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Wednesday, 15 June 2016

Deen Dayal Swasthya Seva Yojana (Medical Insurance Scheme)



Deen Dayal Swasthya Seva Yojana  DDSSY
(Universal Medical Insurance Scheme)

https://www.flickr.com/photos/joegoaukextra3/27407953270/

18.05.23
Renewal date further extended - Restarts from May 18 till 30th June, 2023
One can also renew it online

1.4.2023
Renewal last date extended till 30th April 2023.
NT Ad

19.2.2023
DDSSY renewal due for April 2023-March 2024
Online renewal opens from 20.2.23. Same premium Rs.200 or 300
Ref. Advt in NT 19.2.23

31.3.2022
Free Auto-renewal of DDSSY scheme again for 2022-2023 (April-March)
No need to renew, no need to pay renewal premium of Rs.200 / Rs.300
Government will bear the cost of renewal premium which is about 8 crores

New registration etc can also be done online, try here


26.6.2021
Cover for Covid treatment in Pvt Hospitals under DDSSY suspended again eff  14.6.2021
Herald news headline pg 2 dtd 21.6.21 reads "Govt Pulls out DDSSY scheme from Private Hospitals: Leaves patients in lurch"
DDSSY Consultant Dr. Balkrishna Pai confirmed  Govt had issued an order on June 14 to Pvt Hospitals halting DDSSY payments for treatment of Covid patients.

It also say the Govt earlier Order was for one month only and now there is ample space at Govt Hospitals in terms of bed availability.
Also, Govt capped rates for Pvt Hospitals are valid till June 30, 2021

15.5.2021 

Good news for DDSSY card holders

Due to overcharging etc  by Pvt Hospitals,  Goa Govt taking over 50% of the bed capacity of the 21 Pvt. empanelled Covid hospitals in the State under disaster Management Act?  Eff Monday 17th May 2021. Order will be out by tomorrow Sunday.

Admission etc will be managed by the Govt (Mgt, Doctors Nurses remain with the Pvt hospital)

Which means DDSSY beneficiaries will get 100% free treatment in Pvt Covid hospitals (earlier upto 80% was to be borne by the Govt under the scheme)

Chief Minister Pramod Sawant announced today

List of 21 pvt hospitals

https://www.flickr.com/photos/joegoauk67/51187588058/

DDSSY Cover/benefits withdrawn once again - see above update 26.6.21

7.5.21
Free Auto-renewal of DDSSY scheme 
Goa Chief Minister on 6.5.21 said all the scheme will be renewed automatically free of cost - No need to pay annual premium as did over the past years.  Even those who did not pay premium last years will be covered and those who have not enrolled for the DDSSY scheme yet can also do now visiting centres or apply online

6.5.21
The Pvt. Hospital treatment now officially notified dtd 5.5.21
Room charges will be paid on general ward basis i.e. Even if the patient takes twin sharing room or single room, he will be paid Rs.8000 per day only* and difference shall be borne by the patient.  ICU Charges Rs.19,200*.  Extras if any shall be borne by the beneficiary (Patient). Extra such as Diagnostic interventions, Special drugs, Use of special equipment,Other special procedures/surgery, Extra oxygen flow other than ICU etc

*Subject to Maximum 10 days from the date of admission. More than 10 days, then extra days to be borne by the patient.

The above packages rates 8000/19200 include- Admission charges, intensivist, primary and specialist consultant charges, bed charges, nursing resident doctor, diet, PPE kits for staff, X-Ray, ECG, USG, 2D Echo, cardiac monitor, infusion pump, catheterization, CBC, FBSI, PPBSI, HBA1c, creatinine, liver function test, blood group, routine medicine including a multivitamin, vitamin C, zinc, vitamin D, Paracacetamol, antacid, anti-allergy, HCQ, Azithromycin, Doxycycline, levofloxacin and dexamethasone, ivermectin, dietary changes.

2.5.21

Max. per day Charges for Pvt Hospitals capped at 19.2K?

Beware!!

With extras, you could be paying twice as much..

A Kovid patient spent 5 days in Margao Hospital and his bill reportedly Rs.2.20 Lacs i.e. 44K per day (NT front page today)

Next, you may want to know if it was covered under DDSSY?

The Hospital denied saying no official order from Govt yet.

Looks like the patient was admitted on 26 or 27th April.

On 28th April Goa CM announced KOVID treatment now come under DDSSY Insurance Scheme and that patient will have to bear upto 30% of the bill (66K in above case)  See update above

May be the Govt needs to come out with notification to this effect..

DDSSY Cover/benefits withdrawn once again - see above update 26.6.21

28.4.2021
DDSSY cover for Covid care in Pvt Hospitals
Goa Chief Minister announced the Covid treatment in Pvt Hospitals now come under DDSSY scheme (partly) and said 70-80% will be borne by the Govt under the scheme. 
 and as such the patient may have to pay upto 30% of the total bill. 
See update above
Pvt Hospitals charges further reduced (Govt Capped rates eff 23rd April 2021)
as follows
General ward Rs.8000 (reduced from 10,000)
Twin sharing room Rs.10,400 (from 13,000)
Single Pvt room Rs12,800 (from 16,000)
ICU Charges Rs.19,200 (from 24,000)


Above charges includes all charges and fees except diagnostic interventions, use of special drugs and equipment, other surgical procedures and extra oxygen flow etc

If patient spends 10 days in General ward his  bill would be 80,000 plus charges for special drugs, equipment etc (as above) then total bill say 1,00,000 of which patient will have to pay upto Rs.30,000

Similarly, if patent spent 10 days in ICU his total bill could be say 2,00,000 (1,92,000 + extra if any as above) of which the patient may have to pay Rs.60,000
DDSSY Cover/benefits withdrawn once again - see above update 26.6.21

11.10.2020
Cover for Covid-19 treatment under DDSSY scheme suspended, notification cancelled..
VishwajitRane
@visrane
After deliberation with Hon’ble CM
@DrPramodPSawant
, we have decided to cancel the notification issued to cover Covid-19 treatment under DDSSY. A fresh notification will be issued in consultation with the Hon’ble CM.

08.10.2020
Covid / Corona treatment now covered under the Schemes DDSSY.
Mild Covid cases upto Rs.4600 per day (Rs.64,400)
Severe Covid cases upto Rs.6,600 per day (Rs.92,400)
Patients with DDSY cards can now opt for treatment in dedicated Pvt Hospitals. 
Please note their actual bill in Pvt Hospital could be lot more e.g. General ward bed charges Rs.10,000 per day, Twin sharing room 13,000 per day, Pvt Room Rs.16,000  per day, 
ICU charges 24,000 per day etc (Govt Capped / revised rates for Pvt Hospital)
see update above 11.10.20

Renewal time extended till 30th September 2020

Update July 1, 2020
Renewal DDSSY card is due  from July 2020
You can now also pay or renew online, updating info/adding new member also possible.
I just renewed our card online here


Please note, you have to register  with goaonline if you have not already registered.
If you paid water bills or light bills goaonline before then you are probably registered in which case you will have to login.   For onetime registration, you phone, address and adhar Card required.

Those who are unable to pay online then wait for SMS as in past years and only then go for payment at designated centres as notified in the SMS / Text that you will receive on you cellphone

Update January 2020
Online renewals of DDSSY Health Cards planned
New registration only at designated Centres.
Anyone who resided in Goa for 5 years can register for the DDSSY scheme

https://www.flickr.com/photos/joegoauk42/49471594031/in/dateposted-public/

DDSSY renewal restarts..
4th November to 18 November 2019
Last chance to those who not yet renewed their policy.
Renewal period Sept 2019 to Oct 2020

Update July 2019
Renewal due
Wait for SMS message on your phone.
I got mine on previous night asking to present between 10am-1pm next day
Pics at Urban Health Centre, Panaji

https://www.flickr.com/photos/joegoauk26/48306464076/in/dateposted-public/
https://www.flickr.com/photos/joegoauk26/48306466451/in/dateposted-public/

Update 7 March 2019
New Registration/ Enrolment started eff 7.3.2019 (open till March 2020)
Visit your nearest DDSSY Centre, see list below

https://www.flickr.com/photos/joegoauk19/33440157988/
News: 8.3.19 Tg
Amended Scheme:  Upto Rs.15,000 general medicines cover also included now.
So far, since 2016, 14,000 people benefited , 52 hospitals in the State and 
9 outside the State have been empanelled under the scheme, 
447 procedure s are included in the scheme

Update November 30, 2018
Third extension for renewal
One can  now renew from December 4 till December 18 2018 at 18 centres

Update September 2018
Last day for renewal 30th Sept (No date extension) Update 29.9.18: last date extend till 15.10.18, again  extended from Dec 4- 18 2018, see above
Renew anywhere in Goa (Centres), don't wait for SMS reminders (if not received yet)
There are centres in all 40 Constituency, some have more more than one Centre
Find out more here  18002332568 / 0832-2438844

https://www.flickr.com/photos/joegoauk73/42986522320/in/dateposted-public/
Update August 2018
Insurance premium due
No filling up forms this time, just show your DSSSY card and Aadhaar Card and pay Premium due and get a receipt.
extended till 18th Dec 2018 - see above

https://www.flickr.com/photos/joegoauk73/42986521780/in/photostream/
Panaji: Urban Health Centre and Shram shakti Bhavan Patto (Pic)
https://www.flickr.com/photos/joegoauk73/43316757935/in/dateposted-public/


Update: July 2017
Insurance premium due
You will get a Text /SMS message inviting you to your nearest centre.  Carry with you the DSSSY Card, Aadhaar Card and Rs.200 or 300 (Rs.200 for family upto 3 members, more than 3 its 300).
There they will ask you to fill up a Form R (Renewal), see pic, with Name, DDSSY Card No., Mobile Number, signatures both sides

click for bigger view/reading
https://www.flickr.com/photos/joegoauk73/35701546551/
DDSSY health insurance scheme is to be renewed every year by 31st August.
However, this year 2017, renewal date extended till 30th November (3 months extension)

Last year...
Commenced from Today 1st September 2016

https://www.flickr.com/photos/joegoauk73/29277900692/

https://www.flickr.com/photos/joegoauk73/28755171264/

https://www.flickr.com/photos/joegoauk73/29091254050/
Some of the  19 empanelled Hospitals are
Rajagiri Apolo Victor Hospital, Campal Clinic, Grace Hospital, Margao, Manipal Hospital, Dona Paula,  Menezes Polyclinic, Altinho Panaji, Salgaocar Medical Research Centre, Chicalim, Chodankar Nursing Home, Porvorim, Borkar Hospital, Margao, Classic Hospital near Apollo Margao, Dr. Kolwarkar Hospital, Duler, Gauns Child Care Hospital, Mapusa, Healthway Hospital Mala Panaji, Pai Hospital Vadem Vasco, Redkar Hospital, Pernem, Royal Hospital Aquem Margao,  Savaikar Hospital, Ponda, Usgaokar Hospital Ponda, Vision Multispecialty Mapusa, Vrundavan Shalby Mapusa
Alos GMC Bambolim, Asilo Hospital, Mapusa, Hospicio Margao and Sub District Hospital Ponda

https://www.flickr.com/photos/joegoauk73/28764767033/


https://www.flickr.com/photos/joegoauk73/29091276710/
https://www.flickr.com/photos/joegoauk73/28757535133/in/photostream/
https://www.flickr.com/photos/joegoauk73/29299965381/in/photostream/
https://www.flickr.com/photos/joegoauk73/29344817566/in/photostream/

Video: CM Parsekar speaking
https://www.youtube.com/watch?v=4_Fb6GjlpyI

Video
Health Minister Francisco D'Souza Speaking
Rush / Long Q for registration footage also added
https://youtu.be/ZtwQJg-zRnE

Other dignitaries on the dais were
Sudhir Mahajan (Secretary Health)
Sanjeev Dalvi ( Director Health Services)
Victor Albuquerque
Laxmikant Parsekar Goa Chief Minister
Francisco D’Souza Dy Chief Minister
Siddhart Kunkolienkar City MLA
Vijayand Kalekar (United India Insurance Co. Ltd)
Dr. Pradeep  Naik, Dean GMC
Dr. Shekar Salkar

Goa Government has launched Deen Dayal Swasthya Seva Yojana (DDSSY), a health insurance scheme on Goa Statehood Day 30.5.2016
 Health Insurance for all rich and poor living in Goa for 5 years and above.
Government employees & their families covered under government medical reimbursement are not eligible under DDSSY.

Q for registration 1.9.16
https://www.flickr.com/photos/joegoauk73/28754951124/in/photostream/

https://www.flickr.com/photos/joegoauk73/28754951124/
https://www.flickr.com/photos/joegoauk73/29091046390/in/photostream/
https://www.flickr.com/photos/joegoauk73/29091035610/in/photostream/

Registration charges:
 Rs.200 for family of up to 3  Rs. 300 for family of 4 and more.
Above charges to be paid at the time of Card Collection i.e. End July onwards
Insurance cover of Rs. 2.5 Lacs and 4 lacs respectively
Cover includes quality medical care and treatment of diseases, hospitalization and surgery through Government and private hospitals.
The annual installment of the insurance premium which is Rs. 3,206 per family will be paid by the Government to the insurance company.

DDSSY smart card looks like this
https://www.flickr.com/photos/joegoaukextra3/28328555670/in/photostream
https://www.flickr.com/photos/joegoaukextra3/28613157885/in/photostream/
Rcvd after about 45 days
You will get SMS message ( or call) asking to come and collect your card with Adhaar Card proof.
SMS reads 'Dear Joe (A073072), one of your family members has to visit DDSSY Kendra, Panaji (UHC) on (Date) between 10am-5pm to collect you DDSSY card. Carry Adhaar Card and Rs.200 as fees' Sender VK GELGO
Also carry your mobile phone to show SMS / TXT  (or note down the 7 digit form No. preceded by a letter e.g. A073072, the same number of your application form for registration, acknowledgment or receipt you were given and SMS/TXT you received on your cell phone )
They may also register your right hand thumb if not registered earlier.

One card per family


The scheme will be effective from 15.8.16, delayed by 15 days, new date 1st September 2016

How to register?
The state government will setup 16/17 centres across the state for registration and issuance of health insurance cards to the beneficiaries - See list below

Registration extended till October 2016

Panaji Centre is Urban Health Centre located on the road opp Panjim Church on 18th June Road
Opp Ritz Classic
Lunch time break 1-2.30pm
https://www.flickr.com/photos/joegoaukextra3/27076531503/in/photostream

https://www.flickr.com/photos/joegoaukextra3/27076521053/in/photostream/

https://www.flickr.com/photos/joegoaukextra3/27074726574/
https://www.flickr.com/photos/joegoaukextra3/27687148995/in/photostream/


Registration form
Pl. Note: Stamped and Bar coded forms, do not use Xerox copy of it
https://www.flickr.com/photos/joegoaukextra3/27407950700/in/photostream/

https://www.flickr.com/photos/joegoaukextra3/27651568696/in/photostream/

click here for larger view/reading
https://www.flickr.com/photos/joegoaukextra3/27687161375/sizes/h/


List of DDSSY Centres for Registration
Sr.No.DistrictTalukaLocation
1North GoaBardezNorth Goa District Hospital, Mapusa
2BardezPrimary Health Center, Candolim
3BicholimPimary Health Center,Sanquelim
4BicholimPrimary Health Centre, Bicholim
5PernemCommunity Health Center ,Tuem
6SattariPrimary Health Center ,Valpoi
7TiswadiYatri Niwas GMC bambolim, Shram Shakti Bhavan , Patto
8TiswadiUrban Health Centre, Near Department of Social Welfare, Panaji
9South GoaCanconaPrimary Health Center, Chavdi
10DharbandoraPrimary Health Center, Usgao-Tisk
11MormugaoCottage Hospital, Chicalim, Vasco
12PondaSub District Hospital, Ponda
13QuepemPrimary Health Center, Quepem
14QuepemPrimary Health Centre, Curchorem, Quepem
15SalceteUrban Health Center, Opposite Hospicio Hospital, Margao
16SalceteCollectorate South Goa, Matanhy Saldanha Administrative Complex, Margao
17

Sanguem


Primary Health Center, Sanguem
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