Bhubaneswar: The Odisha government on Tuesday approved the extension of BSKY (Biju Swasthya Kalyan Yojana) benefits to child members of NFSA/SFSS families in the age group of 5 to 18 years old whose names are left out of the database of NFSA/SFSS on the production of documentary evidence by the parent to support the claim that the individual being treated is their child.
Commissioner-cum-Secretary Health & Family Welfare-cum-Chairman, State Health Assurance Society Shalini Pandit on Tuesday wrote a letter to all BSKY empanelled hospitals in this regard.
The letter states that 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, the letter added.
“In order to overcome the issue, Government have been pleased to approve that BSKY benefits may be extended to the child members of NFSA/SFSS families, in age group of 5 to 18 years old, whose names are not there in the database of NFSA/SFSS, by blocking in the name of the father/mother, on production of documentary evidence by the parent to support the claim that the individual being treated is their child,” the letter informed.
The letter further clarified that as per order No. 597 of 29th April 2022 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.