With an intention to streamline the Pradhan Mantri Garib Kalyan Package deal (PMGKP) insurance coverage scheme, to offer reduction to well being employees battling in opposition to COVID-19, the federal government introduced that the claims will now be licensed by the district collectors of the respective state governments and insurance coverage firms will approve, settle the claims inside a interval of 48 hours. In line with an announcement launched by the Ministry of Well being on Tuesday, June 1, the transfer comes after some states raised issues that the processing of the insurance coverage claims was getting delayed.
The federal government has prolonged the Pradhan Mantri Garib Kalyan Package deal insurance coverage scheme by one 12 months, with impact from April 24, 2021. The insurance coverage scheme for well being employees was initially launched on March 30, 2020, for a interval of 90 days with an intention to offer a complete private accident cowl of Rs. 50 lakh to all COVID-19 frontline healthcare employees. The scheme additionally covers non-public well being employees recognized by the federal government treating COVID-19 sufferers and for many who got here in direct contact with contaminated sufferers, being at a excessive threat of contracting the an infection.
The insurance coverage scheme for well being employees is being carried out by way of an insurance coverage coverage from the New India Assurance Firm or NIACL. In line with the federal government, the insurance coverage coverage scheme has been prolonged twice up to now.
‘Pradhan Mantri Garib Kalyan Package deal’ insurance coverage scheme streamlined: This is what it is advisable to know
- In line with the federal government, the brand new system is launched for the fast approval of claims and to simplify the method of the insurance coverage scheme for well being employees. As per the brand new instructions, the claims will likely be authorized by the state authorities on the degree of the District Collector.
- The well being ministry added that the District Collector will certify the declare in every case in accordance with the SoPs (customary working process) of the insurance coverage scheme.
- Primarily based upon the certificates of the District Collector, the insurance coverage firm will approve and settle the claims for the well being employees inside a interval of 48 hours. In an effort to preserve uniformity, the District Collector may even certify the claims in instances of central authorities hospitals or AIIMS/railways and many others.
- The well being ministry acknowledged that the brand new system for relieving the insurance coverage scheme comes into impact instantly and has knowledgeable all states authorities, union territory administrations for a similar.