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| Circular number | RBE No. 12/2011 |
|---|---|
| Date | 2011-01-27 |
| Type | Railway Board Establishment Circular / Letter |
| Topic | staff-establishment |
| Directorate | Establishment |
| Official source | indianrailways.gov.in |
Rashtriya Swasthya Bima Yojana (RSBY) to licensed
| RBE No RBE No.12/2011 | | ; सरकार GOVERNMENT OF INDIA रेल मंत्रालय MINISTRY OF RAILWAYS (रेलवे बोर्ड RAILWAY BOARD) No. 2010-E(LL)/AT/USW/1 . New Delhi, Dated :27.01.2011 The General Manager, All indian Railways. Sub.: MR’s Budget Pronouncement 2010-11 — Extension of Rashtriya Swasthya Bima Yojana (RSBY) to licensed porters, licensed vendors and licensed hawkers. In pursuance of Hon'ble Minister of Railways’ announcement while introducing the Railway Budget 2010-2011 and in fulfilment of our corporate social responsibility, it is proposed to extend Rashtriya Swasthya Bima Yojana (RSBY) to licensed porters, licensed vendors and licensed hawkers belonging to the Above Poverty Line (APL) category who are from the unorganised sector and are socially challenged. 2. The objectives of the Rashtriya Swasthya Bima Yojana are to provide financial security to the unorganised sector workers belonging to Below Poverty Line (BPL) and their families from hospitalisation related expenses, improve access to quality health care, provide beneficiaries the power of choice to select a health care provider and to provide a scheme which is simple to use for the end user and transparent. 2.4 The Rashtriya Swasthya Bima Yojana provides for smart card based cashless health insurance cover of हैं 30,000/- per annum in case of hospitalisation and certain day care procedures to a BPL family of five on a floater basis. Transportation charges are also covered upto a maximum of ₹ 1,000/- per annum with a limit of = 100/- per hospital visit. Pre and post hospitalisation expenses Up to one day prior to hospitalisation and up to five days from the date of discharge from the hospital are covered in the Yojana. All pre-existing diseases are covered from day one and there is no age limit on the enrolment of beneficiaries.. A network of health care providers is created across India through empanelment based on defined criteria. Further details of the Rashtriya Swasthya Bima Yojana could be accessed from Ministry of Labour & Employment's website: www. rsby.gov.in. 3. In the case of BPL licensed porters, licensed vendors and licensed hawkers not yet covered, Zonal Railways shall facilitate them for coverage under the existing scheme of RSBY being implemented by the concerned State Governments. -2- 4. The guidelines for extension of Rashtriya Swasthya Bima Yojana to the licensed porters, licensed vendors and licensed hawkers belonging to the above poverty line group whose records are maintained by the Railways and who are not covered under BPL category have been prepared in consultation with the Ministry of Labour & Employment and are 85 under :- (i) (il) (iii) (iv) (४ ee (vi) The Rashtriya Swasthya Bima Yojana is to be implemented through State Nodal Agencies set up to implement RSBY by the State Governments. In the States where State Nodal Agency has not been set up, a body will be identified by the State Government which will act as State Nodal Agency for this purpose. It has been decided that premium payable to be shared between the Railways and the beneficiaries would be in the ratio of 75: 25. Railways’ contribution would be to a maximum of % 565/- per family per annum or 75% of the annual premium, whichever is less. In addition to this, beneficiaries will be paying % 30/- per family per year at the time of registration. Railways are required to prepare the data of beneficiaries in the specified RSBY format on Division-basis. This is to enable the Railways to pay the premium to one authority even though the beneficiaries will be spread over one or more districts. Zonal Railways will have to make advance payment of the full premium for one year for all the beneficiaries to the State Nodal Agency which will pass that on to the Insurance Company selected through open bidding by the State Nodal Agency. Besides 75% of the premium being borne by the Railway, it would be Railways’ responsibility to collect the balance share of 25% from the
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