Objective of Rashtriya Swasthiya Bima Yojana Recognizing the diversity with regard to public health infrastructure, socio-economic conditions and the administrative network, the health insurance scheme aims to facilitate launching of health insurance projects in all the districts of the States in a phased manner for BPL workers.
The workers in the unorganized sector constitute about 93% of the total workforce in the country. The Government has been implementing some social security measures for certain occupational groups but the coverage is miniscule. Majority of the workers are still without any social security coverage.
However, most efforts to provide health insurance in the past have faced difficulties in both design and implementation. The poor are unable or unwilling to take up health insurance because of its cost, or lack of perceived benefits. Organizing and administering health insurance, especially in rural areas.
Recognizing the need for providing social security to these workers, the Central Government has introduced a Bill in the Parliament. One of the major insecurities for workers in the unorganized sector is the frequent incidences of illness and need for medical care and hospitalization of such workers and their family members. Despite the expansion in the health facilities, illness remains one of the most prevalent causes of human deprivation in India. It has been clearly recognized that health insurance is one way of providing protection to poor households against the risk of health spending leading to poverty.
- It will be the responsibility of the implementing agencies to verify the eligibility of the unorganized sector workers and his family members who are proposed to be benefited under the scheme.
- The beneficiaries will be issued smart cards for the purpose of identification.
- Unorganized sector workers belonging to the BPL category and their family members (a family unit of five) shall be the beneficiaries under the scheme.
- The unorganized sector worker and his family (unit of five) will be covered. Total sum insured would be Rs. 30,000/- per family per annum on a family floater basis.
- All pre-existing diseases to be covered
- Transportation costs (actual with a maximum limit of Rs. 100 per visit) within an overall limit of Rs.1000.
- Cashless attendance for all covered ailments
- Hospitalization expenses, taking care of most common illnesses with as little exclusion as possible
Health and Family Welfare Ministry to Implement RSBY Scheme from April 1, 2015
The RSBY, the health insurance scheme for BPL (below poverty line) families was launched for the workers in the unorganized sector in the FY 2007-08 and it became fully operational from 1st April 2008.
The Rashtriya Swasthya Bima Yojna (RSBY ) of the Labour and Employment Ministry will be implemented by the Ministry of Health and Family Welfare. In pursuance of a recent policy decision of the Government, the Labour and Employment Ministry is handing over the RSBY scheme to the Ministry of Health and Family Welfare with effect from 1st April 2015. It provides for IT-enabled and smart–card-based cashless health insurance, including maternity benefit cover up to Rs. 30,000/- per annum on a family floater basis to BPL families (a unit of five) and 11 occupational groups in the unorganized sector. The “Unorganized workers social Security Act, 2008” came into operation w.e.f 31st December 2008 and it encompassed ten social security schemes benefiting the unorganized workers including the RSBY.