Meghalaya Health Insurance Scheme (MHIS) is a health insurance plan launched by the Meghalaya government. This scheme focuses on offering free medical insurance welfares for the underprivileged sectors of the civilization. This Meghalaya Health Insurance Scheme (MHIS) can be occupied by anybody residing in Meghalaya excluding for central and state government personnel.

Summary:

This Meghalaya Health Insurance Scheme (MHIS) keep an eye on the structure of the Rashtriya Swasthya Bima Yojana (RSBY) by the central government, which was planned to offer medical insurance exposure for poor and needy individuals.

Key Features of the Meghalaya Health Insurance Scheme (MHIS)

Source :- https://mhis . org . in/

Key Features of the Meghalaya Health Insurance Scheme (MHIS)

Some distinguishing features of the Meghalaya Health Insurance Scheme (MHIS) are provided below:

More than 1 family member can obtain treatment in this Meghalaya Health Insurance Scheme (MHIS) at a single time.

Some assured hospitals are impaneled outer the Meghalaya state for the assistance of this particular policy’s members.

As stated before, this Meghalaya Health Insurance Scheme (MHIS) follows the Rashtriya Swasthya Bima Yojana (RSBY) agenda. Recipients will get the Rashtriya Swasthya Bima Yojana (RSBY) smart card, to get coverage deals and added benefits in excess of the existing welfares provided by the RSBY.

Coverage is obtainable for admission in the general ward, private ward, or thorough care unit. But, recipients must recompense a little additional money for the private ward admittance.

The extreme benefit an individual can gain at a single time is INR 2.5 lakh for the tertiary care and severe care cures.

Benefits Of The Meghalaya Health Insurance Scheme (MHIS)

Source :- shillongtoday . com

Benefits Of The Meghalaya Health Insurance Scheme (MHIS)

The Meghalaya Health Insurance Scheme (MHIS) delivers cashless treatment reimbursements for the enrolled members of MHIS. The Meghalaya government compensates the premium burdens valid for the policy cover. At the time of medical action taken, the pledged members have to bring their RSBY smart card to get cashless medical action in the impaneled hospitals or centers.

The Cashless Treatment Benefit

This is based on the programmed package charges for particular medical conditions. Facts concerning the package charges, claim status, impaneled hospitals, and so many more can be retrieved from the Meghalaya Health Insurance scheme’s (MHIS) official website.

  • Coverage for the already existing diseases is available under this scheme
  • Senior citizens get additional coverage of INR 30000/-
  • Under this scheme, there is daycare medical action is provided for some specific treatment
  • This scheme provides hospitalization benefits of INR 2.8 lakh for up to 5 family members (Only if you have taken up the family floater cover)

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Summary:

These covers are in force for one year only. After 1 year, you have to renew your smart card by repaying the mandatory enrollment charge.

Exclusions of the Meghalaya Health Insurance Scheme (MHIS)

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Exclusions of the Meghalaya Health Insurance Scheme (MHIS)

Here are the exclusions of the Meghalaya Health Insurance Scheme (MHIS) given below:

Illnesses or injuries produced by nuclear activity or war

Self-inflicted wounds or suicide attempt

Sterilization or fertility associated treatments

Inherited external ailments

Any kind of aesthetic or cosmetic treatments

Any diseases produced because of alcohol or drugs

Disorders that don’t need hospitalization

Who are eligible for the Meghalaya Health Insurance Scheme (MHIS)?

Only the electoral roll will be able to get this scheme.

This scheme is obtainable for individuals resides in Meghalaya

State and Central government workers will not be covered under this scheme.

Up to five members, the insured family will be able to enroll under this scheme (only on the family floater insurance)

There is no specific age limit in the Meghalaya Health Insurance Scheme (MHIS)

The process of Enrollment to The Meghalaya Health Insurance Scheme (MHIS)

Source :- https://www.m3india . in/contents/news/83662/meghalaya-cabinet-approved-health-insurance

The process of Enrollment to The Meghalaya Health Insurance Scheme (MHIS)

The process for the enrollment is mainly physical and includes the assortment of the biometric information and the identity proofs (IDs). The process is as follows:

You will have to provide the needed documents to the insurance policy company at first.

The backup plan will facilitate with the area level authorities to think of an enlistment plan for different towns in a region.

The enlistment date will be declared for every town well ahead of time. Enlistment focuses will be set up in every town on an explicit date.

The enlistment focus will gather the recipient’s fingerprints, photography, personality evidence, and so forth.

A smart card that contains all the gathered data will be printed and gave to the recipient in the enlistment focus.

To register in this plan, the beneficiary will have to pay INR 50/- for the enrollment fee.

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