SALIENT FEATURES OF THE SCHEME
- Chief Ministers Comprehensive Health Insurance Scheme launched by the Government of Tamil Nadu through United India Insurance Company Ltd a Public Sector Insurance Company headquartered at (Chennai) .
- The Scheme provides quality health care to the eligible persons through empanelled Government and Private hospitals and to reduce the financial hardship to the enrolled families and move towards universal health coverage by effectively linking with public health system.
- The Scheme provides coverage for meeting all expenses relating to hospitalization of beneficiary as defined in the Scope of the Scheme.
- The scheme seeks to provide cashless hospitalization facility for certain specified ailments/ procedures.
- The scheme provides coverage up to Rs.5, 00, 000/- per family per year on a floater basis for the ailments and procedures covered under the scheme.
- The Eligibility to avail Chief Minister’s Comprehensive Health Insurance Scheme, is as indicated for the resident of tamilnadu by the presence of his/her name in the Family card and whose annual income is less than Rs.72, 000/ per annum.
- For being eligible for benefits underthe scheme, it is sufficient to produce family card and Incomecertificate by the VAO/Revenue authorities along with the selfdeclaration of the head of the concerned family. “Family” includes the eligible member, and the members of his or her Family as detailed below:
(i) Legal spouse of the eligible person
(ii) Children of the eligible person
(iii) Dependent parents of the eligible person Provided that if any person, in any of the categories at (i), (ii) or (iii) above, finds place in the family card then it shall be presumed that the person is member of the Family and no further confirmation would be required.
- Srilankan refugees in the camps are also eligible without any Income limit.
- Migrants from other states can also join this CMCHIS based on the request letter along with a list of Eligible member’s from labour department, provided they have resided for more than six months in the state as certified by suitable authority.
- Orphans residing in any registered/unregistered organization can be given a singlecard.
- This also includes the rescued girlchildren and any other person defined as orphan by the government.