Comprehensive Guide to Deen Dayal Swasthya Seva Yojana (DDSSY) | दीन दयाल स्वस्थ सेवा योजना (डीडीएसएसवाय) ची पुराय नियाळ

Comprehensive Guide to Deen Dayal Swasthya Seva Yojana (DDSSY) | दीन दयाल स्वस्थ सेवा योजना (डीडीएसएसवाय) ची पुराय नियाळ

The Deen Dayal Swasthya Seva Yojana (DDSSY) is a vital health insurance initiative launched by the Government of Goa to provide comprehensive healthcare services to its residents. Since its inception on September 1, 2016, this scheme has offered cashless health insurance to all residents of Goa who have lived in the state for a minimum of five years. This article provides a detailed overview of the DDSSY, including its objectives, features, hospital network, eligibility criteria, and registration process.

Table of Contents

Objectives of Deen Dayal Swasthya Seva Yojana

The primary objective of the DDSSY is to ensure that residents of Goa receive quality medical care and treatment for various health issues, hospitalizations, and surgeries through both public and private hospitals. This initiative aims to enhance medical services across the state, ensuring that healthcare is accessible to all residents without imposing a financial burden.

Deen Dayal Swasthya Seva Yojana

Key Features of Deen Dayal Swasthya Seva Yojana

Cashless Health Insurance Coverage

  • Annual Coverage Limits: Families with up to three members can receive coverage up to Rs. 2.50 lakhs per year, while families with four or more members can receive coverage up to Rs. 4 lakhs annually.
  • Flexibility: Family members can utilize the insurance benefits either individually or collectively, based on their needs.
  • Higher Coverage Options: Individuals can opt for higher coverage levels by paying additional premiums without affecting the public facility policies.

Extensive Hospital Network

The DDSSY scheme includes coverage for 447 medical treatments and boasts a wide network of hospitals:

  • Private Hospitals in Goa: 35
  • Private Hospitals Outside Goa: 10
  • Government Hospitals: 6
  • Government-Aided Hospitals: 1

Budget and Management

  • Budgetary Allocation: For the financial year 2020–2021, the scheme has a budget of Rs. 90.00 crores.
  • TPA Management: Initially managed by Paramount Health Services & Insurance TPA Pvt. Ltd., the scheme has been overseen by MD India Health Insurance TPA Pvt. Ltd. since November 1, 2019.

List of Key Hospitals Under Deen Dayal Swasthya Seva Yojana

Private Hospitals in Goa

  1. Campal Clinic, Panaji
  2. Menezes Polyclinic, Panaji
  3. Royal Hospital, Aquem
  4. Borkar Nursing Home, Margao
  5. Apollo Victor Hospitals, Margao

Private Hospitals Outside Goa

  1. KLE Society’s Belgaum Cancer Hospital, Belgaum
  2. KLES Dr. Prabhakar Kore Hospital & Medical Research Centre, Belgaum
  3. Healthcare Global Enterprises Ltd., Bangalore
  4. Wanless Hospital Miraj – Miraj Medical Centre, Sangli
  5. Aster CMI Hospital, Bangalore

Government Hospitals in Goa

  1. Goa Medical College Hospital, Bambolim
  2. North District Asilo Hospital, Mapusa
  3. SubDistrict Hospital, Ponda

Eligibility Criteria for Deen Dayal Swasthya Seva Yojana

To be eligible for the Deen Dayal Swasthya Seva Yojana, applicants must meet the following criteria:

  • Residency: Must have been a resident of Goa for at least five years.
  • Documentation: Required documents include Aadhar cards, residence proof (passport, election card, or driving license), ration cards, marriage certificates, and relevant certificates for OBC non-creamy layer members, persons with disabilities, and SC/ST applicants.

How to Use Deen Dayal Swasthya Seva Yojana Benefits

Beneficiaries can avail themselves of the scheme by following these steps:

  1. Consultation: Visit any Empaneled Health Care Provider (EHCP) listed on the DDSSY website.
  2. Authorization: Present the DDSSY Card to the hospital’s DDSSY Sahayak, who will assist in raising a pre-authorization request if the procedure is covered.
  3. Treatment: Proceed to the designated EHCP for the required medical procedure.

Registration Process for Deen Dayal Swasthya Seva Yojana

To register for the Deen Dayal Swasthya Seva Yojana, follow these steps:

  1. Visit the Official Website: Open the DDSSY registration portal https://goaonline.gov.in/HomePage.
  2. Fill Out the Form: Enter your email ID and mobile number to receive an OTP.
  3. Complete the Registration: Enter the OTP, fill in your personal details, upload the required documents, and submit the registration form.

Contact Details

For more information or assistance, contact the following officials:

  • Dr. Yogesh Potdar: Medical Management & Quality Manager, Directorate of Health Services, Campal, Panaji. Phone: 0832-2225646 Extn. 256, 7447797582
  • Dr. Ralph Araujo: Sr. Manager, MD India Health Insurance TPA Pvt. Ltd., Panaji. Phone: 9325963691
  • Shri. Sagar Jaiwar: Asst. Manager (IT), Goa Electronics Ltd., Panaji. Phone: 8411004910

Email: ddssydhs@gmail.com
Website: ddssygoa.mdindia.com

The Deen Dayal Swasthya Seva Yojana is a testament to Goa’s commitment to providing accessible and quality healthcare to its residents, ensuring a healthier and happier community.

Deen Dayal Swasthya Seva Yojana FAQs:

What is the Deen Dayal Swasthya Seva Yojana (DDSSY)?

The Deen Dayal Swasthya Seva Yojana is a health insurance scheme launched by the Government of Goa on September 1, 2016, to provide comprehensive healthcare services to residents who have lived in the state for at least five years.

What are the primary objectives of Deen Dayal Swasthya Seva YojanaY?

The main objective of the DDSSY is to provide quality medical care and treatment for various health issues, hospitalizations, and surgeries through both public and private hospitals, ensuring that all residents have access to healthcare without financial burden.

What type of coverage does DDSSY offer?

DDSSY offers cashless health insurance coverage. Families with up to three members can receive up to Rs. 2.50 lakhs per year, while families with four or more members can receive up to Rs. 4 lakhs annually. Higher coverage options are available for additional premiums.

How extensive is the hospital network under DDSSY?

The DDSSY scheme covers 447 medical treatments and includes a wide network of hospitals: 35 private hospitals in Goa, 10 private hospitals outside Goa, 6 government hospitals, and 1 government-aided hospital.

Who manages the DDSSY scheme?

Initially, the scheme was managed by Paramount Health Services & Insurance TPA Pvt. Ltd. Since November 1, 2019, MD India Health Insurance TPA Pvt. Ltd. has been overseeing the scheme.

What are the eligibility criteria for DDSSY?

To be eligible for the DDSSY scheme, applicants must be residents of Goa for at least five years and provide necessary documents such as Aadhar cards, residence proof, ration cards, marriage certificates, and relevant certificates for OBC non-creamy layer members, persons with disabilities, and SC/ST applicants.

How can beneficiaries use DDSSY benefits?

Beneficiaries can avail themselves of the scheme by visiting any Empaneled Health Care Provider (EHCP) listed on the DDSSY website, presenting their DDSSY Card to the hospital's DDSSY Sahayak, and proceeding with the required medical procedure after pre-authorization.

What is the process for registering for DDSSY?

To register for DDSSY, visit the DDSSY registration portal at Goa Online, enter your email ID and mobile number to receive an OTP, complete the registration form by entering the OTP, filling in personal details, uploading required documents, and submitting the form.

Who can I contact for more information or assistance with DDSSY?

For more information or assistance, contact Dr. Yogesh Potdar at 0832-2225646 Extn. 256 or 7447797582, Dr. Ralph Araujo at 9325963691, or Shri. Sagar Jaiwar at 8411004910. You can also email ddssydhs@gmail.com or visit ddssygoa.mdindia.com.

For more information or assistance, contact Dr. Yogesh Potdar at 0832-2225646 Extn. 256 or 7447797582, Dr. Ralph Araujo at 9325963691, or Shri. Sagar Jaiwar at 8411004910. You can also email ddssydhs@gmail.com or visit ddssygoa.mdindia.com.

For the financial year 2020–2021, the DDSSY scheme has a budget allocation of Rs. 90.00 crores.

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