Mukhya Mantri Himachal Health Care Scheme-HIMCARE
At a Glance
Scheme Category
Health & Wellness
Target Beneficiaries
Individual
Brief Description
Mukhya Mantri Himachal Health Care Scheme-HIMCARE is a health insurance scheme providing cashless treatment coverage up to Rs. 5.00 lakh per year per family in empanelled hospitals. It aims to cover families not included in the Ayushman Bharat scheme.
Benefit Type
Cash
Eligibility Criteria
1. The applicant must be a permanent resident of Himachal Pradesh. 1. Families not covered under the Ayushman Bharat Yojana (Pradhan Mantri Jan Arogya Yojana) are eligible to apply for the HIMCARE scheme. 1. Applicant should be HIMCARE card holder. 1. The scheme is available to Below Poverty Line (BPL) families, Above Poverty Line (APL) families, Senior citizens and daily wage earners, widows, single women, and persons with disabilities.
Application Mode
Online - via CSC
Application Process
1. Locate the nearest Lok Mitra Kendra (LMK) or <nis:link nis:type=webUrl nis:id=slugId nis:text="**Common Service Center**" nis:value=https://ddtg.hp.gov.in/csc/ nis:enabled=true/> (CSC). 1. Visit the LMK or CSC and inform them about your intention to apply for HIMCARE. 1. Provide the necessary information and documents to the staff at the center. 1. VLEs will assist you in filling out the application form and uploading the required documents online. 1. If you are applying through Lok Mitra Kendra/Common Service Centers, you may be required to pay an enrollment fee of ₹50/- per family unit of up to five members. 1. Once the application is submitted, it will be processed for verification. The concerned authorities will review the application and documents provided for authenticity and eligibility. 1. If the application is approved, an E-card will be issued to the eligible family. 1. The E-card will serve as proof of enrollment and will be used for availing cashless treatment under the scheme.
Required Documents
- The following documents are mandatory for enrollment under HIMCARE:
- Category Documents required for authentication BPL Copy of BPL certificate attested by the Panchayat Secretary within previous one month. Registered Street Vendors Registration Certificate attested by the Executive Officer, MC/NP/NAC within previous one month. MNREGA Worker MNREGA Job Card and Online MIS Report indicating 50 days work under MNREGA in previous or current financial year duly attested by concerned Panchayat Secretary/BDO. Ekal Naaris Certificate to be issued by Child Development Program Officer (CDPO) of the concerned area and shall include Widows/Divorced/Legally Separated /Unmarried more than 40 years. Disabled >40% Medical Disability Certificate showing permanent disability. Mid-Day meal workers Certificate from Block Elementary Education Officer of the concerned area. Contractual Employees Certification from concerned Department. Daily Wage Worker Certification from concerned Department. Part Time Workers Certification from concerned Department. Outsource Employees Certification from concerned Department.
FAQs
What is the coverage amount provided by HIMCARE?
HIMCARE provides cashless treatment coverage of up to Rs. 5.00 lakh per year per family in empanelled hospitals.
Who is eligible to apply for HIMCARE?
Eligibility criteria vary based on categories, including BPL families, registered street vendors, MNREGA workers, senior citizens above 70 years, children in orphanages, and more. Refer to the scheme's guidelines for specific eligibility details.
Can government servants and pensioners apply for HIMCARE?
No, government servants, pensioners, and their dependent family members are not eligible for HIMCARE coverage.
How can I apply for HIMCARE?
You can apply for HIMCARE online through the official website (www.hpsbys.in) or visit Lok Mitra Kendra/Common Service Centers for assistance with the enrollment process.
What documents are required for enrollment?
The required documents vary based on the category. They may include BPL certificates, registration certificates, job cards, age proof, disability certificates, and certificates issued by relevant authorities. Refer to the scheme's documentation requirements for specific details.
Is there an enrollment fee for HIMCARE?
Yes, if you apply through Lok Mitra Kendra/Common Service Centers, you may be required to pay an enrollment fee of Rs. 50 per family unit of up to five members.
Can I avail treatment at hospitals outside Himachal Pradesh under HIMCARE?
Generally, the scheme covers treatment at empanelled hospitals within Himachal Pradesh. However, beneficiaries can also receive treatment at PGIMER Chandigarh and GMCH Sector 32 Chandigarh.
Can I change my category or update my information after enrollment?
It is important to apply under the relevant category and provide accurate information during the enrollment process. Changes or updates after enrollment may not be allowed, so it's advisable to double-check the information before submitting the application.