The New Health Insurance Scheme will provide cashless health insurance coverage to the families of all the employees of Government of Tamil Nadu, State Public Sector Undertakings, Local Bodies in Tamil Nadu, State Government Universities and Statutory Boards under the control of the Government of Tamil Nadu.
Implementing Agency (TPA)
- Issue I.D Cards and Guide Book containing
all the details of the Scheme, List of Network Hospitals and Contact details of
the offices of TPA, to all the Beneficiaries.
Issue Authorization Letter (Approval letter) to the Network Hospital for cashless
treatment of the beneficiary in the Network Hospital.
- Establish 24 hrs functioning, dedicated
BSNL Toll Free No./Help Line no.
Process and settle the claims of Network Hospitals.
- Process and settle the reimbursement claims of beneficiaries
who have taken treatment at the Government Hospitals.
NEW HEALTH INSURANCE SCHEME RULES, 2012
- To extend the scope of assistance
for medical treatments available under the existing Scheme
- To cover more ailments and more
hospitals including payment wards of Government Hospitals
- To extend assistance for medical
treatments to the employees of State Public Sector Undertakings, Local Bodies in
Tamil Nadu, State Government Universities, Statutory Boards under the control of
the Government of Tamil Nadu, the Noon Meal Workers, Anganwadi Helpers, Village
Assistants, etc., State Government Organisations / Institutions registered under
the Tamil Nadu Registration of Societies Act, 1975, Regular Employees of the Tamil
Nadu Electricity Regulatory Commission and Tamil Nadu Institute of Labour Studies.
- To provide financial assistance
upto Rupees Four lakhs per Family of the Employee for a block of four years
- To provide the assistance through