The Himachal Pradesh government has launched a significant initiative, Him Care Yojana, to improve the healthcare sector and provide health services to financially disadvantaged individuals. This scheme is designed to extend health insurance benefits to those who are not covered under the Ayushman Bharat Yojana. In this article, we will provide a detailed overview of Him Care Yojana, including its benefits, objectives, features, eligibility criteria, required documents, application process, and more.
Objectives of Him Care Yojana
The primary goal of Him Care Yojana is to offer health insurance to residents of Himachal Pradesh who are not eligible for the Ayushman Bharat Yojana. This initiative aims to ensure timely medical treatment for these citizens without financial burden, providing free treatment up to Rs. 500,000 per family in empanelled hospitals.
Benefits and Features of Him Care Yojana
- Health Insurance Coverage: Provides health insurance up to Rs. 500,000 per family.
- Beneficiary Coverage: Up to five members of a family can benefit; additional members are enrolled separately.
- Implementation: Based on a joint payment system, with premium rates varying by category.
- Start Date: The scheme commenced on January 1, 2019.
- E-Card: Beneficiaries receive an e-card for free treatment at empanelled hospitals.
- Government-Funded: The Himachal Pradesh government covers all treatment costs.
- Empanelled Hospitals: Includes hospitals empanelled under the Ayushman Bharat Scheme.
- IT System: A robust IT system ensures smooth implementation.
- Application Process: Available online and at Common Service Centers or Lokmitra Centers with a Rs. 50 fee.
- Renewal: Card renewal can be done anytime after the initial issue.
Premium Amount
The premium amount varies based on the beneficiary’s category:
- Zero Premium: For BPL citizens, registered street vendors, MNREGA workers with at least 50 days of work.
- Rs. 365 per year: For single women, disabled citizens (over 40%), citizens above 70, Anganwadi workers, daily wage workers, part-time and contractual employees.
- Rs. 1000 per year: For all other beneficiaries not covered under the above categories.
Eligibility Criteria
- Must be a permanent resident of Himachal Pradesh.
- Should not be eligible for Ayushman Bharat Yojana.
- Must belong to the economically weaker section.
Required Documents
- BPL: BPL certificate.
- Registered Street Vendor: Registration certificate.
- MNREGA Worker: Job card and proof of 50 days of work.
- Single Woman: Certificate indicating widow/divorced/single status.
- Disabled Citizens: Medical disability certificate.
- Senior Citizens: Proof of age.
- Anganwadi Worker/Helper: Certificate from Child Development Programme Officer.
- Asha Worker: Certificate from Block Medical Officer.
- Mid Day Meal Worker: Certificate from Block Elementary Education Officer.
- Contract/Daily Wage/Part Time Workers: Certificate from the concerned department.
Application Process for Him Care Yojana
- Visit the Official Website: Go to the Himachal Pradesh Health Insurance Scheme Society’s official website https://www.hpsbys.in/.
- Online Enrollment: Click on the online Him Care Enrollment link and enter your ration card number.
- Fill Registration Form: Enter all necessary details and upload required documents.
- Submit: Complete the form and submit it.
Checking Enrollment Status
- Visit Official Website: Open the Himachal Pradesh Health Insurance Scheme Society’s site.
- Click on Him Care Enrollment Status: Enter your reference number or ration card number.
- Search: View your enrollment status.
Card Renewal Process
- Visit Official Website: Open the Himachal Pradesh Health Insurance Scheme Society’s site.
- Click on Renewal of Card: Enter your URN number and submit the form.
Additional Services
- Card Balance Check: Visit the website and enter your URN number to check card balance.
- Add Family Member: Use the Add Family Member Him Care link on the website.
- Download Him Care Card: Enter URN, ration card, or Aadhar card information to download the card.
Contact Information
For further assistance, contact the helpline numbers or email provided:
- Helpline Numbers: 0177-2629802, 8091773886
- Card Approvals: 9599156981, 9312046444
- Pre-Auth and Claims: 9311407574
- Policy: 7307834131
- Email: technicalquerieshpsbys@gmail.com
Him Care Yojana is a vital initiative by the Himachal Pradesh government to provide health insurance and ensure access to medical care for economically weaker sections of the state. By following the outlined processes and understanding the scheme’s benefits and requirements, eligible citizens can avail themselves of essential health services without financial strain.
Him Care Yojana FAQs:
What is Him Care Yojana?
Him Care Yojana is a health insurance scheme launched by the Himachal Pradesh government to provide healthcare services to financially disadvantaged individuals who are not covered under the Ayushman Bharat Yojana. The scheme offers health insurance benefits up to Rs.500,000 per family.
Who is eligible for Him Care Yojana?
To be eligible for Him Care Yojana, individuals must be permanent residents of Himachal Pradesh, not eligible for the Ayushman Bharat Yojana, and belong to the economically weaker section of society.
What are the premium amounts for different categories under Him Care Yojana?
Zero Premium: For BPL citizens, registered street vendors, and MNREGA workers with at least 50 days of work. Rs.365 per year: For single women, disabled citizens (over 40%), citizens above 70, Anganwadi workers, daily wage workers, part-time, and contractual employees. Rs.1000 per year: For all other beneficiaries not covered under the above categories.
How can one apply for Him Care Yojana?
Visit the Himachal Pradesh Health Insurance Scheme Society's official website. Click on the online Him Care Enrollment link and enter the ration card number. Fill out the registration form with necessary details and upload required documents. Submit the form.
What documents are required to apply for Him Care Yojana?
BPL: BPL certificate. Registered Street Vendor: Registration certificate. MNREGA Worker: Job card and proof of 50 days of work. Single Woman: Certificate indicating widow/divorced/single status. Disabled Citizens: Medical disability certificate. Senior Citizens: Proof of age. Anganwadi Worker/Helper: Certificate from Child Development Programme Officer. Asha Worker: Certificate from Block Medical Officer. Mid Day Meal Worker: Certificate from Block Elementary Education Officer. Contract/Daily Wage/Part Time Workers: Certificate from the concerned department.
How can beneficiaries check their enrollment status for Him Care Yojana?
Visit the Himachal Pradesh Health Insurance Scheme Society's official website. Click on the Him Care Enrollment Status link. Enter the reference number or ration card number to search and view the enrollment status.
What is the coverage limit under Him Care Yojana?
The scheme provides health insurance coverage up to Rs.500,000 per family.
How can beneficiaries renew their Him Care card?
Visit the Himachal Pradesh Health Insurance Scheme Society's official website. Click on the Renewal of Card link. Enter the URN number and submit the form to renew the card.
What are some additional services provided under Him Care Yojana?
Checking card balance by entering the URN number on the website. Adding family members using the Add Family Member Him Care link on the website. Downloading the Him Care card by entering the URN, ration card, or Aadhar card information.
How can beneficiaries contact the Him Care Yojana helpline for assistance?
Beneficiaries can contact the helpline numbers 0177-2629802 or 8091773886 for general assistance. For card approvals, they can call 9599156981 or 9312046444. For pre-authorization and claims, the number is 9311407574. For policy-related queries, they can call 7307834131 or email technicalquerieshpsbys@gmail.com.
