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Su-Swastha Yojna

In this article we have discussed all about Su-Swastha Yojna introduced by the government of Sikkim. We have also discussed the benefits, mission and values of this yojna.

Su-Swastha yojna is a scheme on employee health services launched by the government of Sikkim in April 2021. The Honourable Chief Minister of Sikkim, Shri Prem Singh Tamang, envisioned and launched this scheme, which aims to provide healthcare services to government of Sikkim employees and their dependent family members for cashless covering of hospital bills across top tier hospitals in India.

Benefits of Su-Swastha Yojna

1.To eliminate the trouble of organising payments when someone has to be hospitalised, a network of hospitals covered under the scheme provide cashless admission and release.

2.Empanelment of top-notch hospitals and institutes in India provides the best healthcare to Su-Swastha beneficiaries.

3.Assurance of treatment quality, with the Su-Swastha Facilitation Centre overseeing medical care given to Su-Swastha beneficiaries by hospitals.

4.Transparent invoicing and tariff uniformity with hospitals based on infrastructure and treatment quality.

5.At each stage of care, patients and families are kept informed.

6.The Su-Swastha Yojna seeks to cover regular employees in the service of the Government of Sikkim and dependent family members up to a maximum of 5 dependents under the programme that gives 10 lacs of insurance each year in the first phase of its debut in April 2021.

Enrollment Eligibility of the Scheme

The Su-Swastha Yojna is primarily intended to serve as a cashless health-care plan for employees of government of Sikkim and their dependant family members. Su-Swastha Yojna benefits can be used at any of the 400+ empanelled hospitals within the Su-Swastha Yojna network of providers by only the enrolled beneficiary members as per the rules below.

The following people are eligible to join the Su-Swastha Yojna:

1.Employee working for the Government of Sikkim on a regular basis

2.A family member who is reliant on the employee as a result of one of the following relationships

-spouse

-sister and/or brother

-kids (own or legally adopted)

-parents or spouse’s parents

One employee can have up to five family members listed as dependents.

Process of digital enrollment

Enrolment may be done digitally using an online method by accessing enrolment forms on the website and filling them out online.

The application is divided into two sections. To begin, the employee must complete and submit part 1 of the form, which is used to enrol in the programme. After that, he or she should complete and submit Part 2 of the form.

Both forms require that each member attach necessary papers such as a passport-sized photo, a voter’s card, an Aadhar card, and evidence of relationship for dependent family members.

The application is then examined and approved by the employer. If the employer approves the application, the applicant will receive a link and SMS to download the e card number.

This card is necessary to use any Su-Swastha advantages later.

Applications by paper

The enrolling forms may be obtained from the internet here and filled out in English with clear handwriting, then sent to the department nodal person with the appropriate papers and images.

Documents required:

a. Passport Photograph

b. Identification Proof

-Voter Registration Card

-Card Aadhar

-Passport

-Any other kind of government identification

c. Relationship proof

d. For new-borns, a hospital discharge card verified by a gazette government official is required.

Vision of the Scheme

The Su-Swastha Yojna reflects the Chief Minister of Sikkim’s desire to prioritise the health of employees and their families. Today, issues about healthcare quality, accessibility, and pricing have taken centre stage. Su-Swastha scheme uses digital innovation and strong governance principles to make great healthcare accessible to its members.

Mission of the Scheme

Su-Swastha Yojna is on a mission to lead the way in providing full healthcare coverage by concentrating on a mix of high-quality treatment, ease of access, and a people-centric experience along their journey from sickness to health.

Values of the Scheme

  • Quality

  • Trust

  • Collaboration

  • Empathy

  • Innovation

Su-Swastha Yojna is based on ideals that are fundamental to the service the government hopes to deliver to employees and their families in alleviating their pain and distress when they require medical attention.

Conclusion

Su-swasthya yojan is similar to the various health insurance schemes launched by the centre and state governments in recent times. It aims to provide health insurance to the employees of the government of Sikkim and their dependent family members. The vision and goal of the scheme set is right minded but it will all come down to how well the scheme is implemented on grounds.

faq

Frequently asked questions

Get answers to the most common queries related to the UPSC Examination Preparation.

Can contractual workers enrol in the Su-Swastha Yojna?

Answer. Not at this time. Contractual, MR, and ad hoc workers are not eligible in the current year of launch; howeve...Read full

How much does one need to contribute to avail the scheme?

Answer. Employee contributions are Rs 200 per month each employee. Government contributions make up the balance of t...Read full

How much is the coverage for? Is it possible to raise this amount?

Answer. The total coverage for the family is ten lacs (ten lacs), regardless of the number of dependents. This amoun...Read full

What if the hospital someone is visiting isn't empanelled?

Answer. If the beneficiary is hospitalised electively or in a medical emergency in a non-empanelled hospital anywher...Read full

What does it mean to be an empanelled hospital?

Answer. An empanelled hospital is one that has signed a Memorandum of Understanding with the government to provide h...Read full

How many cards will each household receive?

Answer. Each enrolled employee is assigned two numbers. Each family has one insurance ID. However, each enrolled fam...Read full

Can two or more persons be admitted to the hospital at the same time to take advantage of the Su-Swastha Yojna's medical benefits?

Answer. Yes, as long as one stays within the coverage limits and in an empanelled hospital.