Himachal Health Care Scheme-HIMCARE

Himachal Health Care Scheme-HIMCARE

Contact Lokmitra Kendra-DODHAMB

Under Ayushman Bharat, families have been selected by the Government of India on the basis of SECC, 2011 and RSBY. For providing the cashless treatment coverage on the analogy of Ayushman Bharat to the left out families, the State is implementing Himachal Health Care Scheme (HIMCARE) since 1^st January, 2019.

Under HIMCARE Scheme, cashless treatment coverage up to Rs. 5.00 lakh per year per family is being provided on family floater basis. In case of more than five members, the remaining members are being enrolled as a separate unit subject to the capping of five members for each such additional unit.

This scheme is being implemented on co-payment basis. Under this scheme, differential premium rates have been decided based on the categories.

Category	Target group	Premium amount
I	BPL (Not covered under Ayushman Bharat) Registered Street Vendors (Not covered under Ayushman Bharat) MNREGA worker who have worked minimum 50 days under MNREGA during previous financial year or current financial year.	Zero
II	Ekal Naaris Disabled >40% Sr. Citizens above 70 years of age Anganwari Workers Anganwari Helpers ASHA workers Mid-Day meal workers Daily Wage Workers (Govt., Autonomous Bodies, Societies, Boards & Corporations etc. under the control of State Government), Part Time Workers (Govt., Autonomous Bodies, Societies, Boards & Corporations etc. under the control of State Government) Contractual Employees (Govt., Autonomous Bodies, Societies, Boards & Corporations etc. under the control of State Government) Outsource Employees	Rs. 365 per year
III	Beneficiaries not covered under category-I and category-II or who are not Govt. servants/pensioners or their dependent family members.	Rs. 1000 per year

 

Following documents are mandatory for enrollment under HIMCARE:

 

Category	Documents required for authentication
BPL	Copy of BPL certificate attested by the Panchayat Secretary within previous one month.
Registered Street Vendors	Registration Certificate attested by the Executive Officer, MC/NP/NAC within previous one month.
MNREGA Worker	MNREGA Job Card and Online MIS Report indicating 50 days work under MNREGA in previous or current financial year duly attested by concerned Panchayat Secretary/BDO.
Ekal Naaris	Certificate to be issued by Child Development Program Officer (CDPO) of the concerned area and shall include Widows/Divorced/Legally Separated /Unmarried more than 40 years.
Disabled >40%	Medical Disability Certificate showing permanent disability.
Sr. Citizens above 70 years of age	Any valid age proof
Anganwari Workers/Helpers	Certificate from Child Development Program Officer (CDPO) of the concerned area.
ASHA workers	Certificate from Block Medical Officer (BMO) of the concerned area.
Mid-Day meal workers	Certificate from Block Elementary Education Officer of the concerned area.
Contractual Employees	Certification from concerned Department
Daily Wage Worker	Certification from concerned Department
Part Time Workers	Certification from concerned Department
Outsource Employees	Certification from concerned Department

 

E-card on the analogy of Ayushman Bharat is being issued to the families. The beneficiary can apply through online system directly by visiting www.hpsbys.in or through Lok Mitra Kendra/Common Service Centers for enrollment and uploading relevant documents under the scheme