Swasthya Sathi Form PDF

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Swasthya Sathi Form Download

Swasthya Sathi Form PDF for enrollment under New Swasthya Sathi Scheme 2023 for all Govt of West Bengal has decided to extend Swasthya Sathi benefit to all residents of the State, except those who are already covered under any Govt, Sponsored Health Insurance or Assurance Scheme.

Also the family in receipt of Medical allowance as part of their salary from Govt. are also excluded. This form can be downloaded from the official website of Swasthya Sathi website i.e @swasthyasathi.gov.in or it can be directly downloaded from the link given at the bottom of this page. Swasthya Sathi for All, Govt. of West Bengal has decided to extend Swasthya Sathi’s benefit to all residents of the State, except those who are already covered under any Govt, Sponsored Health Insurance or Assurance Scheme. Also the family in receipt of Medical allowance as part of their salary from Govt. are also excluded.

Swasthya Sathi Form PDF 2023 (A B,C,D) – Highlights

Name of SchemeSwasthya Sathi Smart Card Form স্বাস্থ্য সাথী স্কিম 2023
Financial Year2023
ObjectiveProviding health services
BeneficiaryResidents of West Bengal state
Application ProcessOnline/Offline Mode
Swasthya Sathi Hospitals ListDownload PDF
Helpline Number1800-345-5384 (Toll-Free)
Concerned DeptWB Health Welfare Department
Official Websitewww.swasthyasathi.gov.in
Swasthya Sathi Form PDFDownload PDF

Swasthya Sathi Form PDF 2023 (A, B, C, & D) West Bengal – Required Details

  • Name of Beneficiary (আবেদন কারীর নাম )
  • Father’s Name (বাবার নাম )
  • Address (পুরো ঠিকানা)
  • RSBY URN (যদি থাকে, না থাকলেও করা যাবে)
  • পরিবারের কতজন রয়েছে তাদের নাম, বয়স ও সম্পর্ক।
  • Aadhaar Number
  • Mobile Number
  • Ration Card Number
  • আবেদনকারীর স্বাক্ষর
  • ইত্যাদি।
  • RSBY URN
  • Details of the Family Members
  • And any other details

Eligibility Criteria of Swasthya Sathi Prakalpa 2023

যেই যোগ্যতাগুলি থাকলে Swasthya Sathi Card এর জন্য আবেদন করতে পারবেন। স্বাস্থ্য সাথী স্কিম, Swasthya Sathi Scheme Eligibility :-

  • Swasthya Sathi Card পেতে আবেদনকারীকে West Bengal এর স্থায়ী বাসিন্দা হতে হবে।
  • পরিবারের Head হিসাবে মহিলাকে নির্বাচন করা উচিত, তবে পরিবারের সবার জন্য এই কার্ডের ব্যবহার করা যাবে।
  • অন্য কোনো রকম Government Health Scheme এর সুবিধা আগে থাকলে Swasthya Sathi Card এর জন্য Apply করা যাবে না।

Find Name in Swasthya Sathi Beneficiary List, 2023

Candidates can check their name in the Swasthya Sathi scheme beneficiary list by visiting the official website at https://data.swasthyasathi.gov.in/SSDataSearchLogin.aspx and entering your registered mobile number.

The complete list of hospitals providing treatment under this scheme is also available on the official website.

Salient Features of the Swasthya Sathi Scheme:

  • Basic health cover for secondary and tertiary care up to Rs. 5 lakh per annum per family.
  • Up to Rs 1.5 Lakh through Insurance Mode and beyond 1.5 lakh to 5 Lakh through Assurance Mode.
  • The scheme was rolled out on 01.02.2017. National Insurance Company was an insurance partner in 9 Districts and United India Insurance Company in 11 Districts up to 28.02.2018. The scheme was implemented under assurance mode for the month of March 2018.
  • From 01.04.2018 to 15.01.2020, Bajaj Allianz was selected as Insurance Partner in 18 Districts, and from 01.04.2018 to 31.12.2019, IFFCO TOKYO was selected as Insurance Partner in 5 Districts. The service of 5 districts has been extended by Swasthya Sathi Assurance Mode up to 15.01.2020.
  • The service is continued by the new Insurance Company from 16.01.2020. National Insurance Company is selected as Insurance Partner in 6 Districts (Cluster-I), Oriental Insurance Company is selected as Insurance Partner in 9 Districts (Cluster-II), and United India Insurance Company is selected as Insurance Partner in 8 Districts (Cluster-III).
  • Paperless, Cashless, Smart Card based.
  • There is no cap on the family size and Parents from both spouses are included. All dependent physically challenged persons in the family are also covered.
  • All pre-existing diseases are covered.
  • The entire premium is borne by the State Government and no contribution from the beneficiary.
  • Online Swathya Sathi Smart card is provided to each family on the day of Enrollment. Smart Card captures the details of the family members, Photographs, bio-metrics, address, Mobile Numbers, and SECC ID.
  • Management of the scheme is in a paperless IT platform from day one.
  • Online empanelment & gradation of Hospitals based on the services and infrastructure available
  • 100% online Pr-authorization with a turnaround time of 24 Hrs.
  • SMS triggers and instant alerts to the beneficiaries on blocking the card.
  • Real-time uploading of E-health records of the beneficiaries on discharge
  • Claim reimbursement to the hospital with a TAT of 30 days else interest is being charged for delayed payment.
  • 24X7 toll-free Call Center (18003455384) with feedback option
  • Online Grievance Monitoring Mechanism
  • Online triggers and alerts to detect probable frauds with an escalation matrix.
  • Android-based Swasthya Sathi Mobile app for assistance to the beneficiaries

আপনারা জানেন যে রাজ্য সরকারী হেলথ স্কিম Swasthya sathi নিয়ে রাজ্য সরকার দুয়ারে সরকার ক্যাম্প করছে।সেখানে গিয়ে আপনি নতুন স্বাস্থ্য সাথী কার্ডের জন্য যেমন আবেদন করতে পারবেন ঠিক তেমনই পুরাতন স্বাস্থ্য সাথী কার্ড থাকলে আপনি সেখানে আপনার ফ্যামিলি মেম্বারদের নাম সংযোজন করতেও পারবেন। এর জন্য কতগুলো নির্দিষ্ট ফর্ম আছে।

Swasthya Sathi Form PDF Download | স্বাস্থ্য সাথী কার্ড ফর্ম ডাউনলোড (পিডিএফ)

FORM ANew member addition After Receiving Swasthya CardDownload Form A
FORM BNew RegistrationDownload Form B
FORM CSwasthya Sathi Card Name CorrectionDownload Form C
FORM DDeletion of the member After Receiving CardDownload Form D

Contact Number

24X7 toll-free Call Centre (1800 345 5384) with the feedback option.

2nd Page of Swasthya Sathi Form PDF
Swasthya Sathi Form
PDF's Related to Swasthya Sathi Form

Swasthya Sathi Form PDF Free Download

3 more PDF files related to Swasthya Sathi Form

Swasthya Sathi Form D PDF Download

Swasthya Sathi Form D PDF Download

Size: 7.44 | Pages: 1 | Source(s)/Credits: drive.google.com | Language: English

Swasthya Sathi Form D PDF can be used for deletion the name in Swasthya Sathi card and this form can be Download using the link given below.

Added on 13 Sep, 2021 by Pradeep
Swasthya Sathi Form C 2023 PDF Download

Swasthya Sathi Form C 2023 PDF Download

Size: 0.53 | Pages: 1 | Source(s)/Credits: drive.google.com | Language: English

Swasthya Sathi Form C PDF can be used for make name correction in the Swasthya Card and this form can be Download using the link given below.

Added on 13 Sep, 2021 by Pradeep
Swasthya Sathi Form A 2023 PDF Download

Swasthya Sathi Form A 2023 PDF Download

Size: 0.08 | Pages: 1 | Source(s)/Credits: Multiple Sources | Language: English

Swasthya Sathi Form A PDF can be used for addition the member in Swasthya Card and this form can be Download using the link given below.

Added on 13 Aug, 2021 by Pradeep

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