BSKY empanelled hospitals to extend benefits of the health scheme to child members of the beneficiary families

Bhubaneswar:30/8/23: The Odisha Health & Family Welfare Department has directed all BSKY empanelled hospitals to extend benefits of the health scheme to child members of the beneficiary families, in the 5 to 18 years of the age group, whose individual names are not in the NFSA/SFSS database, although the parents’ names are included in this database.

Shalini Pandit, Commissioner-cum-Secretary to Govt-cum-Chairman, State Health Assurance Society has written to all BSKY empanelled hospitals in this regard.

“It has come to the notice of the State Health Assurance Society that in some cases even though a family is covered under NFSA/SFSS, the names of some child members of a family are left out of the NFSA/SFSS database. This is due to the non-availability of vacant slots in that Block for the addition of new members to the NFSA/SFSS database. As a result, it is not possible on the part of the hospital to register and authenticate such child beneficiaries for cashless treatment under BSKY.

In order to overcome the issue, the Government has been pleased to approve that BSKY benefits may be extended to the child members of NFSA/SFSS families, in the age group of 5 to 18 years old, whose names are not there in the database NFSA/SFSS, by blocking in the name of the father/mother, on the production of documentary evidence by the parent to support the claim that the individual being treated is their child,” the letter read.

As per the order of the State Health Assurance Society, children below 5 years are already being provided coverage under BSKY on the basis of self-declaration by the cardholder that the child belongs to his/her family, the letter further reads.