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

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 NAME CONTACT TYPE CONTACT NAME CONTACT NUMBER E MAIL ID
State Nodal Agency FINANCIAL ADVISER SUBIR BHATTACHARYYA 033-23576384 [email protected]
State Nodal Agency TECHNICAL OFFICER Dr. SAMERANDRA SHARMA 033-23303330 [email protected]
State Nodal Agency IT MANAGER Sk Mustaque Ahmed Siddiquee 033-23330124 [email protected]
State Nodal Agency Data Analysis, Monitoring & Education Officer Somnath Moitra 8116346916 [email protected]
State Nodal Agency Hospital Empanelment and Claims Officer Minhajuddin Ahmed 9836386475 [email protected]
State Nodal Agency Finance and administrative officer Kamal Mukherjee 9832154154  
State Nodal Agency Sr. Programmer Somenath Saha 9163110720 [email protected]
State Nodal Agency Jr. Programmer Suparna Halder 9475886662 [email protected]

 

District Wise Contact Details of District Administration: 

DISTRICT NAME CONTANCT TYPE CONTACT NAME Landline No. E MAIL ID
BANKURA DKM SRI NABA KUMAR BARMAN, WBCS(EXE.) 03242-255450 [email protected]
BANKURA DNO SRI MRINAL KANTI GUIN, WBCS(EXE.) 03242-240017 [email protected]
COOCHBEHAR DKM SRI CHIRANJIB GHOSH 03582-227103 [email protected]
COOCHBEHAR DNO LOPSANG TAMANG 03582-227114 [email protected]
BIRBHUM DKM DR. UMA SANKAR S. IAS. 03462-255272 [email protected]
BIRBHUM DNO MR. DEBDULAL PATRA. WBCS(EXE) 03462-253677 [email protected]
MALDAH DKM MRS R VIMALA,IAS 03512-253049 [email protected]
MALDAH DNO SANJAY DASGUPTA 03512-258943 [email protected]
MURSHIDABAD DKM SRI SAMANJIT SENGUPTA, WBCS(EXE) 03482-250389 [email protected]
MURSHIDABAD DNO SRI SAYAK DEB, WBCS(EXE)   [email protected]
ALIPURDUAR DKM SHRI PALDEN SHERPA, WBCS(EXE.) 03564-257587 [email protected]
ALIPURDUAR DNO MD. ASHEK RAHMAN WBCS(EXE.) 03564-255062 [email protected]
PURBA BURDWAN DKM SRI RATNESWAR ROY, WBCS(EXE.)   0342-2663335 [email protected]
PURBA BURDWAN DNO Sri Tapan Kr. Mandal, WBCS (Exe)  0342-2664448 [email protected]
PASCHIM BURDWAN DKM SANKHA SANTRA   0342-2663335 [email protected]
PASCHIM BURDWAN DNO Dr. MANAS KUMAR PANDA  7719357623 [email protected]
HOOGHLY DKM Sri Pradip Acharyya, WBCS(Exe.) 2681-2683/2612 [email protected]
HOOGHLY DNO Mallika Sengupta Mazumder, WBCS(EXE.) 033-26804332 [email protected]
HOWRAH DKM SRI ABHIJIT KUMAR LATUA, WBCS(EXE.) 033-26386474 [email protected]
HOWRAH DNO SRI DIBYENDULAL BHATTACHARYA, WBCS(EXE.) 033-26380292 [email protected]
JALPAIGURI DKM MOLOY HALDER, WBCS(EXE.) 03561-231101 [email protected]
JALPAIGURI DNO SMT SHRADDHA SUBBA, WBCS(EXE.) 03561-231079 [email protected]
KOLKATA DKM SRI TAPAS CHOWDHURY ,IAS 033-22861271 [email protected]
KOLKATA DNO SRI KALICHARAN BANERJEE 033-22520416 [email protected]
NORTH 24 PARGANAS DKM SRI RAHUL MAJUMDER, WBCS(EXE) 033-2584-6213 [email protected]
NORTH 24 PARGANAS DNO SRI JAGANNATH BHAR, WBCS(EXE) 8697982620  [email protected]
NADIA DKM SRI SEKHAR SEN, WBCS(EXE) 03472-252233 [email protected]
NADIA DNO SRI SACHCHIDANANDA BANDOPADHYAY, WBCS(EXE) 03472-252105 [email protected]
PURBA MEDINIPUR DKM SRI RATNESWAR ROY, WBCS(EXE.) 0322-8263222 [email protected]
PURBA MEDINIPUR DNO BISWAJIT DUTTA GUPTA, WBCS(EXE.) 0322-8263091 [email protected] /[email protected] gov.in
PURULIA DKM SRI PRABAL KANTI MAITY, WBCS(EXE) 03252-223141 [email protected]
PURULIA DNO SRI NILANJAN BHATTACHARYA, WBCS(EXE) 03252-224573 [email protected]
SOUTH 24 PARGANAS DKM Sri Sagar Chakraborty, WBCS(EXE) 033-24791233  [email protected]
SOUTH 24 PARGANAS DNO Smt. Mahua Das, WBCS(EXE) 033-24792067  [email protected]
SOUTH DINAJPUR DKM Kausick Kumar Nag, WBCS(EXE) 03522-255248  [email protected]
SOUTH DINAJPUR DNO Hemanta Ghosh, WBCS(EXE) 03522-255555  [email protected]
DARJEELING (SMP) DKM SHIRAZ DANESHYAR, I.A.S 03532-529021 [email protected]
DARJEELING (SMP) DNO SHRI. SAMIR MARDI, WBCS(EXE) 03532-525213 [email protected]
DARJEELING (GTA) DKM Sri Wangycl Zimba(OSD,GTA) 03532-529021 [email protected],[email protected]
DARJEELING (GTA) DNO Sri SAMDEN DUKPA 9434425806 [email protected]
UTTAR DINAJPUR DKM SRI SHASHI KUMAR CHOUDHURY, WBCS(EXE) 03523-246474 [email protected]
UTTAR DINAJPUR DNO SRI. SHUBHRAJIT GUPTA, WBCS(EXE) 9434421167 [email protected]
Paschim Medinipur DKM Susanta Chakraborty, WBCS(Exe) 03222-276582 [email protected]
Paschim Medinipur DNO Sarwat Abbas, WBCS(Exe) 8001347744 [email protected]

District Wise Contact Details Of Insurance and TPA

DISTRICT NAME COMPANY NAME CONTACT 
TYPE
DESIGNATION CONTACT NAME MOBILE
 NUMBER
E MAIL ID
ALL DISTRICTS UIIC IC STATE HEAD ARIJIT MUKHOPADHAYA 9432253777 [email protected]
ALL DISTRICTS NIC IC STATE HEAD SRI MANISH MALLICK 8335080387 [email protected]
             
COOCHBEHAR DHS TPA DISTRICT COORDINATOR SAMIRAN MAITRA 8101353465 [email protected]
MALDAH DHS TPA DISTRICT COORDINATOR MR MONIRUL ISLAM 7797218739,  [email protected]
MURSHIDABAD  DHS TPA DISTRICT COORDINATOR SUMAN DUTTA 9732524082 [email protected]
UTTAR DINAJPUR DHS TPA DISTRICT COORDINATOR Souvik Das 9832647330 [email protected]
NADIA GENINS INDIA  TPA DISTRICT COORDINATOR AJAY DAS 9073952531 [email protected]
PASCHIM MEDINIPUR HERITAGE TPA DISTRICT COORDINATOR SUBHAMAY NAMATA 7384030663 [email protected]
PURBA MEDINIPUR HERITAGE TPA DISTRICT COORDINATOR MR RAMIM RAHMAN 9830200903 [email protected]
BIRBHUM MEDICARE TPA DISTRICT COORDINATOR MR INDRANATH BATABYAL 9830954554 [email protected]
BURDWAN MEDICARE TPA DISTRICT COORDINATOR MR. BIPLAB BISWAS 9830884343 [email protected]
ALIPURDUAR MEDICARE TPA TPA DISTRICT COORDINATOR MR. SUMIT KUMAR DAS 9051052224 [email protected]
JALPAIGURI MEDICARE TPA TPA DISTRICT COORDINATOR MR DEBOJIT CHOWDHURY 9830604047 [email protected]
NORTH  24 PARGANAS MEDICARE TPA TPA DISTRICT COORDINATOR MR. ARIFUR SARDAR 9836368999 [email protected]
SOUTH  24 PARGANAS Heritage TPA DISTRICT COORDINATOR MR. MUZAMBLE AHMED 9831454935 [email protected]
BANKURA MEDSAVE TPA DISTRICT COORDINATOR MR. UDAY DAS 9832158325 [email protected]
PURULIA MEDSAVE TPA DISTRICT COORDINATOR MR. GOPINATH PANDAY 9635386843 [email protected]
DARJELLING SAFEWAY TPA DISTRICT COORDINATOR UJJAL NANDI 8768912070 [email protected],[email protected]
DASHKIN DINAJPUR SAFEWAY TPA DISTRICT COORDINATOR SUJAN MALLICK 9614478528 [email protected]
HOOGHLY SAFEWAY TPA DISTRICT COORDINATOR MR ARVIND KUMAR 9905212899/
 7004239043
[email protected]
HOWRAH VIDAL HEALTH TPA DISTRICT COORDINATOR MR SWAGATA Maity 8001442355 [email protected]
KOLKATA VIDAL HEALTH TPA DISTRICT COORDINATOR MR. MITHUN BHATTACHARJEE 9681224926 [email protected]
COOCHBEHAR DHS TPA STATE  CO-ORDINATOR ABHISHEK PAUL 9836540521 [email protected]
MALDAH &  &  DHS TPA STATE  CO-ORDINATOR ABHISHEK PAUL 9836540521 [email protected]
MURSHIDABAD DHS TPA STATE  CO-ORDINATOR ABHISHEK PAUL 9836540521 [email protected]
UTTAR DINAJPUR DHS TPA STATE  CO-ORDINATOR ABHISHEK PAUL 9836540521 [email protected]
NADIA GENINS INDIA  TPA STATE  CO-ORDINATOR ANIRBAN HALDER 9674747273 [email protected]
PASCHIM MEDINIPUR HERITAGE TPA STATE  CO-ORDINATOR A ALAM 9830804046 [email protected]
PURBA MEDINIPUR HERITAGE TPA STATE  CO-ORDINATOR A ALAM 9830804046 [email protected]
SOUTH 24 PARGANAS HERITAGE TPA STATE  CO-ORDINATOR A ALAM 9830804046 [email protected]
BIRBHUM MEDICARE TPA STATE  CO-ORDINATOR SUMANTYA SANYAL 9830885020 [email protected]
BURDWAN MEDICARE TPA STATE  CO-ORDINATOR SUMANTYA SANYAL 9830885020 [email protected]
JALPAIGURI  MEDICARE TPA STATE  CO-ORDINATOR MR. SUMANTA SANYAL 9830885020  [email protected]
ALIPURDUAR MEDICARE  TPA STATE  CO-ORDINATOR MR. SUMANTA SANYAL 9830885020  [email protected]
NORTH  24 PARGANAS MEDICARE  TPA STATE  CO-ORDINATOR MR. SUMANTA SANYAL 9830885020  [email protected]
BANKURA AND PURULIA MEDSAVE TPA STATE  CO-ORDINATOR MR. ANUP AGARWAL 9830154185 [email protected],[email protected]
BANKURA AND PURULIA MEDSAVE TPA STATE  CO-ORDINATOR MR. BHASKAR DAS 9804192211 [email protected]
DARJELLING SAFEWAY TPA STATE  CO-ORDINATOR AJAY KR. SINGH 7209705191 [email protected]
DASHKIN DINAJPUR SAFEWAY TPA STATE  CO-ORDINATOR AJAY KR. SINGH 7209705191 [email protected]
HOOGHLY SAFEWAY TPA STATE  CO-ORDINATOR AJAY KR. SINGH 7209705191 [email protected]
HOWRAH and KOLKATA VIDAL HEALTH TPA STATE  CO-ORDINATOR Sagar Pramanik 8697734728 [email protected]
ALL DISTRICTS MD INDIA ASSURANCE TPA STATE  CO-ORDINATOR SANTANU BASU 9830422027 [email protected]
ALL DISTRICTS MD INDIA ASSURANCE TPA STATE  CO-ORDINATOR SHUBHAJIT CHAKRABORTY 7003668822 [email protected]
ALL DISTRICTS MD INDIA ASSURANCE TPA STATE  CO-ORDINATOR SUBHASIS PAL 9748736447 [email protected]
ALL DISTRICTS MD INDIA ASSURANCE TPA STATE  CO-ORDINATOR UJJAL SARKAR 9748736435 [email protected]

District Wise District Co.

DISTRICT NAME CONTACT TYPE CONTACT NAME MOBILE NUMBER E MAIL ID
ALIPURDUAR DISTRICT CO-ORDINATOR MALABIKA ROY 9064749899 [email protected]
ALIPURDUAR DISTRICT CO-ORDINATOR Kamakshya Saha 9832026911 [email protected]
BANKURA DISTRICT CO-ORDINATOR PARTHA PRATIM GHOSH (IT) 9474467312 [email protected]
BANKURA DISTRICT CO-ORDINATOR SANJOY PAUL (HOSP) 8389804782 [email protected]
BIRBHUM DISTRICT CO-ORDINATOR BIMAL KR. GHOSH (IT) 9476255369 [email protected]
BIRBHUM DISTRICT CO-ORDINATOR KAUSHIK SAHA (HOSP) 9434682500 [email protected]
BURDWAN DISTRICT CO-ORDINATOR SUPRIYA DUTTA(H) 9332308733 [email protected]
BURDWAN DISTRICT CO-ORDINATOR AVIJIT KONER (IT) 8145661051 [email protected]
COOCHBEHAR DISTRICT CO-ORDINATOR Sri Subha Prasad Dwibedi(IT) 9832084433 [email protected],[email protected]
COOCHBEHAR DISTRICT CO-ORDINATOR Mithun Chanda(Hosp) 9474828615 [email protected]
DAKSHIN DINAJPUR DISTRICT CO-ORDINATOR ANIMA HARI (HOSP) 8335969743 [email protected],[email protected]
DAKSHIN DINAJPUR DISTRICT CO-ORDINATOR SOUMYAJIT KUNDU (IT) 7872549279 [email protected]
DARJILING-SMP DISTRICT CO-ORDINATOR DIBAKAR SANYAL 9563349635 [email protected]
HOOGHLY DISTRICT CO-ORDINATOR AGNIVO PAUL (HOSP) 9051850347 [email protected]
HOOGHLY DISTRICT CO-ORDINATOR PAPIA TARAFDAR (IT) 9883447093  [email protected]
HOWRAH DISTRICT CO-ORDINATOR SRI AMIT CHOWDHURY (IT) 9434363944 [email protected]
HOWRAH DISTRICT CO-ORDINATOR MRS SUPARNA ROY (HOSP) 9874833041 [email protected]
MALDAH DISTRICT CO-ORDINATOR PRATIK SANYAL (IT) 9051232032 [email protected]
MALDAH DISTRICT CO-ORDINATOR SHANTANU KARMAKAR(HOSPITAL) 9883700392  
MURSHIDABAD DISTRICT CO-ORDINATOR PRIYANKA CHATTERJEE (IT) 9434853595 [email protected]
MURSHIDABAD DISTRICT CO-ORDINATOR SOMEN SAHA (HOSP) 9474579911 [email protected]
NADIA DISTRICT CO-ORDINATOR AMIT ROY (IT) 9434825990 [email protected]
NADIA DISTRICT CO-ORDINATOR SUDIP MUKHOPADHAY (HOSP) 9474777989 [email protected]
NORTH 24 PARGANAS DISTRICT CO-ORDINATOR Arpan Naskar (Hosp) 8335924518 [email protected]
NORTH 24 PARGANAS DISTRICT CO-ORDINATOR Dola Mitra (IT) 9836885761 [email protected]
PASCHIM MEDINIPUR DISTRICT CO-ORDINATOR Mr. Souvik De (IT) 9474756610 [email protected]
PASCHIM MEDINIPUR DISTRICT CO-ORDINATOR Sabana Khatun (Hospital) 7557881261 [email protected]
PURBA MEDINIPUR DISTRICT CO-ORDINATOR Rituparna Singha Hazari (Hosp) 9547461264 [email protected]
PURBA MEDINIPUR DISTRICT CO-ORDINATOR Sandipan Jana (IT) 9903496334 [email protected]
UTTAR DINAJPUR DISTRICT CO-ORDINATOR Mr. Kalyan Kundu (IT) 9434518330 [email protected]
UTTAR DINAJPUR DISTRICT CO-ORDINATOR ROFIKUL ISLAM(HOSP) 8116474034 [email protected]
PURULIA DISTRICT CO-ORDINATOR Sarabani Kundu (IT) 7679647848 [email protected]
PURULIA DISTRICT CO-ORDINATOR Gourav Chatterjee (Hosp) 9681709980 [email protected]

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

Sl no District Insurance Company TPA SCSP
1 Birbhum National Insurance Company Limited Medicare Track Four Infotech(I) Pvt Ltd
2 Burdwan Medicare Track Four Infotech(I) Pvt Ltd
3 Hooghly Safeway Pho-Com Net
4 Howrah Vidal Data Infosis
5 Kolkata Vidal Data Infosis
6 Malda DHS Pho-Com Net
7 Nadia Genins Pho-Com Net
8 Purba Medinipur Heritage Anushmita Infotech
9 Uttar Dinajpur DHS Inka Solution
10 Alipurduar United India Insurance Company Ltd. Medicare Track Four Infotech(I) Pvt Ltd
11 Bankura Medsave Medsave
12 Coochbehar DHS Inka Solution
13 Darjeeling Safeway Data Infosis
14 Dakshin Dinajpur Safeway Data Infosis
15 Jalpaiguri Medicare Track Four Infotech(I) Pvt Ltd
16 Murshidabad DHS Pho-Com Net
17 North 24 Parganas Medicare Track Four Infotech(I) Pvt Ltd
18 Paschim Medinipur Heritage Pho-Com Net
19 Purulia Medsave Medsave
20 South 24 Parganas Heritage Pho-Com Net

Other Issues Related to Swasthyasathi,

Customer Care
Queries Customer Care Working Hours
Service related Toll Free Number: 1800-345-5384 10 AM-6PM(Monday to Friday)
Grievance related Toll free number: 1800-345-5384 10 am-6pm(monday to friday)
Any other issues(customer care support) Toll free number: 1800-345-5384 10 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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