Biju Swasthya Kalyan Yojana

National Health Mission

Deptt. of Health & Family Welfare
Govt. of Odisha.
 Biju Swasthya Kalyan Yojana

Free Health Care

• For all population in Odisha Special Health Care
• In all Public Health Institutions
upto MCH level • BKKY Card holder families, BPL, AAY
Card holder & families with low
Income certificate.
• In 196 Empanelled Private Hospitals
 Biju Swasthya Kalyan Yojana
Eligibility
Eligibility BKKY Card holder families, BPL &
Free to all population of Odisha AAY Card holders families & families
irrespective of income status, with income lower than Rs.50,000
residence. in rural and Rs.60,000 in Urban area
BSKY (Income Certificate)
Components
Hospitals Hospitals
In all Public Health Institutions At 196 Private Empanelled
upto MCH Level Hospitals within & outside State
Free Health Care Special Health Care and all Govt. Hospitals & premier
For economically health institutes outside the
For all (4.5 Cr.
Facilities vulnerable 70 Lakh State
population of Odisha)
families (3.5 Cr pop) Facilities
All health services are free of cost
including free drugs, free Annual Cashless Health Coverage
diagnostics, free cancer of Rs.5 Lakh per family and Rs.10
chemotherapy, free OT, free ICU, Lakh for Women members of the
free IPD admissions etc. family.

Document required
Documents required BKKY Stream-I&II/ BPL/ AAY cards or
No documents required Income certificate less than
Rs.50,000 in rural and Rs.60,000 in
Urban area.

Component-I Component-II
 Numbers of families covered under Biju
Swasthya Kalyan Yojana

Component-I • 99,00,000 families (Whole

population of Odisha

• 25,61,602 BKKY (Stream- I families)

• 44,08,070 BKKY (Stream- II families)
Component-II • 2,00,000 approx. (OSTF)
• Total-71,69,672
 Coverage under Biju Swasthya Kalyan Yojana
Universal Free Healthcare at Public Health Facilities including MCHs
Period OPD IPD
15th August 2018 to 31st July 2019 6,11,43,947 48,88,288

Empanelled Private health institutions

Month-Year IPD Amount (In Rs.)
1st February 2019 to 31st August 2019 21,974 16,80,75,670
 Biju Swasthya Kalyan Yojana

HOW TO AVAIL BENEFIT USING DIFFERENT CARDS AT PRIVATE

EMPANELLED HOSPITALS
I. BKKY (S-I & S-II)-
a. Up to Rs.1 Lakh under Insurance mode directly at empanelled Private
Hospitals.
b. Beyond Rs.1 Lakh up to Rs.5 Lakhs and Rs.10 Lakhs for family members
and women members of the family respectively through OSTF after
exhausting Rs. 1 Lakh Insurance.
c. The beneficiaries have to apply through prescribed OSTF format and the
said format is available in the website (www.dmetodisha.gov.in).
 Biju Swasthya Kalyan Yojana

II. BPL, AAY & Income certificate –

a. These card holders can available cashless treatment at OSTF
empanelled Hospital on referral by CDM & PHOs within the State and
by DMET(O) to State & Central Hospital outside the State and to all
Premier Health Institution across India.
 BSKY facilitation at point of service level

Swasthya Mitras are deployed at BSKY

Helpdesk in each empaneled hospital to
facilitate the beneficiaries availing medical
assistance under BSKY.
Swasthya Mitras are provided with apron
having BSKY Logo. It is to be ensured that
all Swasthya Mitras should wear the same in
the duty hours.
District Coordinators are posted at DHHs
to coordinate smooth implementation of
BSKY in the concerned Districts.
 Availability of information on BSKY

Call Centre District Website NHM Website H&FW Website

Official website of
Toll free No.155369 www.nhmodisha.gov.in www.health.odisha.gov.in
all districts

Any person can raise Instructions are Frequently Asked Frequently Asked
any query or issued to Questions and list Questions and list
complaint regarding Districts in this of empaneled of empaneled
Biju Swasthya Kalyan regard for posting hospitals have hospitals have been
Yojana with toll free of BSKY FAQ in been uploaded in uploaded in the
number 155369 official website of the official official website of
available from 6 AM to the districts. website of NHM, H&FW Department,
10 PM. Odisha Odisha
 Nidaan
Features of the Scheme:
• All types of essential diagnostic services are provided free of cost to all categories of
patients in all public health facilities as per its level from Sub-Centers to Medical Colleges
and Hospitals. The Diagnostic services under “Nidaan” include general pathology service
(through own system) up to Sub-Center level, 15 types of high-end pathology tests like at
all DHHs and Medical College & Hospitals, CT-Scan, MRI in 10 DHHs where new
Medical College and Hospitals are coming up and in SCB MCH, MKCH MECH &
VIMSAR and Tele-radiology of X-Rays (digitization and reporting) in all DHHs, SDHs
and selected CHCs through PPP mode.
Eligibility Criteria (Can I Avail?):

• Any patients requiring diagnostic services as prescribed by treating physicians can avail
services at the public health facilities’ as per its level of care and list assured diagnostic
services notified.
Benefits under the Scheme (What do I get?):

• Diagnostic services made available to patients as per the advice of the treating physicians.
• The services include general & high-end pathology, CT-Scan, MRI and Tele-radiology
services at designated public health facilities’.
Process to follow (How can I avail?):

• The services are free of all patients and accordingly required diagnostic services are
provided in all Government health facilities as per its level of care and list assured
diagnostic services notified which would be provided based on prescription of treating
physician at public health facilities.
Nirmal: Strengthening Ancillary Services
• “Nirmal” launched for promotion of Healthy & Hygienic Hospitals
• All Institutions up to PHC-N level are covered
• Components :
• House Keeping & Cleanliness Services
• Linen & laundry Services
• Security Services
• Lift Services
• Financial Implications for 5 years- Rs.552 Crs
Action Points:
• Ensure adherence of frequency of cleaning, cleaning methods and use of
appropriate disinfectants as per the functional area risk category defined.
• Ensure maintenance of housekeeping items as per the deliverables
• Provisioning of manpower as per norm for all services
• Colour coded bed sheets as per the guideline
• Quarterly Performance Review as per checklist.
• Ensure timely payment after deduction of penalty as per RFP.
 Sahay
Features of the Scheme:
• In order to reduce the out of pocket expenditure towards Dialysis services, Free
Dialysis Services- Sahay has been launched. Patients requiring dialysis services
recommended by treating physicians are provided free dialysis services at all Medical
College Hospitals through own system. Steps are being taken to provide free dialysis
services in 25 District Health Quarter Hospitals and CHC, Narshingpur through PPP
mode to ensure easy access to dialysis services.

Eligibility Criteria (Can I Avail?):

• All patients requiring Dialysis services recommended by treating physicians of Public
health facilities.
 Sahay
Benefits under the Scheme (What do I get?):
• Free Dialysis services which include all consumable and drugs required during the
dialysis session, as advice by treating Physicians.

Process to follow (How can I avail?):

• The free dialysis services are available at all Govt. Medical Colleges & Hospitals, 25
DHHs (except City Hospital Cuttack, BERHMAPUR, DDH, Sambalpur, DHH,
DeogarH and DHH, Sonepur) and CHC, Narsingpur. Hence patients can avail services
at any locations as per its choice based on prescription of the treating physician at
public health facilities.
 Niramaya
Features of the Scheme:

About 593 types of essential drugs that include surgical items and other consumables
are provided on free of cost to all categories of patients attending public health
facilities, as per its level under Niramay. The high cost and long-term use medicine for
diseases like cancer, diabetics, hypertension, psychiatric, blood disorders are also
provided under Niramay. The quality of drugs is ensured through rigorous quality
check at the different stages of procurement and before final distribution to the patients
by NABL accredited Laboratories.

Eligibility Criteria ( Can I Avail):

• Any patients availing services from govt. health facilities
 Niramaya
Benefits under the Scheme ( What do I get):

• Around 570 types of drugs provided free of cost to patients at various

Government health facilities.

Process to follow (How can I avail):

• It is universal free services available to all patients at all Government

health facilities based on prescription of treating physician at public health
facilities.
 Free Blood Services
Features of the Scheme:
• Under strengthening of blood services, provision has been made to ensure quality blood to
all patients requiring blood at public health facilities. Several incentives and welfare
schemes have been introduced to provide free blood to pregnant women, sick infants,
blood disorder patients like sickle cell anaemia, Hemophilia, Thalassemia, accident,
destitute and poor patients without replacement and free Blood transfusion @Rs. 350/ -
per unit of blood. Special provision has been made to provide monthly transport
assistance @Rs. 500/- per month to all types of blood disorder patients attending blood
bank for blood transfusion or treatment at public health facilities.
Eligibility criteria (Can I Avail?):
• Free Blood Services: All patients including blood disorder patients requiring blood and
blood product are eligible avail the services on free of cost at all Govt. facilities.
• Reimbursement of Transportation cost for blood disorder patients: All Blood
Disorder patients attending blood bank for blood transfusion or treatment at public health
facilities are eligible to get the incentives.
 Free Blood Services
Benefits under the Scheme (What do I get?):
• No user fees and service charges for transfusion of blood & blood products at all Government
Blood Banks and Blood Storage Units.
• Cash incentives of Rs. 500/- per month for all registered blood disorder patients.

Process to follow (How can I avail?):

• Free blood services are universal at all Government Blood Banks and Blood Storage Units, no
documents are required to submit.
• The confirmed blood disorder patients required to registered and submit A/c details in respective
Block Community Health Center to get the incentives on monthly basis till treatment continue and
shall have presence in every 6 months at registered Block CHC in-person to show live status and
further continuance of incentives. All incentives are paid through DBT.
 Mahaprayan
Background
• It is generally observed that vehicle owners including commercial & Govt. vehicle are
averse to transport dead body as carrying of dead body in vehicle is considered inauspicious
& taboo.
• Few old damaged vehicle engaged in this business charge exorbitant rates leading to huge
out of pocket expenses for the family of the deceased.

The Scheme:
• It has been implemented in all the District Headquarter Hospitals, 03 Medical College &
Hospitals, Capital Hospital, BBSR ; RGH, Rourkela ; SishuBhawan, Cuttack & AHRCC,
Cuttack.
• Specially designed dead body carriers (DBC) were provided one each to the hospitals
• The District Red-Cross Society may decide the transportation cost (per kilometre) and
service charge from time to time keeping in mind that it is mandatory to run the DBCs on
no-loss no-profit basis.
Thank you