Chhattisgarh Shaheed Veer Narayan Singh Ayushman Swasthya Yojana

Scheme Introduction: A Brief Overview

Chhattisgarh Shaheed Veer Narayan Singh Ayushman Swasthya Yojana (SVNSASY) is the flagship health assurance scheme of the Government of Chhattisgarh that aims to provide quality healthcare services to eligible families without causing financial hardship. Implemented by the State Nodal Agency (SNA), Directorate of Health Services, Department of Public Health & Family Welfare, the scheme operates in convergence with Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY). It enables eligible beneficiaries to receive cashless treatment at empanelled government and private hospitals for a wide range of approved medical and surgical procedures. The scheme was earlier known as Dr. Khubchand Baghel Swasthya Sahayata Yojana and was officially renamed as Shaheed Veer Narayan Singh Ayushman Swasthya Yojana by the Government of Chhattisgarh in June 2024.

Under the scheme, families belonging to the SECC (Deprived Category), Antyodaya, and Priority Ration Card categories are eligible to receive cashless health coverage of up to ₹5 lakh per family. Other eligible ration card holder families of Chhattisgarh can receive cashless health assistance of up to ₹50,000 per family under the State Health Scheme, subject to the prescribed eligibility conditions.

For patients suffering from serious and life-threatening diseases that require treatment beyond the coverage available under the health insurance scheme, the State Government also operates the Chhattisgarh Mukhyamantri Vishesh Swasthya Sahayata Yojana. Under this scheme, eligible patients can receive financial assistance of up to ₹25 lakh for the treatment of notified critical and rare diseases, ensuring that patients requiring high-cost medical care continue to receive financial support after exhausting the benefits available under the health insurance scheme.

To avail cashless treatment under the scheme, eligible beneficiaries are required to complete beneficiary verification through the Beneficiary Identification System (BIS). After successful verification, an Ayushman e-Card is generated, which can be used to receive treatment at empanelled government and private hospitals. The hospital verifies the applicable health benefit package and obtains online pre-authorisation, wherever required, before providing cashless treatment. Through its paperless claim management system and network of empanelled hospitals, the scheme ensures timely access to quality healthcare for eligible beneficiaries.

Scheme Benefits

• Cashless hospitalisation for eligible beneficiaries at empanelled government and private hospitals.
• Health insurance coverage of up to ₹5 lakh per eligible family per year under Ayushman Bharat PM-JAY.
• Health assistance of up to ₹50,000 for eligible beneficiaries covered under the Chhattisgarh State Health Scheme.
• Coverage for notified medical, surgical, and emergency treatment packages approved under the scheme.
• Paperless treatment through the Beneficiary Identification System (BIS).
• Cashless treatment at empanelled hospitals within Chhattisgarh and other participating states.
• Pre-authorisation, claim processing, and hospital payments managed through an online cashless system.

Treatments Covered and Not Covered

The Chhattisgarh Shaheed Veer Narayan Singh Ayushman Swasthya Yojana covers a wide range of approved medical and surgical treatments to ensure eligible beneficiaries receive cashless healthcare. However, certain treatments and procedures are specifically excluded from the scheme. The covered and excluded treatments are explained below as per the official operational guidelines.

Treatments Covered

• Medical treatment requiring hospitalisation.
• Surgical procedures.
• Diagnostic tests and investigations.
• Cancer treatment, including surgery, chemotherapy, and radiotherapy.
• Cardiac treatment.
• Kidney treatment.
• Treatment for neonatal conditions.
• Polytrauma treatment, including eligible ICU cases.
• Approved day-care and emergency procedures.
• Treatment for pre-existing diseases as per the scheme guidelines.
• Post-hospitalisation care for up to 30 days, wherever applicable.

Treatments Not Covered

• Treatments that do not require hospitalisation.
• Cosmetic surgery.
• In Vitro Fertilization (IVF).
• Natural therapy, Unani, Siddha, and Ayurvedic treatments.

Eligibility Requirements

• The applicant should belong to an eligible
  • SECC (Deprived Category),
  • Antyodaya,
  • Priority Ration Card, or
  • other eligible ration card holder family of Chhattisgarh covered under the scheme.
• The family should be eligible under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PM-JAY) or the Chhattisgarh State Health Scheme.
• The beneficiary must be included in the eligible beneficiary database maintained under the scheme.
• The beneficiary should successfully complete identity verification through the Beneficiary Identification System (BIS) before availing cashless treatment.
• The treatment must be taken at a government or private hospital empanelled under the scheme.
• The medical procedure should be covered under the approved health benefit packages notified under the scheme.

Required Documents

• Aadhaar Card (for identity verification, wherever applicable).
• Ration Card or other approved family identification document.
• Valid Government-issued Photo Identity Card (if required for verification).
• Mobile Number.

Steps to Apply

• Visit the nearest authorised Ayushman registration centre or empanelled hospital.
• Submit the prescribed registration form along with the ration card and other required identity documents.
• The Ayushman Mitra will verify your eligibility through the Beneficiary Identification System (BIS) using the Ration Card Number or SECC ID.
• If found eligible, your Aadhaar details or other approved identity documents, along with your photograph, will be uploaded for verification.
• After approval by the competent authority, your Ayushman e-Card will be generated free of cost.
• Each eligible family member must obtain a separate Ayushman e-Card before availing treatment.
• Present the Ayushman e-Card at an empanelled government or private hospital to receive cashless treatment under the approved health benefit packages.

Relevant Links

• Chhattisgarh Shaheed Veer Narayan Singh Ayushman Swasthya Yojana Portal.
• Chhattisgarh Shaheed Veer Narayan Singh Ayushman Swasthya Yojana Notification
• Shaheed Veer Narayan Singh Ayushman Swasthya Yojana Rename Notice.
• List of hospitals empanelled under the scheme.

Contact Information

• Chhattisgarh State Nodal Agency Phone Number: 0771-4095198
• Chhattisgarh State Nodal Agency Email: [email protected]
• Chhattisgarh Ayushman Helpline Number: 104
• Ayushman Bharat Helpline Number: 14555