Tripura
Tripura Health Insuarance Scheme For Poor
Main benefit
The Tripura Health Assurance Scheme for Poor (THASP) provides health coverage on a family floater basis, with a maximum sum assured of Rs.
Can you get this scheme?
Conditions at a glance
- Age up to 25
- Family income up to ₹1.5 lakh a year
About
The Tripura Health Assurance Scheme for Poor (THASP) is a government initiative supported by the Central Government of India aimed at providing financial assistance to individuals in Tripura who fall below the poverty line. The scheme, which was launched in 2014 and subsequently amended, provides coverage for hospitalisation, surgeries, therapies, and critical illnesses to eligible families with an annual income less than Rs. 1.5 lakh.
THASP provides a health cover of up to Rs. 1.15 lakh per annum to eligible beneficiaries, with cashless facilities available at all empanelled hospitals. The listed hospitals under the scheme follow the Central Government Health Scheme rates for coverage. This healthcare initiative provides a safety net for the economically disadvantaged sections of society in Tripura, helping to alleviate the burden of healthcare expenses.
Benefits
- The Tripura Health Assurance Scheme for Poor (THASP) provides health coverage on a family floater basis, with a maximum sum assured of Rs. 1.15 lakh.
- The scheme includes coverage for transportation expenses incurred in travelling from Agartala to the listed hospital and back, with a maximum coverage limit of Rs. 10,0
- 0.
- The expenses for treatment up to Rs. 1.15 lakh are paid directly to the listed hospital.
- Financial assistance for transportation is disbursed via a bank draft or directly credited to the beneficiary's account, as per the scheme's guidelines.
Who can apply
- The scheme is available to families with an annual income of less than Rs.1.5 lakh.
- Coverage is available for up to five family members, including the policyholder's legal spouse, parents, and unmarried children up to the age of 25 years.
- All family members must be listed on the family ration card issued by the Government of Tripura in order to be eligible for coverage under the THASP scheme.
Who cannot apply
- Government employees are not eligible to apply for the Tripura Health Assurance Scheme for Poor (THASP).
- Students who receive benefits under the scheme are precluded from availing of benefits under any other scheme with similar objectives
Documents needed
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How to apply
Offline
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In order to receive financial assistance under the Tripura Health Assurance Scheme for Poor (THASP), applicants must submit a duly filled application form with relevant details to the Director of the State Illness Fund.
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Upon receiving the application for medical coverage, empanelled hospitals will be notified through fax or email by the state officials of the health department of Tripura to provide treatment to the patient. A copy of the referral letter will also be provided to the patient.
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The empanelled hospital will assess whether the proposed treatment can be covered under the State Illness Fund based on the terms and conditions of the scheme. If the treatment is deemed eligible, coverage will be provided by the State Government up to the maximum limit of Rs. 1.15 lakh.
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The hospital will inform the health department of Tripura of the cost of expenses and submit a bill for reimbursement under the scheme. Additionally, details of the healthcare facilities provided to the patient will also be shared with the Director of the Tripura Health Assurance Scheme for Poor (THASP) for verification.
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Upon verification of the bill, the health department of Tripura will reimburse the hospital for expenses incurred up to the maximum ceiling limit of the scheme, which is Rs. 1.15 lakh.
Common questions
What is the Tripura Health Assurance Scheme for Poor (THASP)?
The Tripura Health Assurance Scheme for Poor (THASP) is a health insurance/assurance scheme financed by the Tripura government that provides each family with a health cover of up to Rs. 1.15 lakh per annum.
Beneficiaries under the scheme can use the cashless facility to cover the cost of hospitalization or treatment at all empanelled hospitals Why was the Tripura Health Assurance Scheme for Poor (THASP) introduced?
The scheme was introduced to provide financial assistance for the treatment of seven dreaded diseases, namely cancer, cardiovascular surgeries, neurosurgeries, renal failure, neo-natal diseases, poly trauma, and eye surgeries.
Which diseases are covered under the Tripura Health Assurance Scheme for Poor (THASP)?
The diseases covered under the scheme are cancer, cardiovascular surgeries, neurosurgeries, renal failure, neo-natal diseases, poly trauma, and eye surgeries.
How many family members are covered under the Tripura Health Assurance Scheme for Poor (THASP)?
The scheme covers up to 5 family members, including the legal spouse, parents of the policyholder, and unmarried children only up to the age of 25 years. To be covered under the Tripura Health Assurance Scheme for Poor (THASP), all the names of the family members must be mentioned on the family ration card issued by the Government of Tripura.
What needs to be submitted by the beneficiary to receive coverage from the Tripura Health Assurance Scheme for Poor (THASP)?
The head of the family must submit his/her name, current job designation, and contact details such as telephone number, mobile number, and email address. The head of the family must also submit his/her bank details and the IFSC code of the bank.
How can one apply for coverage under the Tripura Health Assurance Scheme for Poor (THASP)?
To apply for coverage under the scheme, the patient or any of his/her family members must submit an application in the prescribed format with relevant details addressed to the Director of the State Illness Fund.
Can beneficiaries under the Tripura Health Assurance Scheme for Poor (THASP) avail benefits under any other scheme for the same purpose?
No, beneficiaries obtaining benefits under this scheme shall not be allowed to avail benefits under any other scheme for the same purpose.
What additional information needs to be submitted by the beneficiary to receive coverage from the Tripura Health Assurance Scheme for Poor (THASP)?
It is required to provide personal information including full name, current occupational title, and up-to-date contact information such as landline and mobile numbers as well as email address. Additionally, the primary member must furnish their banking details, including the IFSC code of the bank.
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