The Odisha government runs the Biju Syasthya Kalyan Yojana (BSKY) in the state. The aim of the scheme is to provide cashless healthcare facilities to citizens. This is a state-sponsored health insurance scheme funded out of the Odisha government budget. Through this scheme, the state government facilitates cashless medical treatment for its citizens. The scheme provides cashless treatment facilities up to INR 5.00 lakh to rural citizens. Eligible citizens can get their Biju Health Card and avail of free medical checkups, medicine, pathological and radiological tests, etc. in government and government-empaneled private hospitals. One can avail of BSKY benefits within and outside the state. Read below to check more details.
Launch of Biju Swasthya Kalyan Yojana
(BSKY) Biju Swasthya Kalyan Yojana was launched on 15th of August 2018. The scheme was launched by the then chief minister of Odisha, Shri Navin Patnaik. The scheme was launched to provide health protection to all vulnerable families and women in Odisha. The scheme is managed to provide cashless medical treatment facilities to all eligible families from poor and low-income backgrounds. Cashless treatment up to INR 5.00 lakh can be availed of from this scheme by eligible families. Additional benefit of INR 5.00 lakh can be gained by the women members of eligible families.
Biju Swasthya Kalyan Yojana details in highlight
| Name of Scheme | Biju Swasthya Kalyan Yojana |
|---|---|
| Launched on | August 15, 2018 |
| Concerned Government | Odisha State Government |
| Concerned Department | Department of Health and Family Welfare, Govt. of Odisha |
| Scheme type | Health Insurance Scheme |
| Insurance Facility | Upto INR 5.00 lakh |
| Beneficiaries | Poor and Vulnerable families in Odisha |
| Official Website | https://bsky.odisha.gov.in/ |
Aims and Objectives
Biju Swasthya Kalyan Yojana offers cashless medical treatment facilities to all families in the state. This enables low-income and poor families in the state to get cured at government-empaneled private hospitals without making any payment. As a result, families do not have to worry about the health issues incurring heavy expenditure. The primary objective of Biju Swasthya Kalyan Yojana is to provide health protection and improve access to better healthcare facilities for the people in Odisha. The scheme particularly targets economically disadvantaged families who cannot manage heavy healthcare expenses.
Salient Features
- BSKY is a state-sponsored scheme managed exclusively by the Odisha State Government.
- The scheme is run and managed under the Department of Health and Family Welfare, Government of Odisha.
- This scheme is applicable to both rural and urban areas across the state and covers all 30 districts in Odisha.
- The Biju Swasthy Kalyan Scheme provides health protection to all families irrespective of their income, status, or residence.
See Also: (GJAY) Gopabandhu Jan Arogya Yojana
Scheme Components
Biju Swasthya Kalyan Yojana has two components through which citizens can avail of better healthcare facilities as per their suitability. Following are the two components:
- Treatment in State Government Hospitals: For treatment in the state government health care facilities, all expenses will be covered by the Odisha Government. This facility is available to all, irrespective of income, status, or residence. The facility is available from subcenter level to district headquarter, government medical college hospital, and blood bank level.
- Treatment at empaneled private hospitals: About 97 lakh economically weaker families are listed for getting treatment in empaneled private hospitals in Odisha. Eligible families can avail of this facility up to a limit of INR 5.00 lakh. Women member(s) of a family can exhaust an additional 5.00 lakh over and above the initial limit of 5.00 lakh.
Benefits and Facilities
- The scheme offers cashless medical care to all eligible families through a smart health card.
- Families can get cured in any government-empaneled private hospital within and outside the state.
- For treatments in a government hospital, patients do not need to pay any fees as the same will be provided by the state government.
- For treatments in a private hospital, one can make use of a BSKY smart health card.
- The initial limit of the BSKY card is INR 5.00 lakh. Additional 5.00 lakh coverage is provided for women members of a beneficiary family.
- The limit of the BSKY card is set to INR 5.00 lakh per family per annum, with an additional 5.00 lakh coverage available for women.
- Beneficiaries can avail of facilities such as registration, consultation, medical tests, pathologies, treatment, IPD, and follow-up consultation under BSKY at any empaneled private hospitals.
BSKY Packages
The Odisha government has also prepared package categories for Biju Swasthya Kalyana Yojana. There are three categories available under which beneficiaries can avail of medical facilities as per the package terms. Packages under BSKY are detailed below.
Reserve Packages:
Under this category of package, treatment can be availed of only in government healthcare facilities. These packages encompass minor ailments and diseases specified under National Health Programs. These includes Management of superficial burns, minor injuries, Malaria, Typhoid fever, Gastroenteritis, Diarrhea, Dysentery, Tuberculosis, Urinary Tract Infection, Heat stroke, and surgeries for hydrocele, Abscess drainage, Lipoma and cyst excision, and procedures like Dilatation curettage, and MTP, etc.
Referral Packages:
Under referral packages, the list of procedures can be found at the official portal. One requires to get cured under these packages on referral from one hospital to another. A complete list of referral packages can be seen at the official website of Biju Swasthya Kalyan Yojana.
Open Packages:
Under this category of package, any beneficiary can get medical treatment at any empaneled hospital. These packages are available to all without any formality, and treatments under these depend upon the prescription of the concerned doctor.
Eligibility Criteria
- All permanent residents of Odisha are eligible if they have a BSKY Smart Health Card.
- Apart from the above cardholders, all those who have a National Food Security Card / State Food Security Scheme Card (Ration Card) are eligible.
Required Documents
To avail of healthcare facilities under Biju Swasthya Kalyan Yojana, beneficiaries are required to carry a few documents. Documents required for treatment at government hospitals and treatment at empaneled private hospitals are given below.
- For Cashless IPD and Day Care Treatment: For inpatient department (IPD) treatment and daycare treatment, one needs to show one of the following:.
- BSKY Smart Health Card
- National Food Security Act (NFSA) Card, and
- State Food Security Scheme (SFSS) Card
- For availing of health insurance coverage at empaneled hospitals: To avail of INR 5.00 lakh health insurance coverage and additional coverage of INR 5.00 lakh for women, one needs to produce one of the following documents.
- Biju Krushak Kalyan Yojana (BKKY) Card
- Below Poverty Line (BPL) Card
- Antyodaya Anna Yojana (AAY) Card
Note 1: For low-income families who do not have these cards, a valid income certificate is required to be produced at the empaneled hospital.
Note 2: Low-income families are those whose annual family income is below ₹ 50,000/- in rural areas and below ₹ 60,000/- in urban areas.
See Also: Odisha CM Kisan Yojana
Terms & Conditions for Referral
- A referral can be made in case the particular package or procedure is not available in a government facility within the district.
- Cases can be referred in case of long waiting time to undertake the procedure at a government facility in the district.
- Emergency cases that require immediate referral.
Who can issue referrals?
The following authorities are designated to issue referrals to BSKY beneficiaries at different levels.
- Sub-divisional Hospital: Superintendent & concerned Specialist.
- All Govt. Medical Colleges & Hospitals: Superintendents & HoDs of the concerned Department of the Medical College & Hospitals.
- District Headquarter Hospital: CDM & PHO/District Medical Officer-cum Superintendent & concerned Specialist.
Biju Swasthya Kalyan Yojana Online Apply
- There is no direct enrolment process to apply for BSKY Smart Card under Biju Swasthya Kalyan Yojana.
- All families covered under NFSA/SFSS within Odisha are eligible beneficiaries under the Biju Swasthya Kalyana Scheme.
- BSKY Smart Health Cards are distributed by the government to each eligible family.
- Mo Seba Kendras (MSKs) are designated to provide BSKY Smart Cards. Beneficiaries can collect their card from the nearest MSK by producing their valid NFSA/SFSS Card.
BSKY Hospital List
Beneficiaries can find nearby hospitals by checking the hospital list. This requires a few steps to be done at the official portal of Biju Swasthya Kalyan Yojana. To download the approved hospital list under BSKY, you have to perform the following steps.
- For the first, go to the official website of Biju Swasthya Kalyan Yojana.
- The home page of the website will appear on your screen.
- Among available options, click on the Empanelled Hospital option.
- On the next page, you have two options: (1) Empanelled Hospital Outside of the State, and (2) Empanelled Hospital within the State.
- You will find the Download PDF link with both of these options; just click on the link.
- The Biju Swasthya Kalyan Yojana Hospital List PDF will be downloaded on your device.
- You can check the district-wise empaneled hospitals in the list.
Download BSKY Referral Form
The Biju Swasthya Kalyan Yojana Referral Form is available on the official website. It can be downloaded in PDF format. This form is useful when a beneficiary requires referral from one hospital to another. To download the form, one can do the following steps:.
- Visit the official website of the Biju Swasthya Kalyan Scheme.
- The home page of the website will appear on the screen.
- Scroll the homepage a bit and reach the “Citizen Information” Section.
- Click on the “Referral Form of Biju Swasthya Kalyan Yojana” option.
- You will reach the Citizen Charter page.
- Here, click on the Download link available with the form option.
- The referral form will be downloaded on your device.
Download Pre-authorization form
- Go to the official website.
- The home page will appear on the screen.
- Scroll the home page a little bit.
- In the Citizen Information section, click on the Explore More button.
- On the next page, click on the Download link available with “Pre-authorization form of Biju Swasthya Kalyan Yojana.”
Helpline no. / Toll-free no.
Beneficiaries can contact the concerned official through a helpline or toll-free number. Such a toll-free or helpline can be made use of in case of any help needed by a beneficiary. Beneficiaries can contact the concerned and get due information or support. For this purpose, the Odisha government has issued toll-free numbers and helpline numbers separately for different categories. You can find the details of the helpline number or toll-free number below.
- Helpline number: 104
- Smart Card Helpline number: 155369
- Toll-free number outside Odisha: 1800120120104
BSKY Grievance Management
Citizens and beneficiaries can lodge a grievance online by visiting the BSKY portal. You have to do a few steps to register your grievance. You can also track the grievance status through the official portal. Below are the details of steps useful to lodge a grievance under Biju Swasthya Kalyan Yojana.
- Go to the official website of BSKY at https://bsky.odisha.gov.in/
- The home page will reflect on your screen.
- Click on the Grievance Portal option.
- You will be redirected to the Grievance Application page.
- Next, you have to register your grievance.
- Fill in mandatory details in required fields.
- Select your status as “beneficiary” from the drop-down.
- Select the case type from four alternatives, viz., (1) Complaint (2) Enquiry (3) Request, and (4) Suggestion
- Select the priority level either high, medium, or low as per your case.
- Provide other details and describe your grievance in the description field up to 250 words.
- Upload the supporting document in the said file type and size.
- Provide consent by ticking the Declaration box and clicking on the Submit button.
- Your grievance will be registered successfully, and you will receive a confirmation notification containing the grievance registration number on your email and phone.
How do I track grievance status?
- Go to the official website of Biju Swasthya Kalyan Yojana.
- Click on the Grievance Portal option available on the home page.
- Next, you will land on a new page.
- On this page, you have two options: (1) New Registration, and (2) Track Status.
- Proceed with the Track Status option.
- Next, provide your Grievance Registration Number and click on the Track button.
- Status of your grievance will show on your screen.
Useful Links
Important FAQs
Which State Runs Biju Swasthya Kalyan Yojana (BSKY)?
The BSKY scheme is run in the state of Odisha.
What is Biju Swasthya Kalyan Yojana?
This is a health insurance scheme managed to provide cashless healthcare facilities to citizens in Odisha.
Who is eligible to avail of healthcare facilities under BSKY?
All families in Odisha covered under the National Food Security Act (NFSA), State Food Security Scheme (SFSS), Biju Krushak Kalyan Yojana (BKKY), Below Poverty Line (BPL), and Antyodaya Anna Yojana are eligible for Biju Swasthya Kalyan Yojana.
Can a beneficiary avail of a Biju Health Card outside Odisha?
Yes, benefit is available within and outside the state in empaneled hospitals.
What is the limit of the Biju Swasthya Card?
The initial limit is up to INR 5.00 lakh per family per annum. INR 5.00 lakh additional coverage is provided for women members of the beneficiary family.