This is the intitative and the innovative step taken first time by any State Govt to provide cashless scheme to its employess & pensioners. As of today this service is optional however in due course of time the Govt could think of making it mandatory.
The agreement was singed on 01-10-2010 between the Govt of Uttarakhand , Secretary, Medical Health & Family Welfare & M/s MD India Health Care Services (TPA) Pvt. Ltd., to provide cashless medical services to Uttarakhand Government Employees & Pensioners. The scheme was implemented by G.O No. 338/XXVIII-4-2010-01/2008 dated 25-10-2010 for Uttarakhand Government Employees & Pensioners. The new amended G.O. was out on 23 April,2012 by Govt. of Uttarakhand.
Under this scheme cashless medical facility is provided to Uttarakhand Government Employees/ Pensioners & their dependents on admission in Empanalled Private Hospitals. For the smooth running of the scheme U-Health Cell was established by G.O. No. 59/XXVIII-4-2011-04/2008 dated 24-01-2011in the office of DG,MH&FW which is headed by a officer of Joint Director ,2 Accounts Manager ,2 Data entry operators and a office help. All data related to employees Health smart card and hospital claim bills are maintained in this cell.The MD India has its office in Dehradun and 7 district coordinators are stationed in the CMO/CMS office of Dehradun,Tehri,Pauri,Haridwar,Udham Singh Nagar,Nainital and Almora.The remaining districts would be covered on rotation.The claim settelment /Hospital bills are finalised by the U-Health Cell raised by M,D India (TPA) raised by empanalled hospitals and sent to all Hospitals via electronic transfer through TPA.
To be a member of the scheme a Government Employees/Pensioners has to fill a prescribed consent form duly countersigned by the concerned DDO/TO and ensure his annual contribution according to his/her grade pay :-
||4200.00 to 5400.00
||1900.00 to 2800.00
||1800.00 or below
||Upto Rs. 13950.00
||Upto Rs. 6975.00
||Rs. 39691 & above
||Rs. 19846 & above
Under this scheme a biometeric card is issued to the Govt. Employees/Pensioners which houses his family details (photo, thumb impression) . Till date 61 private hospitals (51 in Uttarakhand & 10 outside Uttarakhand ) are empanelled & Smart Card Readers are installed in these hospitals.