GMS

Goa Mediclaim Scheme

“Goa Mediclaim Scheme” provides financial assistance to avail super-speciality treatments that are not available in the Government Hospitals of Goa, such as dialysis, plastic surgery, ICU care, angiography and angioplasty, open-heart surgery, kidney transplantation, neurosurgery, etc.

राज्य वस्तु रूप

राज्य / केंद्र शासित प्रदेश: गोवा

नोडल विभाग: Health Services Department

योजना किसके लिए: Individual

योजना प्रोफ़ाइल

डीबीटी (प्रत्यक्ष लाभ अंतरण): नहीं

श्रेणियाँ: स्वास्थ्य और कल्याण

उप-श्रेणियाँ: Disease and conditions, Health care providers and access

लक्षित लाभार्थी: व्यक्तिगत

टैग: Medicine, Hospital, Health, Patient, Mediclaim

विवरण

“Goa Mediclaim Scheme” was launched by the Health Services Department, Government of Goa. The scheme applies to every permanent resident residing in Goa for 15 years. The objective of this scheme is to provide financial assistance to avail super-speciality treatments that are not available in the Government Hospitals of Goa, such as dialysis, plastic surgery, ICU care, angiography and angioplasty, open-heart surgery, kidney transplantation, neurosurgery, radiotherapy and chemotherapy for cancer, cochlear implants, and bone marrow transplants.

लाभ

The Nature of Sickness along with its Permitted Ceiling Limit for the Super-Specialty Treatment is given below -
Continuous Ambulatory Peritoneal Dialysis (CAPD) Treatment: ₹15,000/- per month
Dialysis: ₹15,600/- per month @ ₹1,300/- per dialysis for 12 dialysis
Plastic Surgery: ₹1,50,000/-
Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NICU), Pediatric Intensive Care Unit (PICU), Trauma Care: ₹1,50,000/-
Coronary Artery Bypass Grafting (CABG) / Percutaneous Transluminal Coronary Angioplasty (PTCA) (Angiography & Angioplasty) : ₹1,50,000/-
Open Heart Surgery (Valve replacement, Mitral Valve Replacement (MVR), Ventricular Septal Defect (VSD), Atrial Septal Defect (ASD): ₹3,00,000/-
Kidney Transplantation: ₹3,00,000/-
Neuro Surgery: ₹3,00,000/-
Radiotherapy / Chemotherapy (Cancer): ₹5,00,000/-
Cochlear Implant: ₹1,50,000/-
Spastic Child, Cerebral Palsy, Skeletal Deformities: ₹1,50,000/-

The Nature of Sickness along with its Permitted Ceiling Limit for the Super-Specialty Treatment is given below -

Continuous Ambulatory Peritoneal Dialysis (CAPD) Treatment: ₹15,000/- per month
Dialysis: ₹15,600/- per month @ ₹1,300/- per dialysis for 12 dialysis
Plastic Surgery: ₹1,50,000/-
Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NICU), Pediatric Intensive Care Unit (PICU), Trauma Care: ₹1,50,000/-
Coronary Artery Bypass Grafting (CABG) / Percutaneous Transluminal Coronary Angioplasty (PTCA) (Angiography & Angioplasty) : ₹1,50,000/-
Open Heart Surgery (Valve replacement, Mitral Valve Replacement (MVR), Ventricular Septal Defect (VSD), Atrial Septal Defect (ASD): ₹3,00,000/-
Kidney Transplantation: ₹3,00,000/-
Neuro Surgery: ₹3,00,000/-
Radiotherapy / Chemotherapy (Cancer): ₹5,00,000/-
Cochlear Implant: ₹1,50,000/-
Spastic Child, Cerebral Palsy, Skeletal Deformities: ₹1,50,000/-
Bone Marrow Transplant: ₹8,00,000/-

*The list of the hospitals recognized under this scheme, and the medical treatment covered under each hospital are provided in the scheme guidelines.
*Either the Permitted Ceiling Limit Treatment or the Actual Expense of Treatment, whichever is the least will be considered.

पात्रता

The applicant should be a permanent resident of Goa.
The applicant should be residing in Goa for 15 years, figuring in the voters' list and holding a permanent ration card.
The income of the applicant should be less than ₹1,50,000/- per annum. However, retired state government employees are eligible irrespective of their income.
The applicant should require a facility that is not available in a Government Hospital of Goa (including Goa Medical College, Bambolim and District Hospitals). However, for NICU, Ventilatory Support and Kidney Dialysis, the patient may opt for any empanelled hospital even if the facilities are available in a Government hospital.
The applicant should be suffering from a sickness/ailment that requires one of the following treatments - Continuous Ambulatory Peritoneal Dialysis (CAPD), Dialysis, Plastic Surgery, Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NICU), Pediatric Intensive Care Unit (PICU), Trauma Care, Coronary Artery Bypass Grafting (CABG) / Percutaneous Transluminal Coronary Angioplasty (PTCA) (Angiography & Angioplasty), Open Heart Surgery (Valve Replacement, Mitral Valve Replacement (MVR), Ventricular Septal Defect (VSD), Atrial Septal Defect (ASD)), Kidney Transplantation, Neuro Surgery, Radiotherapy / Chemotherapy (Cancer), Cochlear Implant, Spastic Child, Cerebral Palsy, Skeletal Deformities, and Bone Marrow Transplant.

आवेदन प्रक्रिया

Offline

The interested individual should apply to the Director of Health Services, Panaji, Goa in the prescribed form, along with the required documents.
Officer to Be Contacted: Joint Director of Accounts (Health), Directorate of Health Services, Campal, Panaji, Goa; Ph. No. 0832-2225646, Ext-214.
Detail of Office Where the Application to Be Submitted: Mediclaim Cell, S-37, Second Floor, Directorate of Health Services, Campal, Panaji-Goa.

स्पष्टीकरण

myScheme पर प्रकाशित योजना सूचना से अतिरिक्त बिंदु (कानूनी सलाह नहीं)।

Are retired state government employees eligible for the scheme?: Yes, retired state government employees are eligible and are exempt from the income ceiling requirement.
What types of treatments are covered under the scheme?: The scheme covers treatments like CAPD dialysis, plastic surgery, ICU care, open heart surgery, kidney transplantation, and cancer therapy, among others.
Can applicants choose any hospital for treatment under the scheme?: No, applicants must choose from the list of recognized hospitals under the scheme for treatment.
What is the role of the Medical Superintendent in the application process?: The Medical Superintendent of Goa Medical College must certify that the required treatment is not available in the state.
Is there a specific form to be filled out for retired government employees?: Retired government employees must submit a certified copy of their P.P.O. along with the application form.
What is the maximum financial assistance for cancer treatment under the scheme?: The maximum financial assistance for cancer treatment, including radiotherapy and chemotherapy, is 5 lakhs.
What is the financial limit for open heart surgery under the scheme?: The financial limit for open heart surgery, including valve replacement, is 3 lakhs.
Can applicants avail treatment for cochlear implants under the scheme?: Yes, cochlear implant surgery is covered under the scheme with a limit of 1.5 lakhs.
Are there any specific treatments for children covered under the scheme?: Yes, treatments for spastic children, cerebral palsy, and skeletal deformities are covered with a limit of 1.5 lakhs.
Can applicants avail treatment for neurological disorders under the scheme?: Yes, neurological disorders are covered under the scheme, with treatment available at recognized hospitals.
What is the financial limit for bone marrow transplants under the scheme?: The financial limit for bone marrow transplants is 8 lakhs under the scheme.

आधिकारिक लिंक

संदर्भ

आवेदन करें

अभी आवेदन करें

Medicine Hospital Health Patient Mediclaim

आधिकारिक आवेदन या कार्यक्रम पोर्टल नए टैब में खुलता है। संदेह हो तो मंत्रालय की साइट पर विवरण सत्यापित करें।

Documents Required for Government Schemes

Most government schemes require basic documents for verification. While the exact requirements vary, common documents include:

Aadhaar Card
Income Certificate
Caste Certificate (if applicable)
Residence Proof
Bank Account Details
Educational Certificates (for student schemes)

How to Apply for Government Schemes?

The application process for government schemes may be online or offline depending on the scheme. In most cases, you can follow these steps:

Check eligibility criteria
Collect required documents
Fill the application form
Submit the application online or at the relevant office
Track application status

यह पृष्ठ सार्वजनिक व आधिकारिक स्रोतों से योजना सूचना का सार प्रस्तुत करता है। यह कानूनी, वित्तीय या व्यावसायिक सलाह नहीं है; अधूरी या पुरानी हो सकती है; तथा सरकारी अधिसूचनाओं का स्थान नहीं लेती। आवेदन या निर्भरता से पहले पात्रता, लाभ व आवेदन चरण आधिकारिक पोर्टल या परिपत्र पर अवश्य सत्यापित करें।

हिन्दी चुनने पर साइट पर मेनू, बटन, फ़िल्टर और जहाँ उपलब्ध हो श्रेणी नाम हिन्दी में दिखाए जाते हैं। योजना का मुख्य पाठ (शीर्षक, विवरण, पात्रता, दस्तावेज़ आदि) स्रोत की भाषा में रहता है—अक्सर अंग्रेज़ी—जब तक आधिकारिक द्विभाषी या हिन्दी संस्करण उपलब्ध न हो।