The Health Insurance (ANISHI) shall provide cashless treatment upto Rupees 5 Lakhs per patients per illness which include indoor and outdoor treatments.
The Health Insurance (ANISHI) shall provide cashless treatment upto Rupees 5 Lakhs per patients per illness which include indoor and outdoor treatments.
"अंडमान और निकोबार द्वीप समूह स्वास्थ्य बीमा योजना (एएनआईएसएचआई)" योजना केंद्र शासित प्रदेश अंडमान और निकोबार द्वीप समूह के स्वास्थ्य विभाग द्वारा 26.01.2015 पर शुरू की गई थी। यह योजना गरीबी स्तर से नीचे/प्राथमिकता वाले घरों में रहने वाले लोगों, अंडमान और निकोबार प्रशासन के पेंशनभोगियों, जो अपने आश्रित परिवार के सदस्य के साथ सेवानिवृत्ति के बाद इन द्वीपों में बस गए हैं और स्थायी निवासी, जिनकी परिवार की वार्षिक आय 3 लाख रुपये से कम है, को प्रति बीमारी 5 लाख रुपये तक का नकद रहित चिकित्सा उपचार लाभ प्रदान करती है। इनमें से कई मरीज आर्थिक रूप से कमजोर पृष्ठभूमि से आते हैं और मुख्य भूमि अस्पताल में अस्पताल के खर्च का वहन करने में असमर्थ हैं। ऐसे रोगियों को सहायता प्रदान करने के लिए प्रशासन ने अपनी स्वयं की स्वास्थ्य बीमा योजना शुरू करने का निर्णय लिया जो व्यक्तियों को बेहतर स्वास्थ्य देखभाल प्रदान करेगी।
1. स्वास्थ्य बीमा (ए. एन. आई. एस. एच. आई.) प्रति रोगी प्रति बीमारी 5 लाख रुपये तक नकद रहित उपचार प्रदान करेगा जिसमें घर के अंदर और बाहर उपचार शामिल हैं। 1. एक परिचारक वाले रोगियों के लिए मुफ्त यात्रा खर्च की प्रतिपूर्ति की जाएगी (बंक श्रेणी का किराया)। 1. गंभीर रूप से बीमार रोगियों को, यदि योजना के तहत उड़ान से यात्रा करने के लिए भेजा जाता है, तो वे रोगी और एक परिचारक के लिए हवाई टिकट की प्रतिपूर्ति के हकदार होंगे। 1. मुख्य भूमि की व्यक्तिगत यात्रा के दौरान किसी लाभार्थी के बीमार पड़ने के बहुत ही दुर्लभ मामले में और जिसे आपातकालीन उपचार की आवश्यकता होती है, योजना के तहत लाभ उठाया जा सकता है लेकिन यात्रा खर्च की अनुमति नहीं दी जाएगी। यदि लाभार्थी राज्य नोडल प्रकोष्ठ (ए. एन. आई. एस. एच. आई.) में कोडल औपचारिकताओं को पूरा किए बिना उपचार से गुजरता है या अपने दम पर सूचीबद्ध/गैर-सूचीबद्ध अस्पताल में भर्ती हो जाता है, तो ऐसे मामलों के लिए अस्पताल के खर्च की प्रतिपूर्ति योजना के तहत 'अनुमति नहीं दी जाएगी'।
चरण 1: Offline — Step 01
The eligible person(s)/patient can avail of the cashless benefit in any empanelled hospital notified by the Administration from time to time ‘by completing the codal formalities at Nodal Cell (ANISHI)’.
चरण 2: Offline — Step 02
The patient is to be referred by the concerned specialist of GB Pant Hospital, Port Blair thereafter, he/she has to approach the Nodal Cell (ANISHI) located at the DHS Office for the cashless benefit of the scheme.
चरण 3: Offline — Step 03
The state Nodal Cell processes the case within 02 days and after obtaining approval of the Chairman ANISHI, orders are issued to the empanelled hospital to provide cashless benefit to treat the referred patient under the ANISHI Scheme. Note 01: In case the beneficiary is on his personal visit to the mainland and had fallen sick requiring emergency treatment and gets admitted to one of the empanelled hospitals under the scheme, the Medical Superintendent /Director of the concerned empanelled hospital in the mainland will have to first inform the Nodal Officer (ANISHI) about the particulars of the patient and his/her clinical condition. Note 02: The State Nodal Cell after verification of records convey the approval to treat the patient as per the guidelines of the scheme, however, the patient/relatives have to submit the documents as the case may be. Note 03: In such cases, the travel expense to the patient /attendant will not be reimbursed. If the patient gets admitted in a ‘hospital which is not empanelled’ under the scheme, then the benefit will be extended only if the patient is shifted to the nearest empanelled hospital under the scheme. (Application Form)
ANISHI stands for Andaman & Nicobar Islands Scheme for Health Insurance. It was launched by the Health Department, Union Territory of Andaman and Nicobar Islands on January 26, 2015.
Individuals belonging to Below Poverty Level (BPL), Government pensioners of A&N Administration who settled in the islands after retirement with their dependent family members, and permanent residents with a family annual income below [?]3.00 Lakhs are eligible.
The scheme provides cashless medical treatment up to [?]5 Lakhs per patient per illness, including both indoor and outdoor treatments. It also covers travel expenses for patients and one attendant, with provisions for flight reimbursement in critical cases.
Patients and one attendant are entitled to reimbursement of travel expenses (bunk class fare) if they need to travel for medical treatment. In critical cases requiring air travel, the air ticket expenses for the patient and one attendant are reimbursed.
Yes.
Step 1: Eligible patients complete codal formalities at the Nodal Cell (ANISHI). Step 2: Patients are referred by specialists at GB Pant Hospital, Port Blair. Step 3: The State Nodal Cell processes the case and issues orders to empanelled hospitals for cashless treatment.
Yes, reimbursement of hospital expenses will not be allowed if the patient undergoes treatment without completing codal formalities at the State Nodal Cell (ANISHI).
No.
Beneficiaries can avail treatment only at empanelled hospitals notified by the Administration. Treatment at non-empanelled hospitals may not be covered under the scheme.
The State Nodal Cell processes cases within two days, subject to verification and approval from the Chairman ANISHI.
In such cases, the beneficiary can avail benefits under ANISHI for emergency treatment, but travel expenses will not be reimbursed.
Applications are accepted only on the official government portal.
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