List of Funding Schemes for Cancer Treatments in Himachal Pradesh

HIMACHAL PRADESH STATE FUNDING SCHEME(S)

Written By Dr. Swati Mishra, BDS
Reviewed By Dr. Rajeev Sharma, MBBS, MBA

Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana

State government

Himachal Pradesh Swasthya Bima Yojna Society, Department of Health & Family Welfare, Govt of HP

All cancers

  • All AB-NHPM beneficiary family units, Socio-Economic Caste Census (SECC) HP
  • Existing RSBY beneficiary families workers, street vendors, building and workers, auto rickshaw and taxi drivers, contract employees and >70% disabled
  • Providing cashless treatment upto INR 5.00 lakh per year per family for secondary and tertiary care hospitalization
  • As per database, 478985 families are eligible to prepare card under Ayushman Bharat in Himachal Pradesh. Under this scheme all the members of a family are covered.
  • A beneficiary covered under the scheme is allowed to take cashless benefits from any public/private empanelled hospitals across the country
  • https://www.hpsbys.in/Application/uploadDocuments/content/Guidelines_Booklet_dated_26.10.2018_2.pdf

    Cashless treatment with coverage up to INR 5.00 lakhs per year per family.
    Aadhar card
    INR 5.00 lakhs per year per family
    Beneficiaries would have to reach to the nearest government hospital for identification under beneficiary identification software of AB-PMJAY and would be issued an e-card.

  • Technical Support- 9312046444
  • Card Approvals-9312046444
  • Pre-Auth and Claims- 9311407574
  • Himachal Health Care Scheme-HIMCARE

    State government

    Himachal Pradesh Swasthya Bima Yojna Society, Department of Health & Family Welfare, Govt of HP

    All cancers

    • Category 1
      • BPL (Not covered under Ayushman Bharat)
      • Registered street vendors (Not covered under Ayushman Bharat)
      • MNREGA workers who have worked minimum 50 days under MNREGA during previous financial year or current financial year.
      • Sr. Citizens above 70 years of age
      • Children living in Orphanages
    • Category 2
      • Ekal Naaris
      • Disabled >40%
      • Anganwari workers
      • Anganwari helpers
      • ASHA workers
      • Mid-day meal workers
      • Daily wage workers (govt., autonomous bodies, societies, boards & corporations, etc. under the control of state government)
      • Part-time workers (govt., autonomous bodies, societies, boards & corporations, etc. under the control of state government)
      • Contractual employees (govt., autonomous bodies, societies, boards & corporations, etc. under the control of state government)
      • Outsource employees
    • Category 3

      Beneficiaries not covered under category-I and category-II or who are not govt. servants/pensioners or their dependent family members.

    Cashless treatment with coverage up to INR 5.00 lakhs per year per family on family floater basis. In case of more than five members, remaining members enrolled as a separate unit subject to the capping of five members for each such additional unit.

    The beneficiary can apply through online system directly by visiting https://www.hpsbys.in/ or through Lok Mitra Kendra/Common Service Centers for enrollment and uploading relevant documents under the scheme. The LMK/CSC will collect INR 50/- per family up to unit of five for enrollment/preparation of e-card under this vibrant scheme. Himcare documents required are:

    • Aadhar card
    • Permanent residence proof
    • BPL certificate copy authorized by the Panchayat Sachiv officer
    • Proof for registered vendor
    • Registered form signed by MC/NP/NAC
    • For MNREGA workers, MANREGA job card
    • Proof for widow/divorcee/unmarried/single women
    • Document proof for handicapped applicants
    • For old age people, age proof should be mandatory
    • Certificate proof for anganwadi workers
    • Document proof of ASHA workers
    • Certification is required in which category you have applied
    • Passport size photo

    This scheme is being implemented on co-payment basis. Under this scheme, differential premium rates have been decided based on the categories as follows:

    • Category 1: Zero premium amount
    • Category 2: INR 365/- per year
    • Category 3: INR 1000/- per year

    8091773886 (avaliable on all working days from 10 AM 1:30 PM and 2:30 PM to 5 PM)

    [email protected]


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