In a significant move towards enhancing healthcare access and ensuring the well-being of state employees and pensioners, the Government of Uttar Pradesh has introduced the “Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana.” This revolutionary scheme, effective since January 7, 2022, extends cashless medical treatment benefits of up to ₹500,000 to state employees, pensioners, and their families. In this comprehensive article, we delve into the intricacies of the Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana, providing you with detailed insights.
Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana 2023
The Uttar Pradesh government has rolled out the “Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana,” aimed at ensuring cashless medical treatment for state employees and pensioners. This scheme, effective from January 7, 2022, offers coverage for medical expenses incurred by beneficiaries and their families.
To facilitate access to these benefits, an online State Health Card will be created for each eligible individual. The responsibility of generating State Health Cards lies with the State Agency for Health Integrated Services. Department heads are entrusted with ensuring that State Health Cards are promptly issued to employees and pensioners within their respective departments.
Moreover, private hospitals participating in the Ayushman Bharat Yojana have been included in this initiative, widening the spectrum of healthcare providers available to beneficiaries.
Objective of Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana
The primary goal of the Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana is to offer cashless medical treatment benefits to beneficiaries, effectively covering medical expenses up to ₹500,000. This scheme liberates eligible beneficiaries from relying on external sources for their medical needs, as the government assumes the responsibility for funding their treatments. This initiative not only fosters self-sufficiency among the state’s citizens but also elevates their quality of life.
Implementation of Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana
Under this scheme, a corpus fund is established to provide cashless medical facilities to government employees in Uttar Pradesh and their dependent family members. In cases where 50% of the allocated advance corpus fund remains unused during treatment, additional funding can be requested from the Finance Department with the submission of a utility certificate.
Notably, there is no specified maximum limit for cashless facility coverage. Beneficiaries are identified through the State Health Card, which serves as their ticket to admission for free treatment. The bills incurred during treatment are settled using funds provided to the hospital.
The scheme also allows for medical reimbursement even after outpatient department (OPD) treatment, ensuring comprehensive healthcare coverage for beneficiaries.
Treatment Arrangements in Private Hospitals
Beneficiaries of the Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana are entitled to receive treatment at private hospitals participating in the Ayushman Bharat Scheme. The limit for treatment in a private hospital is capped at ₹500,000 per year. Additionally, private ward facilities will be made available in the future based on the employee’s pay band.
State Health Card
A State Health Card is mandatory for all beneficiaries under this scheme. This card serves as the primary identification document for beneficiaries and their dependent family members. It is the responsibility of department heads to ensure timely issuance of State Health Cards.
A dedicated cell, headed by a Joint Director, has been established to oversee the implementation of this scheme. This cell comprises medical professionals, data analysts, software developers, computer operators, writers, and support staff.
ID Platform of Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana
To safeguard beneficiary data, a server will be set up in the State Data Center to develop and establish a dedicated portal. The Secretary will oversee the development and maintenance of this portal.
Financial Solution for Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana
This scheme extends medical facilities of up to ₹500,000 to beneficiaries and their families through private hospitals. A rate of ₹1102 per beneficiary family will be allocated to the Secretary for availing this benefit. In the event of future rate revisions, funds will be disbursed according to the updated rate.
A corpus fund of ₹200 crore has been established within the Medical Education Department to advance funds to government medical colleges, medical institutions, medical universities, or autonomous state medical colleges. The first installment, comprising a maximum of 50% of the corpus fund, will be provided, with the subsequent installment contingent upon the utilization certificate submitted by the medical institution.
A separate ₹100 crore corpus fund will be set up to advance funds to district hospitals within the Medical and Health Department, with a similar 50% utilization certificate requirement.
The corpus amounts will be maintained in separate government bank accounts, with meticulous accounting practices and record-keeping to facilitate timely audits.
More than 30 lakh citizens are expected to benefit from this scheme.
Benefits and Features of Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana
- Launched by the Uttar Pradesh government.
- Offers cashless treatment up to ₹500,000 for state employees and pensioners.
- Government order for scheme implementation issued on January 7, 2022, by Amit Mohan Prasad, Additional Chief Secretary, Medical and Health, Uttar Pradesh Government.
- Benefits provided through online State Health Cards.
- Department heads responsible for ensuring timely State Health Card issuance.
- Private hospitals treating Ayushman Bharat Scheme patients also included.
- Coverage extended to government medical institutions, private hospitals, and medical colleges in the state.
- Corpus funds created to support funding for treatment.
- Medical reimbursement system remains applicable even after OPD treatment.
Eligibility for Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana
- Applicant must be a permanent resident of Uttar Pradesh.
- Eligible beneficiaries include Uttar Pradesh government employees and pensioners.
Important Documents for Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana
- Aadhar card
- Address proof
- Income certificate
- Proof of age
- Passport size photograph
- Mobile number
- Email ID
- Ration card, and more.
Application Process for Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana
- Visit the official website of the scheme https://sects.up.gov.in/index.aspx.
- Click on the “Registration” option on the homepage.
- Fill in the application form with all necessary information.
- Upload the required documents.
- Review the provided information.
- Click on “Register” to complete the application.
How to Apply for a State Health Card
- Visit the official website of Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana.
- Click on the “Apply for State Health Card” option.
- Enter your Aadhaar-linked mobile number and generate an OTP.
- Provide the OTP received on your mobile.
- Fill in the application form with your details.
- Click on “Submit” to apply for the State Health Card.
Process to Check Application Status
- Visit the official website of Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana.
- Click on the “Check Application Status” option.
- Enter your Aadhaar number and captcha code.
- Click on “Search” to view your application status.
Process to Amend the Application Form
- Visit the official website of Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana.
- Click on “Employee/Pensioner Application” and select “Edit Application.”
- Enter your Aadhaar number and captcha code.
- Verify with the OTP received on your mobile.
- Amend the required details in the form.
- Click on “Save” to update your application.
Process to Add/Edit Dependents
- Visit the official website of the scheme.
- Click on “Employee/Pensioner Application” and select “Add Edit/Dependents.”
- Enter your Aadhaar number and captcha code.
- Verify with the OTP received on your mobile.
- Complete the process as per the instructions.
Application Downloading Process
- Visit the official website of the scheme.
- Click on “Employee/Pensioner Application” and select “Downloaded Application.”
- Enter your Aadhaar number and captcha code.
- Verify with the OTP received on your mobile.
- Download the application from the provided link.
Process to Log in
- Visit the official website of the scheme.
- Click on “DDO/Login.”
- Enter your Aadhaar number and captcha code.
- Verify with the OTP received on your mobile.
- Log in using your username and password.
How to View Contact Details
- Visit the official website of the scheme.
- Click on the “Contact Us” option to view contact details.
The “Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana” stands as a testament to the government’s commitment to ensuring accessible healthcare for its employees and pensioners in Uttar Pradesh. With the convenience of cashless treatment, beneficiaries can now prioritize their health without financial concerns.
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Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana FAQs
What is the Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana?
The Pandit Deendayal Upadhyay Rajya Karmchari Cashless Chikitsa Yojana is a healthcare scheme launched by the Uttar Pradesh g1overnment. It provides cashless medical treatment benefits to state employees, pensioners, and their families.
When did the scheme come into effect?
The scheme became effective on January 7, 2022, following an official government order issued by the Uttar Pradesh government.
What is the primary objective of this scheme?
The main objective is to offer cashless medical treatment facilities to beneficiaries, covering expenses up to ₹500,000. It aims to make beneficiaries self-reliant in terms of healthcare expenses and enhance their overall quality of life.
How can beneficiaries access the cashless treatment benefits?
Beneficiaries will be provided with online State Health Cards, generated by the State Agency for Health Integrated Services. These cards serve as identification for cashless treatment at participating hospitals.
Can beneficiaries receive treatment at private hospitals?
Yes, beneficiaries can receive treatment at private hospitals that are part of the Ayushman Bharat Scheme. The coverage limit at private hospitals is up to ₹500,000 per year.
What happens if the corpus fund for treatment runs out during the beneficiary's treatment?
If 50% of the allocated advance corpus fund remains unused during treatment, additional funding can be requested from the Finance Department by submitting a utility certificate.
Is there a maximum limit set for cashless facility coverage?
No, there is no specified maximum limit for cashless facility coverage under this scheme.
What is the eligibility criteria for this scheme?
To be eligible, applicants must be permanent residents of Uttar Pradesh. Only Uttar Pradesh government employees and pensioners are eligible for the scheme.
What are the important documents required for application?
Required documents include Aadhar card, address proof, income certificate, proof of age, passport size photograph, mobile number, email ID, and ration card, among others.
How can beneficiaries apply for the State Health Card?
Beneficiaries can apply for the State Health Card by visiting the official website of the Pandit Deendayal Upadhyaya State Employees Cashless Medical Scheme, entering their Aadhaar-linked mobile number, generating an OTP, and completing the online application process.
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