Health Insurance Current Affairs - 2019
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Gopabandhu Sambadika Swasthya Bima Yojana is a new Health Insurance Scheme for the journalists launched by the state government in Odisha. This scheme provides Rs. 2 Lakh per annum health insurance cover to all working journalists of the state.
- Gopabandhu Sambadika Swasthya Bima Yojana has come into effect from June 1, 2018 and will initially cover around 3200 journalists and their family members from various media groups.
- The insurance coverage will be applicable for cashless treatment in government and private hospitals.
- The scheme will also cover the injuries and illness faced by journalists while performing their duties.
Name of Scheme
The scheme has been named after Gopalbandhu Das (1877-1928) a prominent social worker, reformer, political activist, journalist, poet and essayist of Odisha. His contribution to art, culture and society to Odisha earned him the epithet of Utkalmani (jewel of Odisha). His contribution to journalism in the state was short but remarkable. In the decade of 1910, he had launched a monthly literary magazine called Satyabadi through which he tried to educate the masses.
Prime Minister Narendra Modi inaugurated the first Health and Wellness Centre in Bijapur, Chhattisgarh to mark the launch of Ayushman Bharat Yojana- National Health Protection Mission (AB-NHPM). The insurance scheme dubbed as Modicare was announced in Union Budget 2018 and was approved by Union Cabinet in March 2018 with budgetary support of Rs 10,500 crore. It is world’s largest government-funded healthcare programme.
Ayushman Bharat Yojana
It aims to target over 10 crore families belonging to poor and vulnerable population based on Socio Economic and Caste Census 2011 (SECC) database. It will cover of Rs. 5 lakh per family per year, taking care of almost all secondary care and tertiary care procedures. There will be no cap on family size and age in the scheme.
Under it, the government aims to set up 1.5 lakh wellness centres by 2022 that will leverage on comprehensive primary health care for preventive, promotive and curative care. Benefits covered under it include pre and post-hospitalisation expenses. It will also cover all pre-existing conditions from beginning of policy. It will also pay defined transport allowance per hospitalization to beneficiary.
For giving policy directions and fostering coordination between Centre and States for implementation of scheme, Ayushman Bharat National Health Protection Mission Council (AB-NHPMC) will be set up at apex level. It will be chaired by Union Health and Family Welfare Minister.
State governments are allowed to expand scheme both horizontally and vertically. They are also free to choose modalities of its implementation. They can implement through insurance company or directly through Trust/ Society or a mixed model.