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Support for Marginalized Individuals for Livelihood and Enterprise (SMILE): Composite Medical Health for Transgender Persons

The scheme aims to provide health Insurance coverage to all Transgender persons living in India to improve their health condition through proper treatment including sex re-assignment surgeries as well as medical support. The scheme provides health insurance in the form of Ayushman Bharat Plus.

Ministry / Department
Ministry Of Social Justice and Empowerment
Level
Central
Benefit type
other
Last verified: 18 Jun 2026

Support for Marginalized Individuals for Livelihood and Enterprise (SMILE): Composite Medical Health for Transgender Persons क्या है?

The scheme aims to provide health Insurance coverage to all Transgender persons living in India to improve their health condition through proper treatment including sex re-assignment surgeries as well as medical support. The scheme provides health insurance in the form of Ayushman Bharat Plus.

लाभ
• प्रति वर्ष ₹1-(पाँच लाख रुपये) का स्वास्थ्य बीमा कवर।-कवरेज आयुष्मान भारत प्लस स्वास्थ्य बीमा के रूप में प्रदान किया जाता है।-कवरेज में आयुष्मान भारत योजना के तहत स्वास्थ्य लाभ पैकेज के भीतर लिंग पुष्टि सर्जरी शामिल है।-व्यापक पैकेज में ट्रांसजेंडर व्यक्तियों के लिए संक्रमण से संबंधित स्वास्थ्य सेवा के सभी पहलू शामिल हैं।-कवरेज में विशेष रूप से हार्मोन थेरेपी और ऑपरेशन के बाद की औपचारिकताओं सहित पुनः असाइनमेंट सर्जरी शामिल है।-लाभार्थी के लिए उपचार कैशलेस होगा। भारत सरकार अनुमोदित व्यय का 100% प्रदान करती है
स्तर
Central
मंत्रालय / विभाग
Ministry Of Social Justice and Empowerment
लाभ का प्रकार
other
मुख्य पात्रता
The applicant should be Transgender.
अंतिम सत्यापन
18 Jun 2026

योजना का विवरण

12 फरवरी 2022 को शुरू किया गया, "ट्रांसजेंडर व्यक्तियों के लिए समग्र चिकित्सा स्वास्थ्य" "आजीविका और उद्यम (स्माइल) के लिए हाशिए पर पड़े व्यक्तियों के लिए समर्थन" योजना की "ट्रांसजेंडर व्यक्तियों के कल्याण के लिए व्यापक पुनर्वास" उप-योजना का एक घटक है। यह योजना भारत सरकार के सामाजिक न्याय और अधिकारिता मंत्रालय द्वारा शुरू की गई थी। इस योजना का उद्देश्य भारत में रहने वाले सभी ट्रांसजेंडर व्यक्तियों को स्वास्थ्य बीमा कवरेज प्रदान करना है ताकि पुनः नियुक्ति सर्जरी के साथ-साथ चिकित्सा सहायता सहित उचित उपचार के माध्यम से उनकी स्वास्थ्य स्थिति में सुधार हो सके। यह योजना आयुष्मान भारत प्लस के रूप में स्वास्थ्य बीमा प्रदान करती है, जिसमें लिंग पुष्टि सर्जरी और व्यापक संक्रमण-संबंधी स्वास्थ्य सेवा शामिल है, जिसमें हार्मोन थेरेपी और ऑपरेशन के बाद की औपचारिकताएं शामिल हैं, जिन्हें सभी निजी और सरकारी स्वास्थ्य सुविधाओं में भुनाया जा सकता है

लाभ

प्रति वर्ष ₹1-(पाँच लाख रुपये) का स्वास्थ्य बीमा कवर।-कवरेज आयुष्मान भारत प्लस स्वास्थ्य बीमा के रूप में प्रदान किया जाता है।-कवरेज में आयुष्मान भारत योजना के तहत स्वास्थ्य लाभ पैकेज के भीतर लिंग पुष्टि सर्जरी शामिल है।-व्यापक पैकेज में ट्रांसजेंडर व्यक्तियों के लिए संक्रमण से संबंधित स्वास्थ्य सेवा के सभी पहलू शामिल हैं।-कवरेज में विशेष रूप से हार्मोन थेरेपी और ऑपरेशन के बाद की औपचारिकताओं सहित पुनः असाइनमेंट सर्जरी शामिल है।-लाभार्थी के लिए उपचार कैशलेस होगा। भारत सरकार अनुमोदित व्यय का 100% प्रदान करती है

पात्रता

  • आवेदक ट्रांसजेंडर होना चाहिए-आवेदक को केंद्र सरकार या राज्य सरकार की किसी भी अन्य योजना से समान लाभ नहीं लेना चाहिए
क्षेत्र: Indiaलाभ: other

आवश्यक दस्तावेज़

  • Transgender Certificate And Identity Card Issued By The National Portal For Transgender Persons (Mandatory Document To Avail Health Insurance Package).
  • Registration Identification/Transgender Person’s Certificate Serial Number (Required From The National Portal For Transgender Persons To Access Benefits).
  • <br>

आवेदन कैसे करें

  1. चरण 1: Online — Step 1

    ** *Ensure Possession of Mandatory Identification*** - The applicant must possess the Transgender Certificate issued by the "National Portal for Transgender Persons", as this document is mandatory to avail the health insurance package.- Beneficiaries who have already received their certificates from the National Portal are automatically eligible to receive the insurance.

  2. चरण 2: Online — Step 2

    ** *Access the Benefits at an Empanelled Facility or Service Centre*** - The Transgender beneficiary or applicant possessing the Transgender Certificate should visit an empanelled hospital or a Common Service Centre (CSE). - These empanelled hospitals are identified from the list of institutions already approved under the Ayushman Bharat Scheme.

  3. चरण 3: Online — Step 3

    ** *Verification of Certificate Details on the System*** - The applicant is required to present their registration Identification/Transgender person’s certificate serial number from the National Portal to the staff at the facility or centre. - The beneficiary's details will then be entered and verified on a real-time basis, adhering to the current Beneficiary Identification System procedure utilized for Pradhan Mantri Jan Arogya Yojana beneficiaries.

  4. चरण 4: Online — Step 4

    ** *Obtain the Ayushman Transgender Health Card* - If an individual does not possess the mandatory Transgender Certificate, they shall be redirected to the National Portal website to obtain the required document. - After successful verification of the Transgender Certificate, the eligible applicant will subsequently be issued the specific Ayushman Transgender Health card. *Contact Us* - For General Queries: 011-20893988, [email protected] For Technical Queries: +91 79 23268279, [email protected] Working Hours:** 10:00 AM to 17:00 PM, Monday to Friday <br>

FAQ

Following the successful completion of the verification procedure, what official document is then issued to the eligible Transgender applicant?

After successful verification of the Transgender Certificate and eligibility, the applicant will subsequently be issued the specific Ayushman Transgender Health card. <br>

Are there any limitations regarding other governmental financial or healthcare support that might disqualify an applicant from receiving these services?

Yes, the beneficiary must not be currently receiving similar health or financial benefits from any other schemes provided by either the Central Government or a State Government. <br>

When receiving treatment at an authorized medical facility, will the individual typically be required to pay for the services upfront or is the process fully managed?

The treatment provided to the beneficiary under this composite medical health scheme shall be entirely cashless. The hospitals submit the bills directly to the National Health Authority. <br>

Does the insurance coverage provided specifically include procedures necessary for gender transition, such as gender affirmation surgeries?

Yes, the provided health insurance, known as Ayushman Bharat Plus, is inclusive of gender reaffirmation surgery within the health benefit package under the Ayushman Bharat Yojana. <br>

What specific certification documents must an individual hold to prove their status as a Transgender person eligible for this benefit?

The applicant must be a Transgender person as officially notified by the Government of India and must possess the mandatory Transgender Certificate and Identity Card issued by the National Portal for Transgender Persons. <br>

If a Transgender person wishes to avail of the medical health package but does not currently hold the required certificate, what action should they take?

Such Transgender persons who do not possess the necessary certificate issued by the National Portal shall be redirected to the website to first obtain the certificate so as to become eligible for the health package. <br>

What is the total maximum financial coverage value provided annually to each eligible beneficiary under this specific health care offering?

Each eligible Transgender person receives an insurance cover of ₹5,00,000/- (Five Lakh Rupees) per year under the scheme, provided in the form of Ayushman Bharat Plus health insurance. <br>

What percentage of the total approved expenditure for the medical services provided to the beneficiaries is funded by the Government?

The Government of India fully funds the scheme by providing 100% of the total approved expenditure incurred for providing the Composite Medical Health services to Transgender persons. <br>

Can you detail the comprehensive scope of healthcare services covered, ensuring that transition-related needs are fully addressed?

The Comprehensive Package covers all aspects of transition-related healthcare for Transgender persons. This coverage specifically includes essential treatments like hormone therapy and Sex Re-assignment Surgery. <br>

If I have already successfully obtained the official identity documentation, am I automatically considered eligible to enroll for the associated insurance policy?

Yes, Transgender persons who have already received their official certificates from the National Portal for Transgender Persons would be automatically eligible to receive the health insurance. <br>

At which types of medical institutions, including both public and private, can an eligible beneficiary redeem the transition-related health services?

The services offered under the comprehensive package can be redeemed for treatment and care at all recognized private and government healthcare facilities. <br>

Is the Transgender Certificate issued via the National Portal an absolute prerequisite document for gaining access to the health insurance benefits package?

Yes, the Transgender person certificate issued by the National Portal for Transgender Persons is an absolute mandatory document required to successfully avail the health insurance package. <br>

Does the comprehensive package extend its coverage to include follow-up consultations and necessary procedures after a sex reassignment surgery has been performed?

Yes, the comprehensive package explicitly includes coverage for Sex Re-assignment Surgery, and this inclusion extends to covering necessary post operation formalities. <br>

Once certification is confirmed, what is the primary physical location or administrative center where an applicant can initiate the process of accessing the benefits?

The beneficiary possessing the Transgender Certificate from the National Portal can visit an empanelled hospital or a Common Service Centre (CSC) to initiate the entry and verification of their details. <br>

Sources & References

Ready to apply?

Applications are accepted only on the official government portal.

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