Swasthya Sathi

Swasthaya Sathi at a Glance

“Swasthya Sathi” was announced in Cabinet No – 2625 dated 17th February, 2016, and Finance Department notification no – 1104-F (P) dated 25th February, 2016.

State level Implementation Committee (SLIC) under the chairmanship of the Chief Secretary formed to oversee the scheme and there is a registered society named “Swasthyasathi Samiti” ( Registration no S/M/4377 OF 2016-2017 Dated 15.11.2016) for monitoring the scheme.

The scheme was officially launched by Hon’ble CM on 30th December 2016

Main Features of the Scheme:

  • Basic health cover for secondary and tertiary care  up to Rs 1.5 Lakh per annum through Insurance mode (PSU) and Critical illness like Cancer, Neuro surgeries, cardiothoracic surgeries, liver diseases, blood  disorders etc. up to Rs 5 Lakh through Assurance mode.
  •  NIC as insurance partner in 9 District and UIIC in 11 Districts. Premium per family ranges from Rs 3549   In Kolkata to Rs 1729   in  Dakshin Dinajpur
  • Paperless, Cashless, Smart Card based.
  • There is no cap on the family size and Parents from both the Spouse are included.
  • All pre-existing diseases are covered.
  • The entire premium is borne by the State Government and no contribution from the beneficiary.
  • Online Swathyasathi Smart card is provided to each family on the day of Enrolment. Smart Card captures the details of the family members , Photographs, biometric, address, Mobile Number, SECC ID, ADHAAR No ( if available)
  • Management of the scheme is in paperless IT platform from day one.
  • Online empanelment & gradation of Hospitals based on the services and infrastructure available
  • 100% online Pre-authorisation with turn around time of 24 Hrs.
  • SMS triggers and instant alerts to the beneficiaries on blocking of card.
  • Real-time uploading of E-health record of the beneficiaries on discharge
  • Claim reimbursement to the hospital with TAT of 30 days else interest are being charged for delayed payment.
  • 24X7 toll free Call Centre (18003455384)  with feedback option
  • Online grievance monitoring Mechanism
  • Android based Swasthya Sathi Mobile app for assistance to the beneficiaries

About Swasthya Sathi

A Group Health Insurance scheme named “Swasthya Sathi” was announced by the Government of West Bengal vide Decision in Cabinet No – 2625 dated 17th February, 2016, and notification of Finance Department vide no – 1104-F (P) dated 25th February, 2016.

State level Implementation Committee was formed under the chairmanship of the Chief Secretary to the Government of West Bengal to oversee the implementation of “Swasthya Sathi” vide notification no – HF/O/Swasthya Sathi/097/2016/4032 dated 2nd March, 2016.

The first meeting of State level Implementation Committee was held at Nabanna on 8th March, 2016 where it was resolved that The Scheme will have basic health coverage for Secondary and tertiary care up to Rs 1.5 lakhs per annum per family through Insurance Mode and up to 5 Lakhs for certain critical diseases like, cancer, Neuro-surgery, orthopedic and cardio logical diseases etc through assurance mode under the umbrella of Swasthyasathi samiti.. There will be no cap on the Family size and parents of both the spouses will be eligible under the scheme. All pre-existing diseases will be covered from the first day of the policy.

The second meeting of State level Implementation Committee was held at Nabanna on 5th July, 2016. State level Implementation Committee in its second meeting approved the administrative setup and proposed IT framework to make the scheme paperless, Cashless through use of Smart card.

State level Swasthya Sathi Package Selection Committee was formed for selection of different packages, package rates and categories. More than 1900 packages have been approved for the said scheme.  

E – tender was introduced for selection of group health insurance provider for Swasthya Sathi scheme, vide memo no – HF/O/SS/ Tender _ INS/74 dated 9th September 2016. Only public sector Insurance Companies were allowed to participate in the e-tender. National Insurance Company (9 Districts) and United India Insurance Company (11 Districts) were selected as insurer for respective districts.  Offer letters were issued with the approval of Finance Department vide UO No 2096 dated 2.11.16. Total estimate approved by Finance Department is Rs 1363.72 Cr for 2016-17.

A Society named Swasthya Sathi Samiti  under the chairmanship of the Chief Secretary to the Government of west Bengal has been formed which has been registered, (No – S/M/4377 of 2016-2017 dated 15th November 2016) under Registration of Societies West Bengal Act XXVI 1961. First Meeting of the Governing Body of the Swasthyasathi Samiti was held on 8th December 2016.

All the district of West Bengal is covered up under the scheme and 45 Lakhs of families covering nearly 2.5 Crore population will be benefitted out of the scheme. Families of the Self Help Group Members, ICDS Workers &Helpers, ASHA Karmee, Civic Volunteer Force, Civil defence Volunteers and certain categories of contractual employees included under the scheme at present.

A 24X7 Call Centre support (Toll free number -1800-345-5384) for Swasthya Sathi and android based Mobile app have been introduced.

More than 500 Hospitals and Nursing Homes already registered under the scheme through online empanellement portal. Hospitals are graded according to the services available into three categories i.e. Grade-A , Grade-B  and Grade-C hospitals.

The Scheme has been inaugurated by the Hon’ble Chief Minister of West Bengal, Mamata Banerjee on 30thDecember 2016.

Contact Details

Emergency contact number District wise for any Assistance:

Malda, Uttar Dinajpur : 9836386475
Howrah,Kolkata,Hooghly : 8116346916
Bankura,Birbhum,Bardhaman : 9163110720
North 24 Parganas,Paschim Medinipur : 9475886662

SNO, RSBY & Swasthya Sathi, WB

Secretary, Heath & Family Welfare, WB

Swasthya Bhawan,          
GN29, Sec-V,Salt Lake,Bidhan Nagar,Kolkata-91

 

ASNO, RSBY & Swasthya Sathi, WB

Swasthya Bhawan,          
GN29, Sec-V, Salt Lake,Bidhan Nagar,Kolkata-91

 

 Contact Details of Officers in State Nodal Agency: 

OFFICE NAMECONTACT TYPECONTACT NAMECONTACT NUMBERE MAIL ID
State Nodal AgencyFINANCIAL ADVISERSUBIR BHATTACHARYYA033-23576384[email protected]
State Nodal AgencyTECHNICAL OFFICERDr. SAMERANDRA SHARMA033-23303330[email protected]
State Nodal AgencyIT MANAGERSk Mustaque Ahmed Siddiquee033-23330124[email protected]
State Nodal AgencyData Analysis, Monitoring & Education OfficerSomnath Moitra8116346916[email protected]
State Nodal AgencyHospital Empanelment and Claims OfficerMinhajuddin Ahmed9836386475[email protected]
State Nodal AgencyFinance and administrative officerKamal Mukherjee9832154154 
State Nodal AgencySr. ProgrammerSomenath Saha9163110720[email protected]
State Nodal AgencyJr. ProgrammerSuparna Halder9475886662[email protected]

 

District Wise Contact Details of District Administration: 

DISTRICT NAMECONTANCT TYPECONTACT NAMELandline No.E MAIL ID
BANKURADKMSRI NABA KUMAR BARMAN, WBCS(EXE.)03242-255450[email protected]
BANKURADNOSRI MRINAL KANTI GUIN, WBCS(EXE.)03242-240017[email protected]
COOCHBEHARDKMSRI CHIRANJIB GHOSH03582-227103[email protected]
COOCHBEHARDNOLOPSANG TAMANG03582-227114[email protected]
BIRBHUMDKMDR. UMA SANKAR S. IAS.03462-255272[email protected]
BIRBHUMDNOMR. DEBDULAL PATRA. WBCS(EXE)03462-253677[email protected]
MALDAHDKMMRS R VIMALA,IAS03512-253049[email protected]
MALDAHDNOSANJAY DASGUPTA03512-258943[email protected]
MURSHIDABADDKMSRI SAMANJIT SENGUPTA, WBCS(EXE)03482-250389[email protected]
MURSHIDABADDNOSRI SAYAK DEB, WBCS(EXE) [email protected]
ALIPURDUARDKMSHRI PALDEN SHERPA, WBCS(EXE.)03564-257587[email protected]
ALIPURDUARDNOMD. ASHEK RAHMAN WBCS(EXE.)03564-255062[email protected]
PURBA BURDWANDKMSRI RATNESWAR ROY, WBCS(EXE.)  0342-2663335[email protected]
PURBA BURDWANDNOSri Tapan Kr. Mandal, WBCS (Exe) 0342-2664448[email protected]
PASCHIM BURDWANDKMSANKHA SANTRA  0342-2663335[email protected]
PASCHIM BURDWANDNODr. MANAS KUMAR PANDA 7719357623[email protected]
HOOGHLYDKMSri Pradip Acharyya, WBCS(Exe.)2681-2683/2612[email protected]
HOOGHLYDNOMallika Sengupta Mazumder, WBCS(EXE.)033-26804332[email protected]
HOWRAHDKMSRI ABHIJIT KUMAR LATUA, WBCS(EXE.)033-26386474[email protected]
HOWRAHDNOSRI DIBYENDULAL BHATTACHARYA, WBCS(EXE.)033-26380292[email protected]
JALPAIGURIDKMMOLOY HALDER, WBCS(EXE.)03561-231101[email protected]
JALPAIGURIDNOSMT SHRADDHA SUBBA, WBCS(EXE.)03561-231079[email protected]
KOLKATADKMSRI TAPAS CHOWDHURY ,IAS033-22861271[email protected]
KOLKATADNOSRI KALICHARAN BANERJEE033-22520416[email protected]
NORTH 24 PARGANASDKMSRI RAHUL MAJUMDER, WBCS(EXE)033-2584-6213[email protected]
NORTH 24 PARGANASDNOSRI JAGANNATH BHAR, WBCS(EXE)8697982620 [email protected]
NADIADKMSRI SEKHAR SEN, WBCS(EXE)03472-252233[email protected]
NADIADNOSRI SACHCHIDANANDA BANDOPADHYAY, WBCS(EXE)03472-252105[email protected]
PURBA MEDINIPURDKMSRI RATNESWAR ROY, WBCS(EXE.)0322-8263222[email protected]
PURBA MEDINIPURDNOBISWAJIT DUTTA GUPTA, WBCS(EXE.)0322-8263091[email protected] /[email protected] gov.in
PURULIADKMSRI PRABAL KANTI MAITY, WBCS(EXE)03252-223141[email protected]
PURULIADNOSRI NILANJAN BHATTACHARYA, WBCS(EXE)03252-224573[email protected]
SOUTH 24 PARGANASDKMSri Sagar Chakraborty, WBCS(EXE)033-24791233 [email protected]
SOUTH 24 PARGANASDNOSmt. Mahua Das, WBCS(EXE)033-24792067 [email protected]
SOUTH DINAJPURDKMKausick Kumar Nag, WBCS(EXE)03522-255248 [email protected]
SOUTH DINAJPURDNOHemanta Ghosh, WBCS(EXE)03522-255555 [email protected]
DARJEELING (SMP)DKMSHIRAZ DANESHYAR, I.A.S03532-529021[email protected]
DARJEELING (SMP)DNOSHRI. SAMIR MARDI, WBCS(EXE)03532-525213[email protected]
DARJEELING (GTA)DKMSri Wangycl Zimba(OSD,GTA)03532-529021[email protected],[email protected]
DARJEELING (GTA)DNOSri SAMDEN DUKPA9434425806[email protected]
UTTAR DINAJPURDKMSRI SHASHI KUMAR CHOUDHURY, WBCS(EXE)03523-246474[email protected]
UTTAR DINAJPURDNOSRI. SHUBHRAJIT GUPTA, WBCS(EXE)9434421167[email protected]
Paschim MedinipurDKMSusanta Chakraborty, WBCS(Exe)03222-276582[email protected]l.com
Paschim MedinipurDNOSarwat Abbas, WBCS(Exe)8001347744[email protected]

District Wise Contact Details Of Insurance and TPA

DISTRICT NAMECOMPANY NAMECONTACT 
TYPE
DESIGNATIONCONTACT NAMEMOBILE
 NUMBER
E MAIL ID
ALL DISTRICTSUIICICSTATE HEADARIJIT MUKHOPADHAYA9432253777[email protected]
ALL DISTRICTSNICICSTATE HEADSRI MANISH MALLICK8335080387[email protected]
       
COOCHBEHARDHSTPADISTRICT COORDINATORSAMIRAN MAITRA8101353465[email protected]
MALDAHDHSTPADISTRICT COORDINATORMR MONIRUL ISLAM7797218739, [email protected]
MURSHIDABAD DHSTPADISTRICT COORDINATORSUMAN DUTTA9732524082[email protected]
UTTAR DINAJPURDHSTPADISTRICT COORDINATORSouvik Das9832647330[email protected]
NADIAGENINS INDIA TPADISTRICT COORDINATORAJAY DAS9073952531[email protected]
PASCHIM MEDINIPURHERITAGETPADISTRICT COORDINATORSUBHAMAY NAMATA7384030663[email protected]
PURBA MEDINIPURHERITAGETPADISTRICT COORDINATORMR RAMIM RAHMAN9830200903[email protected]
BIRBHUMMEDICARETPADISTRICT COORDINATORMR INDRANATH BATABYAL9830954554[email protected]
BURDWANMEDICARETPADISTRICT COORDINATORMR. BIPLAB BISWAS9830884343[email protected]
ALIPURDUARMEDICARE TPATPADISTRICT COORDINATORMR. SUMIT KUMAR DAS9051052224[email protected]
JALPAIGURIMEDICARE TPATPADISTRICT COORDINATORMR DEBOJIT CHOWDHURY9830604047[email protected]
NORTH  24 PARGANASMEDICARE TPATPADISTRICT COORDINATORMR. ARIFUR SARDAR9836368999[email protected]
SOUTH  24 PARGANASHeritageTPADISTRICT COORDINATORMR. MUZAMBLE AHMED9831454935[email protected]
BANKURAMEDSAVETPADISTRICT COORDINATORMR. UDAY DAS9832158325[email protected]
PURULIAMEDSAVETPADISTRICT COORDINATORMR. GOPINATH PANDAY9635386843[email protected]
DARJELLINGSAFEWAYTPADISTRICT COORDINATORUJJAL NANDI8768912070[email protected],[email protected]
DASHKIN DINAJPURSAFEWAYTPADISTRICT COORDINATORSUJAN MALLICK9614478528[email protected]
HOOGHLYSAFEWAYTPADISTRICT COORDINATORMR ARVIND KUMAR9905212899/
 7004239043
[email protected]
HOWRAHVIDAL HEALTHTPADISTRICT COORDINATORMR SWAGATA Maity8001442355[email protected]
KOLKATAVIDAL HEALTHTPADISTRICT COORDINATORMR. MITHUN BHATTACHARJEE9681224926[email protected]
COOCHBEHARDHSTPASTATE  CO-ORDINATORABHISHEK PAUL9836540521[email protected]
MALDAH &  & DHSTPASTATE  CO-ORDINATORABHISHEK PAUL9836540521[email protected]
MURSHIDABADDHSTPASTATE  CO-ORDINATORABHISHEK PAUL9836540521[email protected]
UTTAR DINAJPURDHSTPASTATE  CO-ORDINATORABHISHEK PAUL9836540521[email protected]
NADIAGENINS INDIA TPASTATE  CO-ORDINATORANIRBAN HALDER9674747273[email protected]
PASCHIM MEDINIPURHERITAGETPASTATE  CO-ORDINATORA ALAM9830804046[email protected]
PURBA MEDINIPURHERITAGETPASTATE  CO-ORDINATORA ALAM9830804046[email protected]
SOUTH 24 PARGANASHERITAGETPASTATE  CO-ORDINATORA ALAM9830804046[email protected]
BIRBHUMMEDICARETPASTATE  CO-ORDINATORSUMANTYA SANYAL9830885020[email protected]
BURDWANMEDICARETPASTATE  CO-ORDINATORSUMANTYA SANYAL9830885020[email protected]
JALPAIGURI MEDICARETPASTATE  CO-ORDINATORMR. SUMANTA SANYAL9830885020 [email protected]
ALIPURDUARMEDICARE TPASTATE  CO-ORDINATORMR. SUMANTA SANYAL9830885020 [email protected]
NORTH  24 PARGANASMEDICARE TPASTATE  CO-ORDINATORMR. SUMANTA SANYAL9830885020 [email protected]
BANKURA AND PURULIAMEDSAVETPASTATE  CO-ORDINATORMR. ANUP AGARWAL9830154185[email protected],[email protected]
BANKURA AND PURULIAMEDSAVETPASTATE  CO-ORDINATORMR. BHASKAR DAS9804192211[email protected]
DARJELLINGSAFEWAYTPASTATE  CO-ORDINATORAJAY KR. SINGH7209705191[email protected]
DASHKIN DINAJPURSAFEWAYTPASTATE  CO-ORDINATORAJAY KR. SINGH7209705191[email protected]
HOOGHLYSAFEWAYTPASTATE  CO-ORDINATORAJAY KR. SINGH7209705191[email protected]
HOWRAH and KOLKATAVIDAL HEALTHTPASTATE  CO-ORDINATORSagar Pramanik8697734728[email protected]
ALL DISTRICTSMD INDIAASSURANCE TPASTATE  CO-ORDINATORSANTANU BASU9830422027[email protected]
ALL DISTRICTSMD INDIAASSURANCE TPASTATE  CO-ORDINATORSHUBHAJIT CHAKRABORTY7003668822[email protected]
ALL DISTRICTSMD INDIAASSURANCE TPASTATE  CO-ORDINATORSUBHASIS PAL9748736447[email protected]
ALL DISTRICTSMD INDIAASSURANCE TPASTATE  CO-ORDINATORUJJAL SARKAR9748736435[email protected]

District Wise District Co.

DISTRICT NAMECONTACT TYPECONTACT NAMEMOBILE NUMBERE MAIL ID
ALIPURDUARDISTRICT CO-ORDINATORMALABIKA ROY9064749899[email protected]
ALIPURDUARDISTRICT CO-ORDINATORKamakshya Saha9832026911[email protected]
BANKURADISTRICT CO-ORDINATORPARTHA PRATIM GHOSH (IT)9474467312[email protected]
BANKURADISTRICT CO-ORDINATORSANJOY PAUL (HOSP)8389804782[email protected]
BIRBHUMDISTRICT CO-ORDINATORBIMAL KR. GHOSH (IT)9476255369[email protected]
BIRBHUMDISTRICT CO-ORDINATORKAUSHIK SAHA (HOSP)9434682500[email protected]
BURDWANDISTRICT CO-ORDINATORSUPRIYA DUTTA(H)9332308733[email protected]
BURDWANDISTRICT CO-ORDINATORAVIJIT KONER (IT)8145661051[email protected]
COOCHBEHARDISTRICT CO-ORDINATORSri Subha Prasad Dwibedi(IT)9832084433[email protected],[email protected]
COOCHBEHARDISTRICT CO-ORDINATORMithun Chanda(Hosp)9474828615[email protected]
DAKSHIN DINAJPURDISTRICT CO-ORDINATORANIMA HARI (HOSP)8335969743[email protected],[email protected]
DAKSHIN DINAJPURDISTRICT CO-ORDINATORSOUMYAJIT KUNDU (IT)7872549279[email protected]
DARJILING-SMPDISTRICT CO-ORDINATORDIBAKAR SANYAL9563349635[email protected]
HOOGHLYDISTRICT CO-ORDINATORAGNIVO PAUL (HOSP)9051850347[email protected]
HOOGHLYDISTRICT CO-ORDINATORPAPIA TARAFDAR (IT)9883447093 [email protected]
HOWRAHDISTRICT CO-ORDINATORSRI AMIT CHOWDHURY (IT)9434363944[email protected]
HOWRAHDISTRICT CO-ORDINATORMRS SUPARNA ROY (HOSP)9874833041[email protected]
MALDAHDISTRICT CO-ORDINATORPRATIK SANYAL (IT)9051232032[email protected]
MALDAHDISTRICT CO-ORDINATORSHANTANU KARMAKAR(HOSPITAL)9883700392 
MURSHIDABADDISTRICT CO-ORDINATORPRIYANKA CHATTERJEE (IT)9434853595[email protected]
MURSHIDABADDISTRICT CO-ORDINATORSOMEN SAHA (HOSP)9474579911[email protected]
NADIADISTRICT CO-ORDINATORAMIT ROY (IT)9434825990[email protected]
NADIADISTRICT CO-ORDINATORSUDIP MUKHOPADHAY (HOSP)9474777989[email protected]
NORTH 24 PARGANASDISTRICT CO-ORDINATORArpan Naskar (Hosp)8335924518[email protected]
NORTH 24 PARGANASDISTRICT CO-ORDINATORDola Mitra (IT)9836885761[email protected]
PASCHIM MEDINIPURDISTRICT CO-ORDINATORMr. Souvik De (IT)9474756610[email protected]
PASCHIM MEDINIPURDISTRICT CO-ORDINATORSabana Khatun (Hospital)7557881261[email protected]
PURBA MEDINIPURDISTRICT CO-ORDINATORRituparna Singha Hazari (Hosp)9547461264[email protected]
PURBA MEDINIPURDISTRICT CO-ORDINATORSandipan Jana (IT)9903496334[email protected]
UTTAR DINAJPURDISTRICT CO-ORDINATORMr. Kalyan Kundu (IT)9434518330[email protected]
UTTAR DINAJPURDISTRICT CO-ORDINATORROFIKUL ISLAM(HOSP)8116474034[email protected]
PURULIADISTRICT CO-ORDINATORSarabani Kundu (IT)7679647848[email protected]
PURULIADISTRICT CO-ORDINATORGourav Chatterjee (Hosp)9681709980[email protected]

Details of Insurance Company, TPA and SCSP under Swasthya Sathi Scheme

Sl noDistrictInsurance CompanyTPASCSP
1BirbhumNational Insurance Company LimitedMedicareTrack Four Infotech(I) Pvt Ltd
2BurdwanMedicareTrack Four Infotech(I) Pvt Ltd
3HooghlySafewayPho-Com Net
4HowrahVidalData Infosis
5KolkataVidalData Infosis
6MaldaDHSPho-Com Net
7NadiaGeninsPho-Com Net
8Purba MedinipurHeritageAnushmita Infotech
9Uttar DinajpurDHSInka Solution
10AlipurduarUnited India Insurance Company Ltd.MedicareTrack Four Infotech(I) Pvt Ltd
11BankuraMedsaveMedsave
12CoochbeharDHSInka Solution
13DarjeelingSafewayData Infosis
14Dakshin DinajpurSafewayData Infosis
15JalpaiguriMedicareTrack Four Infotech(I) Pvt Ltd
16MurshidabadDHSPho-Com Net
17North 24 ParganasMedicareTrack Four Infotech(I) Pvt Ltd
18Paschim MedinipurHeritagePho-Com Net
19PuruliaMedsaveMedsave
20South 24 ParganasHeritagePho-Com Net

Other Issues Related to Swasthyasathi,

Customer Care
QueriesCustomer CareWorking Hours
Service relatedToll Free Number: 1800-345-538410 AM-6PM(Monday to Friday)
Grievance relatedToll free number: 1800-345-538410 am-6pm(monday to friday)
Any other issues(customer care support)Toll free number: 1800-345-538410 am-6pm(monday to friday)

Data Source : Swasthyasahi Portal.

Subhrapratim De is a Data Entry Operator (DEO/VLE) under MGNREGA Scheme. He is working at the ground level (Gram Panchayat) since 2008 in West Bengal. He has strong background knowledge of computer system, network and operating system. He has knowledge of programming and databases too. Lastly he is a part time blogger.

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