Biju Swasthya Kalyan Yojana: Affordable Healthcare for Odisha Residents

Healthcare is one of the biggest expenses for families. Healthcare is expensive and so it becomes tough for a low-income family to access high-quality healthcare. To address this issue, Government of Odisha started Biju Swasthya Kalyan Yojana. This system ensures that medical services are provided to all eligible residents without financial burden.

Under the scheme, cashless treatment is provided at government as well as private hospitals. It allows everyone who qualifies to access medical services without charge.

The scheme also provides cashless treatment at both private and government hospitals. It also covers pre-existing conditions, surgeries, maternity care, etc. It is a trailblazing measure in the path of universal health coverage for all in Odisha, involving widespread coverage with no prepayment.

What is Biju Swasthya Kalyan Yojana? 

Odisha State government run health insurance scheme for its people is Biju Swasthya Kalyan Yojana. It provides free of charge medical treatment in government and private hospitals to eligible families. The program, launched in 2018, was intended to help families struggling with high healthcare costs.

It covers inpatient and outpatient treatments, critical surgeries, maternity care, and even organ transplants. Beneficiaries do not need to pay hospital bills as the government settles the expenses directly with empanelled hospitals.

Key Features of Biju Swasthya Kalyan Yojana

Benefits of Biju Swasthya Kalyan Yojana

The scheme offers wide-ranging benefits to ensure affordable healthcare for all eligible families. It lowers out of pocket expenses and guarantees quality medical treatment for all.

1. Free Healthcare Services: The scheme offers fully free treatment at empanelled hospitals. Patients pay nothing on consultations, diagnostics, surgeries, or medicines.

2. Cashless Treatment: Cashless treatment would be provided to beneficiaries in all above-mentioned hospitals in Odisha and more than 200 hospitals across the State. The hospital gets directly compensated by the government, alleviating the financial burden for families.

3. Higher Coverage for Women: ₹5 Lakh per annum for families and ₹10 Lakh per annum for women beneficiaries. It plays a key role in better medical care for women and children.

4. No Prior Conditions Excluded: Biju Swasthya Kalyan Yojana covers pre-existing diseases, unlike many health insurance policies. They include conditions such as diabetes, hypertension, and asthma from day one.

5. No Room Rent Limit: Patients are able to select any category of hospital room without having to pay more. The scheme covers the entire hospital stay, food, and nursing care.

Treatments Covered Under Biju Swasthya Kalyan Yojana

The scheme ensures coverage for basic and specialized treatments. It includes emergency care, surgeries, maternity expenses, and organ transplants.

Basic Medical Services

• Inpatient Treatment – Covers hospitalization, medical tests, and treatment costs.
• Outpatient Treatment – doctor visits, medication, and follow-ups.
• Emergency Treatment – Pays for accidents, trauma and life-threatening injuries.

Specialized Treatments

• Heart surgical procedures: These concern heart surgeries, angioplasty, valve replacements, etc.
• PCOS Treatment – Birth control pills and medications.
• Orthopedics – Knee replacements, spine surgeries, fractures.
• Neurological Treatments – Brain tumor removal, epilepsy surgeries.
• Organ Transplants – Covers kidney, liver, and heart transplant procedures.

Eligibility for Biju Swasthya Kalyan Yojana

The scheme is available for families meeting specific criteria.

• Must be a resident of Odisha.
• Must have a National Food Security Act (NFSA) or State Food Security Scheme (SFSS) card.
• Available to both Below Poverty Line (BPL) and Above Poverty Line (APL) families.
• No age restrictions. Coverage applies to infants, children, adults, and senior citizens.

Documents Required for Biju Swasthya Kalyan Yojana

To register for BSKY Odisha, beneficiaries must provide these documents:

• Aadhar Card – Identity proof.
• Ration Card – For NFSA/SFSS verification.
• Income Certificate – Required if no ration card is available.
• Passport-size Photographs – For registration purposes.

How to Register for Biju Swasthya Kalyan Yojana?

There is no online application process for this scheme. The Odisha government automatically issues the BSKY Smart Health Cards to eligible families.

Steps to Get a BSKY Card

1. Check if your name is on the NFSA/SFSS beneficiary list.
2. Collect the BSKY Health Card from the local administration office.
3. Show the BSKY card at an empanelled hospital to receive free treatment.

How to Claim BSKY Health Benefits?

The claim process under Biju Swasthya Kalyan Yojana is simple and hassle-free.

List of Empanelled Hospitals Under BSKY Odisha

Patients can receive cashless treatment at over 200 empanelled hospitals in Odisha.

Biju Swasthya Kalyan Yojana Helpline

Beneficiaries can call the BSKY support team for any queries or complaints.

• Helpline Number: 0674-2620500
• Email Support: support@bsky.odisha.gov.in
• Official Website: bsky.odisha.gov.in

Conclusion

Biju Swasthya Kalyan Yojana has transformed healthcare in Odisha. It ensures cashless treatment, free medical services, and wide coverage for families. By reducing out-of-pocket expenses, it provides financial relief to thousands of families.

If you are eligible, ensure you collect your BSKY Health Card and make use of its benefits. This scheme is a major step towards affordable and accessible healthcare in Odisha.

Frequently Asked Questions (FAQs)

Q1. Who can benefit from BSKY Odisha?

Ans. All NFSA/SFSS ration card holders in Odisha can avail of BSKY benefits.

Q2. What is the maximum coverage amount?

Ans. Families get ₹5 Lakh coverage, while women receive ₹10 Lakh per year.

Q3. Can I get treatment outside Odisha?

Ans. No, BSKY only covers hospitals within Odisha.

Q4. Does BSKY cover pre-existing diseases?

Ans. Yes, BSKY covers all pre-existing conditions from day one.

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