Scheme

The name of the scheme is HIMACHAL PRADESH UNIVERSAL HEALTH PROTECTION SCHEME (HPUHPS). To improve access, of enrolled beneficiaries and their families to quality healthcare for cashless treatment of diseases involving hospitalization through empanelled healthcare providers. There will be no family cap. Maximum five members can be enrolled in a smart card so if the family size will be more than five, one additional card will be given to the family. Pre-existing conditions/diseases are covered from the first day of the start of Policy. Coverage of health services related to surgical nature for defined procedures shall also be provided on a day care basis. Pre and post hospitalization costs up to 1 day prior to hospitalization and up to 5 days from the date of discharge from the hospital shall be part of the package rates under basic Package. And up to 15 day prior to hospitalization and up to 60 days from the date of discharge from the hospital shall be part of the package rates under critical care Package. The benefit will be provided through only smart card. Inpatient Cover of Rs. 30,000/- per family (5 members) per annum, Critical Diseases Rs. 1,75,000/-, For Cancer Patients Rs. 2,25,000/-. Beneficiary family will pay Rs. 1 per day /Rs. 365 per year. Additional card will be issued for family having more than five members Rs. 1/- per day.