualified lowest bid is selected.

Purpose of smart card :
Smart card is used for a variety of activities like identification of the beneficiary through photograph and fingerprints, information regarding the patient. The most important function of the smart card is that it enables cashless transactions at the empanelled hospital and portability of benefits across the country.

Enrollment Process of RSBY Smart Card

An electronic list of eligible BPL households is provided to the insurer, using a pre-specified data format. An enrollment schedule for each village along with dates is prepared by the insurance company with the help of the district level officials.

As per the schedule, the BPL list is posted in each village at enrollment station and prominent places prior to the enrollment and the date and location of the enrollment in the village is publicized in advance. Mobile enrollment stations for RSBY Smart Card are set up at local centers (e.g., public schools) in each village.

These stations are equipped by the insurer with the hardware required to collect biometric information (fingerprints) and photographs of the members of the household covered and a printer to print smart cards with a photo.

The smart card, along with an information pamphlet, describing the scheme and the list of hospitals, is provided on the spot once the beneficiary has paid the 30 rupee fee and the concerned Government Officer has authenticated the smart card. The process normally takes less than ten minutes. The cards shall be handed over in a plastic cover.

Each enrolment team in the villages is accompanied by a Field Key Officer (FKO) who identifies the beneficiaries at the time of enrollment. FKO is also provided with a smart card and his job is to identify the beneficiary and authenticate their smart card by his FKO card and finger print.

Without FKO’s authentication the smart card with the beneficiary will not work. The detail of each family which is authenticated by the FKO also gets copied in the FKO card and insurance company is paid based on the number of beneficiaries obtained from the FKO card.

What is the Time Period of RSBY?

For New Card :
In case of new policy, the Scheme shall commence operation from the 1st of the succeeding month in which the smart card is issued. Thus, for example, if the initial smart cards are issued anytime during the month of April in a particular district the scheme will commence from 1st of May.

The scheme will last for one year till 30th of April of next year. This would be the terminal date of the scheme in that particular district. However, in the same example, if the card is issued in the month of May, June and July then the insurance will immediately start from the next day itself for the beneficiaries and policy will be over on 30th April of next year. Thus, all cards issued in the district in May will also have the Policy start date as 1st of May (even if issued subsequent to the date) and terminal date as 30th April of the following year.

For Renewal :
In the case of renewal, the policy will start from first of the next month in which the earlier policy will expire. Therefore, for example, if the earlier policy is getting over on 30th April and card is renewed in the month of April then the new policy will start only from the 1st May and will finish on 30th April of next year. However, in the same example, if the card is issued in the month of May, June and July then the insurance will immediately start from the next day itself for the beneficiaries and policy will be over on 30th April of next year.

Registration Fee :
Beneficiaries need to pay Rs. 30 per family at the time of enrollment.

How To Check RSBY Smart Card Status?

Follow the below steps to check RSBY Smart Card Status Online

1. Go to the above link click on the “Scheme Status” option.

State Wise :

Go to the official website,click on the “Scheme Status” tab in main menu, drop down list will be displayed,click on the “state wise” option.

Then Select your state in track box result will be displayed on the Screen.

Certification Status  :

Go to the official website,click on the “Scheme Status” tab in main menu, drop down list will be displayed,click on the “Certification Status” option.

Status will be displayed on the screen.

Contact Us :
Please email urmila.goswami AT nic.in for your queries and suggestions.

Some Important Information From Comments

Comments:
I have some queries about renewal of my Rashtriya Swashthya Bima Yojana card. I want to inform you that, my card issued on December 2014 and now my daughter is suffering from disease of appendix. So, I want to get confirmation that am I able to get facility of this card? If not what is the process to get facility? I requested to kindly give me right information about my queries.

FAQ On RSBY Scheme

RSBY stands for Rashtriya Swasthya Bima Yojana, a government-run health insurance scheme launched in India in 2008. Here are some frequently asked questions about RSBY:

What is RSBY?
RSBY is a health insurance scheme that aims to provide financial protection to below-poverty-line (BPL) families in India. The scheme covers the cost of hospitalization, up to a maximum of Rs. 30,000 per year, for the BPL families listed in the government’s socio-economic census.

Who is eligible for RSBY?
BPL families listed in the government’s socio-economic census are eligible for RSBY. The scheme also covers unorganized sector workers such as rickshaw pullers, street vendors, and domestic workers.

What is the premium for RSBY?
The premium for RSBY is paid by the central and state governments. The beneficiary families do not have to pay any premium.

What is covered under RSBY?
RSBY covers the cost of hospitalization, up to a maximum of Rs. 30,000 per year, for the listed BPL families. The scheme covers hospitalization expenses for illnesses and injuries that require more than 24 hours of hospitalization.

What is not covered under RSBY?
RSBY does not cover outpatient treatment, pre-existing illnesses, and non-allopathic treatments. It also does not cover the cost of treatment in private hospitals that are not empaneled under the scheme.